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Bulletin: Update to Pediatric Inpatient Rehabilitation Services

Post Date: 06/02/2023 - 4:36pm

Effective for dates of service on or after July 1, 2023, the South Carolina Department of Health and Human Services (SCDHHS) will reimburse for medically necessary pediatric inpatient rehabilitation services that are delivered in a qualified inpatient rehabilitation unit or facility. This change applies to services rendered under the Medicaid State Plan to Healthy Connections Medicaid members 21 years of age and younger.

Bulletin: Coverage of HPV Vaccine for Adults Ages 19-45

Post Date: 06/02/2023 - 3:50pm

The South Carolina Department of Health and Human Services (SCDHHS) will cover the Human Papillomavirus (HPV) 9-valent vaccine for Healthy Connections Medicaid members between the ages of 19-45 beginning July 1, 2023. This coverage applies to full-benefit Healthy Connections Medicaid members and those enrolled in the family planning limited benefit program.

Bulletin: Medicaid Coverage and Reimbursement of Routine Patient Costs Associated with Qualifying Clinical Trials

Post Date: 05/18/2023 - 5:06pm

The South Carolina Department of Health and Human Services (SCDHHS) has amended the South Carolina State Plan to cover routine patient costs Healthy Connections Medicaid members accrue that are associated with participation in qualifying clinical trials effective Jan. 1, 2022. The agency is making this change consistent with federal guidance outlined in Center for Medicaid and CHIP Services state Medicaid director (SMD) letter SMD# 21-005 and the requirements of the Consolidated Appropriations Act of 2021.

Bulletin: May 2023 Provider Payment Schedule

Post Date: 04/17/2023 - 4:58pm

Bulletin: Early Intervention Services Provider Manual

Post Date: 04/12/2023 - 4:19pm

Bulletin: Hemophilia Factor Fee-for-Service Transition

Post Date: 02/08/2023 - 3:54pm

Bulletin: One-Time Direct Care Retention Payments Frequently Asked Questions

Post Date: 02/06/2023 - 9:29am

SCDHHS has published frequently asked questions (FAQs) and responses related to the one-time direct care retention payments that were issued to HCBS providers through the agency’s American Rescue Plan Act of 2021 (ARPA) spending plan.

Bulletin: 2023 Provider Enrollment Application Fee

Post Date: 12/22/2022 - 2:31pm

The Centers for Medicare and Medicaid Services (CMS) has announced the enrollment application fee amount for calendar year 2023 will be $688. This fee is required by CMS with any applicable Healthy Connections Medicaid provider enrollment application.

Bulletin: Update on Continued Postponement of EVV Launch for SCDDSN-operated Waiver Programs

Post Date: 12/22/2022 - 2:24pm

On Nov. 22, 2022, the South Carolina Department of Health and Human Services (SCDHHS) announced it was postponing the launch of the electronic visit verification (EVV) system for providers who were rendering services through the three waivers operated by the South Carolina Department of Disabilities and Special Needs (SCDDSN) (the Community Supports [CS], Head and Spinal Cord Injury [HASCI] and Intellectual Disability and Related Disabilities [ID/RD] waivers).

Bulletin: Social Security and SSI Cost-of-Living Adjustment Increases and Re-budgeting of Cases

Post Date: 12/22/2022 - 11:35am

Effective Jan. 1, 2023, Social Security (Title II-SSA) benefit and Supplemental Security Income (SSI) benefit payments will include an 8.7% cost-of-living adjustment (COLA) increase. The South Carolina Department of Health and Human Services (SCDHHS) is processing the COLA re-budgets during December 2022.

Bulletin: Dental Services Provider Manual Updates for Jan. 1, 2023

Post Date: 12/16/2022 - 2:04pm

Bulletin: State Plan Dental Rates Increases

Post Date: 12/07/2022 - 3:31pm

Bulletin: Veterans Day Holiday Provider Payment Schedule Update

Post Date: 11/10/2022 - 11:01am

Friday, Nov. 11, 2022, is a South Carolina state and banking holiday. Due to the holiday, providers who receive payments by electronic funds transfer will receive their payments either Thursday, Nov. 10 or Monday, Nov. 14 depending on their bank’s policy. Claims submitted by 5 p.m. Saturday, Nov. 5 are included in this payment.

Bulletin: Updates to Rates for Vagus Nerve Stimulation

Post Date: 11/08/2022 - 9:16am

Bulletin: Medicaid Credit Balance Amnesty Review

Post Date: 11/04/2022 - 1:31pm

SCDHHS has a contract with Health Management Systems, Inc. (HMS) to act as the agency’s recovery audit contractor (RAC), pursuant to the federal RAC audit requirements. As a part of the RAC services provided, HMS was to conduct credit balance audits of Medicaid overpayment transactions of South Carolina Healthy Connections Medicaid-enrolled providers.

Provider Alert: Update on Medicaid Bulletin Terminology

Post Date: 11/03/2022 - 4:49pm

Bulletin: Inpatient Only Procedures

Post Date: 10/21/2022 - 10:41am


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