Bulletins
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
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
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