Bulletins
Get Provider Bulletins
Post date: 04/04/2018 - 11:22am
Effective May 1, 2018, the South Carolina Department of Health and Human Services (SCDHHS) is updating the SCDHHS Dental Periodicity Schedule. This update follows the American Academy of Pediatric Dentistry (AAPD) recommendations on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance and Oral Treatment for Infants, Children and Adolescents. The Dental Periodicity Schedule recommends a set of dental procedures and services that are applicable at each stage of a child's development, from birth through the 21st birthday, with appropriate intervals of care that meet reasonable standards of dental practice.
Tags: Dental
Post date: 03/30/2018 - 2:41pm
To ensure the highest quality care to children enrolled in the South Carolina Medicaid program, the South Carolina Department of Health and Human Services (SCDHHS) adopts the following updates and reminders regarding Early and Periodic Screening, Diagnosis and Treatment (EPSDT) coverage policy. The EPSDT benefit is available to Medicaid beneficiaries under the age of 21.
Tags: All Providers
Post date: 03/13/2018 - 1:06pm
Effective April 1, 2018, the South Carolina Department of Health and Human Services (SCDHHS) will implement the following changes to the policy manual for autism spectrum disorder (ASD) services.
Tags: All Categories
Post date: 03/02/2018 - 3:18pm
SCDHHS is issuing the following policies for dental providers effective for dates of service on and after April 1, 2018
Tags: Dental
Post date: 02/05/2018 - 11:13am
The South Carolina Department of Health and Human Services (SCDHHS) is amending physician signature requirements for continuous positive airway pressure (CPAP) and bi-level positive airway pressure (BiPAP) devices.
Post date: 02/01/2018 - 3:44pm
The South Carolina Department of Health and Human Services (SCDHHS) is amending current physician signature requirements for the following forms located in the Durable Medical Equipment (DME) Provider Manual:
Post date: 02/01/2018 - 3:35pm
This is to inform psychiatric residential treatment facility (PRTF) providers that the South Carolina Department of Health and Human Services (SCDHHS) will update the Quarterly Seclusion and/or Restraint Reporting Form.
Post date: 12/20/2017 - 5:09pm
Post date: 12/20/2017 - 4:07pm
The South Carolina Department of Health and Human Services (SCDHHS) issues the following policy for all dental providers effective for dates of service on and after Jan. 1, 2018.
Tags: Dental
Post date: 12/06/2017 - 4:43pm
The South Carolina Department of Health and Human Services will be amending its autism spectrum disorder (ASD) manual to include additional providers that will be allowed to complete the comprehensive psychological assessment/testing report to determine if Medicaid beneficiaries meet medical necessity criteria for ASD services.
Post date: 12/06/2017 - 1:53pm
Effective for dates of service on or after Jan. 1, 2018, and pursuant to South Carolina Budget Proviso 117.135, Section A, the South Carolina Department of Health and Human Services (SCDHHS) will accept Act 301 Behavioral Health Centers (301 Centers) as approved referring sites for Medication Assisted Treatment (MAT) services rendered via telemedicine consultation.
Post date: 11/14/2017 - 4:22pm
Effective Dec. 1, 2017,SCDHHS will add criteria and prior authorization guidelines for ventilators to the Durable Medical Equipment (DME) Provider Manual for DME providers. This policy will be posted in the DME Provider Manual located on the SCDHHS website.
Post date: 09/01/2017 - 4:53pm
The South Carolina Department of Health and Human Services (SCDHHS) will update the form for reporting seclusion and restraint. The form will contain an additional field indicating who ordered the restraint. The manual will also be updated to include this additional requirement. The new form must be used for all seclusion and restraint reports beginning Oct. 1, 2017.
Tags: All Categories
Post date: 09/01/2017 - 9:37am
Effective Oct. 1, 2017, in lieu of having one year of pediatric nursing experience in a clinical setting, nursing providers may submit a pediatric nurse training program for registered nurses (RNs) and licensed practical nurses (LPNs) to SCDHHS for review and potential approval.
Tags: All Providers
Post date: 06/26/2017 - 2:45pm
The Centers for Medicare and Medicaid Services (CMS) issued an informational bulletin clarifying Medicaid coverage of services to children with autism on July 7, 2014. As a result of that bulletin and extensive consultation with CMS, the Pervasive Developmental Disorder (PDD) Waiver will be terminated Dec. 31, 2017.
