Bulletins
Bulletin: Updates to Personal Care and Nursing Rates for HCBS and State Plan Services
Post Date: 06/24/2022 - 10:24am
Provider Alert: Form Update - Handicapping Labio-Lingual Deviation Index (HLD) Assessment
Post Date: 06/21/2022 - 4:46pm
Bulletin: SCDHHS School-based Mental Health Policy Updates for July 1, 2022
Post Date: 06/17/2022 - 4:41pm
Bulletin: CMS Requirement for Fingerprint-based Criminal Background Checks of High-Risk Medicaid Providers
Post Date: 06/13/2022 - 3:56pm
Bulletin: COVID-19 Temporary Policy Updates: Nurse Aide Training and Competency Evaluation and Paid Feeding Assistant Programs
Post Date: 05/18/2022 - 4:42pm
Provider Alert: Feedback Requested on South Carolina Medicaid Quality Strategy
Post Date: 05/18/2022 - 11:38am
Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings – Summer 2022
Post Date: 05/09/2022 - 11:20am
Bulletin: Update on Telehealth Flexibilities Issued During the COVID-19 Public Health Emergency
Post Date: 04/29/2022 - 9:30am
During the initial response to the coronavirus disease 2019 (COVID-19) pandemic, the South Carolina Department of Health and Human Services (SCDHHS) announced dozens of temporary policy changes designed to ensure ongoing access to care for Healthy Connections Medicaid members and children enrolled in the Individuals with Disabilities Education Act Part C program, which is commonly known as BabyNet. The majority of these policy changes were issued using emergency authorities derived from the federal public health emergency (PHE) and were issued for the duration of the federal PHE. These policy changes included a heavy emphasis on building upon SCDHHS’ existing telehealth benefit. New telehealth flexibilities were extended for a wide variety of services where early evidence demonstrated a service may be able to be performed with an efficacy and quality of care comparable to the service provided in a face-to-face format.
Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings – Spring 2022
Post Date: 04/27/2022 - 9:27am
Bulletin: Rate Increase for Psychiatric Residential Treatment Facilities (PRTFs)
Post Date: 03/30/2022 - 11:52am
The South Carolina Department of Health and Human Services (SCDHHS) will increase the reimbursement rate for all contracting Medicaid PRTFs to $500 per patient day for services provided to South Carolina Medicaid-eligible children.
Provider Alert: Approval of South Carolina’s Appendix K Amendment Request for Temporary Rate Increases
Post Date: 03/29/2022 - 4:49pm
Bulletin: Improving Maternal Health and Extending Postpartum Coverage in Medicaid and the Children’s Health Insurance Program (CHIP)
Post Date: 03/29/2022 - 9:41am
Bulletin: Rate Increase for Home Delivered Meals (S5170)
Post Date: 03/21/2022 - 5:07pm
Rate Increase for Home Delivered Meals (S5170)
Provider Alert: EVV Launch for SCDDSN-operated Waivers Starts April 4; Register for Training
Post Date: 03/18/2022 - 3:27pm
Bulletin: Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for COVID-19
Post Date: 03/17/2022 - 1:00pm
Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for COVID-19
Provider Alert: Upcoming Healthy Connections Medicaid KEPRO Provider Trainings
Post Date: 02/09/2022 - 3:21pm
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 - 4:50pm
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
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