Bulletins
Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings – Spring 2022
Post Date: 01/20/2022 - 10:08am
Bulletin: Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) - Orthodontic Services
Post Date: 12/30/2021 - 6:24pm
Bulletin: Non-Emergency Medical Transportation Provider Requirements
Post Date: 12/09/2021 - 4:54pm
SCDHHS is updating requirements for agencies and drivers that provide non-emergency medical transportation(NEMT) services to South Carolina Healthy Connections Medicaid members.
Bulletin: Rate Increases for Certain Incontinence Supplies and DAODAS and ASD Services
Post Date: 12/02/2021 - 4:32pm
Effective Jan. 1, 2022, the South Carolina Department of Health and Human Services (SCDHHS) will increase the reimbursement rates for the services and supplies mentioned below. These rate increases apply to the Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes included in this bulletin.
Bulletin: Prior Authorization for Transplant Services
Post Date: 12/01/2021 - 5:07pm
Effective Jan. 1, 2022, SCDHHS will accept prior approval of an organ transplant by the agency’s quality improvement organization (QIO) as approval for a Healthy Connections Medicaid member to be treated out of state, if applicable.
Bulletin: Update to Coronavirus Disease 2019 (COVID-19) Vaccine Administration Coverage to include Pediatric Coverage, Updated Booster Eligibility
Post Date: 11/09/2021 - 9:11am
The Centers for Disease Control and Prevention (CDC) has recently updated its recommendations regarding who is eligible to receive a COVID-19 vaccine to include children ages 5-11 years. The CDC has also updated its recommendations on who is eligible to receive a COVID-19 vaccine booster shot. The South Carolina Department of Health and Human Services (SCDHHS) will reimburse enrolled providers for the administration of COVID-19 vaccines, including additional doses of the COVID-19 vaccine consistent with the CDC’s guidance. The CDC is maintaining updated guidance on COVID-19 vaccines for specific groups of people, including guidance based on age, on its website. The CDC is also maintaining updated guidance on COVID-19 vaccine booster shot eligibility criteria on its website.
Provider Alert: Agency to Extend its EVV System to SCDDSN-operated Waivers
Post Date: 10/12/2021 - 10:11am
Provider Alert: Upcoming Healthy Connections Medicaid Dental Provider Trainings - Fall 2021
Post Date: 10/08/2021 - 1:48pm
Provider Alert: Additional Medicaid Provider Relief Funding Available from U.S. Department of Health and Human Services
Post Date: 10/07/2021 - 1:30pm
Bulletin: Rate Increase for Adult Day Health Care Providers (S5102)
Post Date: 10/04/2021 - 11:57am
SCDHHS has increased the reimbursement rate for adult day health care services provided to Healthy Connections Medicaid members participating in home and community-based waiver programs.
Bulletin: Rate Increase for Respite Services (T1005)
Post Date: 09/21/2021 - 5:28pm
Effective for dates of service on or after Sept. 1, 2021, the rate for respite care services billed using Healthcare Common Procedure Coding System (HCPCS) code T1005 was increased to $4.05 per 15-minute unit.
Bulletin: Coronavirus Disease 2019 (COVID-19) Third Dose of Vaccine Administration Coverage
Post Date: 09/08/2021 - 12:03pm
SCDHHS will reimburse for the administration of additional doses of the COVID-19 vaccine consistent with the updated emergency use authorization issued by the U.S. Food and Drug Administration (FDA) and the recommendations of the Centers for Disease Control and Prevention (CDC).
Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings – Fall 2021
Post Date: 09/03/2021 - 1:27pm
Bulletin: Update to Durable Medical Equipment Provider Manual
Post Date: 09/01/2021 - 12:34pm
Effective Oct. 1, 2021, the South Carolina Department of Health and Human Services (SCDHHS) will amend the definition of durable medical equipment (DME) found in the DME Provider Manual.
Provider Alert: Payment Vendor Change for CLTC Attendant Care and Adult Companion Care Providers
Post Date: 08/20/2021 - 11:45am
Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings – Fall 2021
Post Date: 08/18/2021 - 4:23pm
Bulletin: Vaccines for Children Policy and Coding Update
Post Date: 07/30/2021 - 4:10pm
SCDHHS is issuing a clarification regarding billing for vaccine administration current procedural terminology (CPT) codes 90460 and 90461 for vaccines obtained through the Vaccines for Children (VFC) program to Healthy Connections Medicaid-enrolled children.
