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Provider Alert: Form Update - Handicapping Labio-Lingual Deviation Index (HLD) Assessment

Post Date: 06/21/2022 - 4:46pm

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

Provider Alert: May 2022 Payment Schedule

Post Date: 05/04/2022 - 4:52pm

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

Provider Alert: POSTPONED: EVV Launch for SCDDSN-operated Waivers

Post Date: 03/31/2022 - 12:02pm

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.

Bulletin: Rate Increase for Home Delivered Meals (S5170)

Post Date: 03/21/2022 - 5:07pm

Rate Increase for Home Delivered Meals (S5170)

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 PERM Cycle 2 Provider Education Webinars

Post Date: 03/15/2022 - 4:10pm

Provider Alert: Upcoming PERM Cycle 2 Provider Education Webinars

Post Date: 02/24/2022 - 5:11pm

Provider Alert: EVV Launch for SCDDSN-operated Waivers

Post Date: 02/22/2022 - 4:14pm

Provider Alert: Termination of the Provision of Heaters

Post Date: 02/22/2022 - 1:53pm

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: Changes to Third-Party Liability Policy

Post Date: 12/16/2021 - 4:56pm

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.

Provider Alert: Cost-of-living Increases and Re-budgeting of Cases

Post Date: 12/07/2021 - 9:12am

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.

Provider Alert: Updated IDEA Part C Hospice Services Guidance

Post Date: 12/01/2021 - 1:24pm

Provider Alert: 2022 Provider Enrollment Application Fee

Post Date: 11/29/2021 - 4:11pm

Provider Alert: November 2021 Payment Schedule

Post Date: 11/18/2021 - 1:25pm

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

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: 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

Provider Alert: Resuming Onsite Visits for Provider Reviews

Post Date: 06/21/2021 - 2:32pm

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