Bulletins
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
Provider Alert: U.S. Department of Health and Human Services Announces Expanded Pool of Providers Eligible for Additional Provider Relief Funds
Post Date: 10/27/2020 - 3:46pm
Bulletin: Vaccines for Children Policy and Coding Update
Post Date: 10/15/2020 - 4:36pm
The South Carolina Department of Health and Human Services (SCDHHS) is revising agency policies related to the administration of vaccines obtained through the Vaccines for Children (VFC) program to Healthy Connections Medicaid-enrolled children. The guidance and changes to vaccine administration and counseling policy included in this bulletin replace the existing SCDHHS guidance on this topic.
Provider Alert: U.S. Department of Health and Human Services Announces Additional Provider Relief Funds
Post Date: 10/13/2020 - 2:36pm
Provider Alert: Healthy Connections Choices Annual Enrollment Broker Provider Trainings
Post Date: 10/07/2020 - 4:31pm
Provider Alert: Approval of South Carolina’s Appendix K-Retainer Payments
Post Date: 09/29/2020 - 6:55pm
Provider Alert: Update on COVID-19 Regulatory and Reimbursement Flexibilities for Nursing Facilities
Post Date: 09/09/2020 - 12:59pm
Provider Alert: Aug. 25 Pharmacy Provider Average Acquisition Cost Webinar
Post Date: 08/31/2020 - 4:23pm
Provider Alert: COVID-19 Level of Care and Notice of Admission, Authorization and Change of Status for Long Term Care (SCDHHS Form 181) Guidance
Post Date: 08/27/2020 - 11:46am
Provider Alert: Upcoming Informational Session for Pharmacy Providers on Average Acquisition Cost Program
Post Date: 08/20/2020 - 10:49am
Provider Alert: ASD Program Updates: ABA Provider Network and Behavior Identification Assessments
Post Date: 08/11/2020 - 4:32pm
Provider Alert: Additional COVID-19 Telehealth Guidance for Early Intervention Providers
Post Date: 07/10/2020 - 10:27am
Provider Alert: New Coverage for COVID-19 Testing Available for Those Without Healthcare Coverage
Post Date: 07/06/2020 - 5:42pm
Bulletin: Provider Reimbursement Available for COVID-19 Testing for the Uninsured
Post Date: 07/06/2020 - 4:48pm
The South Carolina Department of Health and Human Services (SCDHHS) today announced it will begin accepting applications for a limited-benefit Medicaid coverage group newly authorized to provide reimbursement for coronavirus disease 2019 (COVID-19) testing for those without healthcare coverage. Services and individuals covered by the new COVID-19 Limited Benefit Program are limited to COVID-19 testing and diagnostic services. Instructions for providers are available below. Additional SCDHHS COVID-19-related policy changes and resources for providers are available at www.scdhhs.gov/COVID19.
Bulletin: July 2020 Coverage and Reimbursement Changes
Post Date: 06/30/2020 - 6:02pm
Several benefit and reimbursement changes are being implemented on July 1, 2020.
Provider Alert: U.S. Department of Health and Human Services Holding Medicaid Provider Funding Relief Webinars Next Week
Post Date: 06/19/2020 - 1:29pm
Provider Alert: COVID-19 Testing Fee Schedule, Provider FAQ Page Updated
Post Date: 06/16/2020 - 10:21am
Provider Alert: U.S. Department of Health and Human Services Announces Medicaid Funding Relief
Post Date: 06/11/2020 - 11:18am
Provider Alert: COVID-19 Regulatory and Reimbursement Flexibilities for Nursing Facilities
Post Date: 04/30/2020 - 3:50pm
Provider Alert: Healthy Connections Choices Annual Enrollment Broker Provider Trainings
Post Date: 04/28/2020 - 1:28pm
Provider Alert: Updated Coronavirus Disease 2019 (COVID-19) Provider FAQ Responses
Post Date: 04/24/2020 - 10:43am
Provider Alert: Approval of South Carolina’s Appendix K Amendments Request
Post Date: 04/21/2020 - 7:51pm
Provider Alert: 2020 Provider Revalidation: Group 2 Temporarily Delayed Due to COVID-19
Post Date: 04/20/2020 - 12:11pm
Bulletin: COVID-19 Telehealth Policy Update to New Patient and Associate and Assistant-level Provider Coverage
Post Date: 04/16/2020 - 6:24pm
On Friday, March 13, 2020, President Donald Trump declared a national emergency due to coronavirus disease 2019 (COVID-19) and Governor Henry McMaster declared a state of emergency for the state of South Carolina. As a part of the state’s preparation and response to COVID-19, the South Carolina Department of Health and Human Services (SCDHHS) is announcing additional temporary modifications to policies related to telehealth coverage. These modifications are in addition to those previously announced that are available at www.scdhhs.gov/COVID19.
Bulletin: COVID-19 Telehealth Policy Update to Well-visit Coverage
Post Date: 04/16/2020 - 1:48pm
On Friday, March 13, 2020, President Donald Trump declared a national emergency due to coronavirus disease 2019 (COVID-19) and Governor Henry McMaster declared a state of emergency for the state of South Carolina. As a part of the state’s preparation and response to COVID-19, the South Carolina Department of Health and Human Services (SCDHHS) is announcing additional temporary modifications to policies related to telehealth coverage. These modifications are in addition to those announced previously that are available at www.scdhhs.gov/covid19.
Provider Alert: Coronavirus Disease 2019 (COVID-19) Provider FAQ Page, Telehealth Fee Schedule Now Available
Post Date: 04/13/2020 - 9:02pm
Bulletin: COVID-19 Telehealth Policy Update to Associate-level Provider Coverage
Post Date: 04/06/2020 - 6:55pm
On Friday, March 13, 2020, President Donald Trump declared a national emergency due to coronavirus disease 2019 (COVID-19) and Governor Henry McMaster declared a state of emergency for the state of South Carolina. As a part of the state’s preparation and response to COVID-19, the South Carolina Department of Health and Human Services (SCDHHS) is announcing additional temporary modifications to policies related to telehealth coverage.
Bulletin: COVID-19- Temporary Dental Services Policy
Post Date: 04/03/2020 - 7:45pm
SCDHHS is announcing additional temporary modifications to policies related to services eligible for reimbursement through the dental benefit.
Bulletin: Coronavirus Disease 2019 (COVID-19) Temporary Policy Updates: Nurse Aide Training and Competency Evaluation Programs and Paid Feeding Assistant Programs
Post Date: 04/02/2020 - 4:37pm
On Friday, March 13, 2020, President Donald Trump declared a national emergency due to coronavirus disease 2019 (COVID-19), U.S. Department of Health and Human Services Secretary Alex Azar issued a section 1135 blanket waiver and Governor Henry McMaster declared a state of emergency for the state of South Carolina. As a part of the state’s preparation and response to COVID-19, the South Carolina Department of Health and Human Services (SCDHHS) is announcing several temporary policy changes to protect the health and well-being of South Carolina Healthy Connections Medicaid members, certified nurse aides (CNAs), CNA candidates, paid feeding assistants (PFAs) and health care providers.
Provider Alert: Initial Approval of South Carolina’s 1135 Waiver Request
Post Date: 04/02/2020 - 2:05pm
Provider Alert: SCDHHS Hosting Medicaid Coronavirus Disease 19 (COVID-19) Update Webinar
Post Date: 04/01/2020 - 12:40pm
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