Bulletin: Prostate Cancer Screenings Added to Limited Benefit Program
Post Date: 07/08/2021 - 3:01pm
SCDHHS today announced it will add coverage of prostate cancer screenings for members of the Family Planning limited benefit program beginning Aug. 1, 2021.
Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings - Summer 2021
Post Date: 06/30/2021 - 1:11pm
Bulletin: Payment Error Rate Measurement (PERM) Program
Post Date: 06/14/2021 - 3:32pm
CMS has informed SCDHHS that the South Carolina Healthy Connections Medicaid program will participate in the Payment Error Rate Measurement (PERM) program for State Fiscal Year 2022.
Bulletin: SCDHHS Policy Updates for July 1, 2021
Post Date: 06/03/2021 - 1:48pm
The South Carolina Department of Health and Human Services (SCDHHS) is announcing updates to several policies. The updates are described below and are effective for dates of service beginning July 1, 2021.
Provider Alert: Reminder: Upcoming Healthy Connections Medicaid Provider Trainings – Spring 2021
Post Date: 04/30/2021 - 4:01pm
Provider Alert: Claim Correction (Void and Replace) Functionality in BRIDGES
Post Date: 04/16/2021 - 10:46am
Provider Alert: Elimination of the KEPRO Prior Authorization Requirement for BabyNet Services
Post Date: 04/08/2021 - 10:15am
Bulletin: South Carolina Recovery Audit Contractor
Post Date: 04/06/2021 - 2:41pm
SCDHHS has awarded a contract to Health Management Systems, Inc. (HMS) to act as the agency’s recovery audit contractor (RAC). Federal regulations (42 CFR 455.500 et. seq.) require states to establish a RAC program as a measure to promote the integrity of the Medicaid program. As a part of the RAC contract, HMS will also conduct Credit Balance audits according to 42 CFR § 455.506(a).
Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings – Spring 2021
Post Date: 04/01/2021 - 4:06pm
Provider Alert: Updated Rehabilitative Behavioral Health Services (RBHS) Accreditation Crosswalk
Post Date: 03/30/2021 - 11:09am
Bulletin: Updates to Behavioral Health Policies
Post Date: 03/01/2021 - 4:10pm
Beginning Sept. 1, 2021, SCDHHS will require that the MTCM assessment include printed name, title, date and signature of the person conducting the assessment to validate the need or lack of need for MTCM services.
Provider Alert: New SCDHHS Healthy Connections Training Materials Available for Behavioral Health Providers
Post Date: 02/05/2021 - 2:37pm
Provider Alert: Approval of South Carolina’s Appendix K Amendment Request for the Palmetto Coordinated System of Care (PCSC) Waiver
Post Date: 01/22/2021 - 4:13pm
Provider Alert: Approval of South Carolina’s Appendix K Extension Request
Post Date: 01/22/2021 - 2:25pm
Provider Alert: New and Extended Healthy Connections Medicaid and Healthy Connections Prime Health Plan Offerings Available
Post Date: 01/22/2021 - 9:28am
Bulletin: Changes to Prior Authorization Review Process for Select Physician administered Drugs
Post Date: 01/20/2021 - 2:24pm
SCDHHS today announced the prior authorization review for several physician-administered drugs will transition from a review process administered by KEPRO to a review process administered by Magellan Specialty (formerly ICORE).
Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings
Post Date: 01/04/2021 - 12:45pm
Bulletin: CNA Clinical Training Sites
Post Date: 12/31/2020 - 2:21pm
The South Carolina Department of Health and Human Services (SCDHHS) is updating agency policy to allow hospitals to serve as CNA clinical training sites. Effective Jan. 1, 2021, CNA candidates may receive the required 40 hours of clinical skills training in a hospital or approved nursing facility.
Bulletin: Coronavirus Disease 2019 (COVID-19) Vaccination Administration Coverage
Post Date: 12/22/2020 - 4:34pm
SCDHHS will reimburse for COVID-19 vaccine administration, without patient cost-sharing, when provided to Healthy Connections Medicaid members in a manner consistent with recommendations of the Advisory Committee on Immunization Practices (ACIP).
Provider Alert: Appendix K Temporary Retainer Payment Updates and Resources
Post Date: 12/16/2020 - 1:22pm
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