Tags: All Providers
Post date: 06/23/2017 - 4:58pm
The South Carolina Department of Health and Human Services (SCDHHS) updated the autism spectrum disorder (ASD) services transition plan for delivery of ASD services. This plan supersedes the bulletin entitled “Transition Guidelines for Autism Services,” published May 4, 2017. The following outlines the instructions for providers of ASD services for services delivered on or after July 1, 2017.
Tags: All Categories
Post date: 06/22/2017 - 4:57pm
The South Carolina Department of Health and Human Services (SCDHHS) is informing all practices currently recognized by the National Committee for Quality Assurance (NCQA) as a patient-centered medical home (PCMH) or who have applied or are considering applying for PCMH certification that the following modifications are being made to its PCMH incentive program, effective July 1, 2017.
Tags: Managed Care, Physicians
Post date: 06/15/2017 - 4:17pm
Effective with dates of service on or after July 1, 2017, the South Carolina Department of Health and Human Services (SCDHHS) will no longer limit the number of prescriptions available to Medicaid beneficiaries.
Post date: 06/09/2017 - 2:43pm
The South Carolina Department of Health and Human Services (SCDHHS) is updating the Autism Spectrum Disorder Services (ASD) Provider Manual. The updated ASD Provider Manual will be published on June 9, 2017 and will include three changes relative to the direct provision of services by applied behavior analysis (ABA) providers.
Tags: All Categories
Post date: 06/02/2017 - 4:46pm
Effective with dates of service on or after July 1, 2017, the South Carolina Department of Health and Human Services (SCDHHS) will include psychiatric residential treatment facility (PRTF) services and providers in the coordinated care benefit provided by SCDHHS-contracted managed care organizations (MCOs). MCO members will access PRTF services through the MCO they have chosen or to which they have been assigned. Individuals not choosing or not mandatorily assigned to an MCO will continue to access PRTF services through the SCDHHS Medicaid fee-for-service (FFS) benefit. PRTFs serve beneficiaries 21 years of age and younger.
Post date: 06/02/2017 - 4:29pm
Effective for dates of service on or after July 1, 2017, and as required by 1902(a) (25) of the Social Security Act, the South Carolina Department of Health and Human Services (SCDHHS) will implement cost avoidance rules for the procedure codes reflected below. Service providers will be required to file claims to any liable third-party insurer before submitting a claim to SCDHHS for payment. Claims filed with SCDHHS prior to billing all liable third-party insurers and appropriately documenting the third party filing on the claim submitted to Medicaid will receive all applicable claim edits. Resolution of applicable claim edits for the issues described above are outlined in the appendices of each SCDHHS provider manual, located at https://www.scdhhs.gov/provider-manual-list .
Post date: 06/02/2017 - 4:23pm
Effective with dates of service on or after July 1, 2017, the South Carolina Department of Health and Human Services (SCDHHS) is enhancing tobacco cessation coverage for full-benefit Medicaid beneficiaries to align with recommendations from the Centers for Disease Control and Prevention (CDC) and the American Lung Association (ALA). This update applies to both the fee-for-service and managed care Medicaid benefits.
Post date: 06/02/2017 - 4:14pm
Effective with dates of service on or after July 1, 2017, the South Carolina Department of Health and Human Services (SCDHHS) will allow therapeutic child care (TCC) providers to fulfill the requirement of parallel work with the primary caregiver by rendering family psychotherapy twice per month in conjunction with the TCC service. Family psychotherapy services provided to meet this requirement must be rendered within the stated frequency limits as outlined in the Rehabilitative Behavioral Health Services manual.
Post date: 05/26/2017 - 4:45pm
Effective for dates of service on or after July 1, 2017, the South Carolina Department of Health and Human Services (SCDHHS) will cover the following vaccinations for Medicaid beneficiaries 19 years of age and older:
Tags: All Providers
Post date: 05/26/2017 - 4:41pm
Effective July 1, 2017, the South Carolina Department of Health and Human Services (SCDHHS) will update coverage for CenteringPregnancy group prenatal care services.
Tags: Medical Clinics, Physicians
Post date: 05/04/2017 - 10:35am
As previously announced in a March 31, 2017, provider bulletin, autism spectrum disorder (ASD) treatment services will be added to the South Carolina Medicaid State Plan effective for dates of service on or after July 1, 2017.
Tags: All Providers
Pages
