Bulletins




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Bulletin: Reintroduction of Adult Podiatry Benefit

Post Date: 12/03/2019 - 5:16pm

SCDHHS is extending podiatry services to South Carolina Medicaid beneficiaries over the age of 21. Podiatry services rendered to Medicaid beneficiaries must be medically necessary in order to be reimbursed. Adult podiatry services were previously covered by South Carolina Healthy Connections Medicaid until Feb. 1, 2011.

Provider Alert: November 2019 Provider Payment Holiday Schedule

Post Date: 11/14/2019 - 1:49pm

Provider Alert: 2019 Provider Revalidation: Group 3

Post Date: 11/04/2019 - 3:31pm

Provider Alert: Psychological Testing and Evaluation Code Changes

Post Date: 10/25/2019 - 3:07pm

Provider Alert: HEDIS® Tips: Focus on Diabetes, Behavioral Health

Post Date: 10/08/2019 - 5:03pm

Provider Alert: 2019 Provider Revalidation: Group 2

Post Date: 09/11/2019 - 10:01am

Provider Alert: Healthy Connections Choices Enrollment Broker Training

Post Date: 09/10/2019 - 10:25am

Bulletin: Hurricane Dorian Emergency Response Provider Provisions

Post Date: 09/04/2019 - 11:37pm

The purpose of this bulletin is to describe state and federal efforts to ensure continued access to care during the emergency response to Hurricane Dorian and the impact these efforts will have on Healthy Connections Medicaid beneficiaries and providers.

Provider Alert: New Medicare Beneficiary Identifier (MBI) Numbers

Post Date: 08/16/2019 - 10:26am

Bulletin: Changes to Applied Behavioral Analysis Provider Credentialing Requirements

Post Date: 08/15/2019 - 4:41pm

As part of the ongoing effort to improve the quality and delivery of services for infants and toddlers with disabilities and payment process to providers through the Individuals with Disabilities Education Act (IDEA) Part C program, commonly known as “BabyNet,” the South Carolina Department of Health and Human Services (SCDHHS) is integrating IDEA Part C and Healthy Connections Medicaid policies. SCDHHS is informing the provider and beneficiary community about all actions necessary to implement this realignment through a series of alerts and bulletins. This bulletin announces changes to credentialing requirements for IDEA Part C providers who render Applied Behavioral Analysis (ABA) therapy pursuant to an approved Individualized Family Service Plan (IFSP).

Provider Alert: 2019 Provider Revalidation: Group 1

Post Date: 07/15/2019 - 3:03pm

Provider Alert: Scheduled BRIDGES System Upgrade Completed

Post Date: 07/14/2019 - 5:13pm

Bulletin: Updates in BRIDGES

Post Date: 07/12/2019 - 6:11pm

As part of the South Carolina Department of Health and Human Services’ (SCDHHS) integration of BabyNet and Healthy Connections Medicaid services, BabyNet service coordinators may see changes to information in some areas of the BabyNet Reporting & Intervention Data Gathering Electronic System (BRIDGES) case management system. This includes, but is not limited to, demographic information; third-party liability (private insurance) information; managed care organization (MCO) information; and, Medicaid ID number, and associated eligibility and referral dates. Please note that as a part of this integration process, the BRIDGES system will be unavailable between 6 p.m., July 12 and 6 p.m., July 13 as system upgrades are made

Bulletin: Changes to Individuals with Disabilities Education Act Part C Program (BabyNet) Services

Post Date: 07/10/2019 - 4:00pm

As part of the ongoing effort to improve the quality and delivery of services for infants and toddlers with disabilities through the Individuals with Disabilities Education Act (IDEA) Part C program, commonly known as “BabyNet,” the South Carolina Department of Health and Human Services (SCDHHS) is aligning BabyNet with the Healthy Connections Medicaid program through a series of policy and technology initiatives. Throughout the alignment process, SCDHHS has received feedback and questions from families, providers, and stakeholders about changes they will experience. SCDHHS is issuing this consolidated informational bulletin to address common questions and issues based on this feedback.

Bulletin: July 1 Coverage and Reimbursement Changes

Post Date: 06/28/2019 - 10:34pm

Provider Alert: BRIDGES Integration Webinar and Email Address

Post Date: 06/26/2019 - 11:43am

Provider Alert: BRIDGES Integration Early Intervention Provider Webinar

Post Date: 06/13/2019 - 11:20am

Provider Alert: New Medicaid Provider Manuals Provider Training

Post Date: 06/03/2019 - 4:14pm

Provider Alert: Hepatitis A Outbreak

Post Date: 05/15/2019 - 3:25pm

Provider Alert: Healthy Connections Choices Enrollment Broker Training

Post Date: 04/29/2019 - 3:24pm

Provider Alert: Autism Spectrum Disorder State Plan Procedure Codes

Post Date: 04/29/2019 - 1:55pm

Provider Alert: HEDIS® Tips

Post Date: 04/15/2019 - 1:19pm

Provider Alert: SCDHHS and KEPRO Provider Quality Improvement Training

Post Date: 04/12/2019 - 5:03pm

Bulletin: Temporary or Protective Restorative Services

Post Date: 04/05/2019 - 11:12am

Effective for services rendered on or after May 1, 2019, the South Carolina Department of Health and Human Services (SCDHHS) will no longer reimburse for Current Dental Terminology (CDT) code D2940 (Protective Restoration) as a separate service. Reimbursement rates for restorative services will include the costs of providing temporary or protective fillings as a component of permanent restorative care.

Provider Alert: Provider Enrollment Procedures for Early Intervention Providers

Post Date: 04/02/2019 - 12:15pm

Bulletin: Changes to Program Integrity Prepayment Claims Review Policy

Post Date: 03/01/2019 - 3:13pm

Effective April 1, 2019, the South Carolina Department of Health and Human Services (SCDHHS) will amend the Prepayment Claims Review Policy to allow the submission of electronic claims. Unless otherwise specified, claims subject to program integrity prepayment claims review may be submitted electronically. This includes both the claims and the supporting documentation. Providers should carefully review the current manual for compliance with policy guidelines.

Provider Alert: Medicaid Promoting Interoperability Program Attestations Due

Post Date: 03/01/2019 - 1:43pm

Provider Alert: HEDIS® and HEDIS Record Requests

Post Date: 01/25/2019 - 1:24pm

Provider Alert: 2019 Provider Enrollment Application Fee

Post Date: 01/22/2019 - 10:45am

Provider Alert: End of Year Provider Payment Holiday Schedule

Post Date: 12/11/2018 - 7:03pm

Bulletin: Medicaid Coverage of Opioid Treatment Programs and SCDHHS Efforts to Address the Opioid Crisis

Post Date: 12/07/2018 - 3:21pm

In January 2019, the South Carolina Department of Health and Human Services (SCDHHS) will begin to enroll opioid treatment programs (OTPs) in the Medicaid provider network and begin to reimburse for medication-assisted treatment (MAT) provided in OTPs. The addition of this benefit will make the full spectrum of pharmacotherapies approved for the treatment of opioid use disorder (OUD) available to Medicaid members. Additional details regarding the enrollment procedures for OTPs will be provided this month.

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