Bulletins
Bulletin: Update to Pediatric Inpatient Rehabilitation Services
Effective for dates of service on or after July 1, 2023, the South Carolina Department of Health and Human Services (SCDHHS) will reimburse for medically necessary pediatric inpatient rehabilitation services that are delivered in a qualified inpatient rehabilitation unit or facility. This change applies to services rendered under the Medicaid State Plan to Healthy Connections Medicaid members 21 years of age and younger.
Bulletin: Coverage of HPV Vaccine for Adults Ages 19-45
The South Carolina Department of Health and Human Services (SCDHHS) will cover the Human Papillomavirus (HPV) 9-valent vaccine for Healthy Connections Medicaid members between the ages of 19-45 beginning July 1, 2023. This coverage applies to full-benefit Healthy Connections Medicaid members and those enrolled in the family planning limited benefit program.
Bulletin: Healthy Connections Medicaid Provider Training Opportunities June - August 2023
Bulletin: Update on Appendix K Flexibilities Issued During the COVID-19 Public Health Emergency
Bulletin: Medicaid Coverage and Reimbursement of Routine Patient Costs Associated with Qualifying Clinical Trials
The South Carolina Department of Health and Human Services (SCDHHS) has amended the South Carolina State Plan to cover routine patient costs Healthy Connections Medicaid members accrue that are associated with participation in qualifying clinical trials effective Jan. 1, 2022. The agency is making this change consistent with federal guidance outlined in Center for Medicaid and CHIP Services state Medicaid director (SMD) letter SMD# 21-005 and the requirements of the Consolidated Appropriations Act of 2021.
Bulletin: Policy Clarifications and Reminders Related to End of COVID-19 Federal PHE
Bulletin: Updated Guidance Regarding Certification of Temporary Nurse Aides
Bulletin: Healthy Connections Medicaid Provider Training Opportunities May - July 2023
Bulletin: Upcoming Healthy Connections Medicaid Provider Trainings – Spring 2023
Bulletin: Healthy Connections Medicaid Provider Training Opportunities April - June 2023
Bulletin: Update to Nurse Supervisory Visit Flexibilities for Nursing and Personal Care Services
Bulletin: Provider Training: Upcoming Healthy Connections Medicaid Provider Training Opportunities – March - May 2023
Bulletin: COVID-19 Federal PHE End Date Announced; Planned Restart of Medicaid Member Annual Reviews
Bulletin: Clarification on Telehealth Referring Site Flexibilities Issued During the COVID-19 Public Health Emergency
Bulletin: One-Time Direct Care Retention Payments Frequently Asked Questions
SCDHHS has published frequently asked questions (FAQs) and responses related to the one-time direct care retention payments that were issued to HCBS providers through the agency’s American Rescue Plan Act of 2021 (ARPA) spending plan.
Bulletin: Update on Flexibilities Issued to Nursing Facilities During the COVID-19 Public Health Emergency
Bulletin: FQHC Behavioral Health Provider Manual Updates for Feb. 1, 2023
Bulletin: Update on Flexibilities Issued During the COVID-19 Public Health Emergency
Bulletin: Provider Training: Upcoming Healthy Connections Medicaid Provider Training Opportunities – Feb. - April 2023
Bulletin: Update to Funding for One-Time Direct Care Retention Payments
Bulletin: 2023 Provider Enrollment Application Fee
The Centers for Medicare and Medicaid Services (CMS) has announced the enrollment application fee amount for calendar year 2023 will be $688. This fee is required by CMS with any applicable Healthy Connections Medicaid provider enrollment application.
Bulletin: Update on Continued Postponement of EVV Launch for SCDDSN-operated Waiver Programs
On Nov. 22, 2022, the South Carolina Department of Health and Human Services (SCDHHS) announced it was postponing the launch of the electronic visit verification (EVV) system for providers who were rendering services through the three waivers operated by the South Carolina Department of Disabilities and Special Needs (SCDDSN) (the Community Supports [CS], Head and Spinal Cord Injury [HASCI] and Intellectual Disability and Related Disabilities [ID/RD] waivers).
Bulletin: Social Security and SSI Cost-of-Living Adjustment Increases and Re-budgeting of Cases
Effective Jan. 1, 2023, Social Security (Title II-SSA) benefit and Supplemental Security Income (SSI) benefit payments will include an 8.7% cost-of-living adjustment (COLA) increase. The South Carolina Department of Health and Human Services (SCDHHS) is processing the COLA re-budgets during December 2022.
Bulletin: SCDHHS Behavioral Health Provider Manuals Updates for Jan. 1, 2023
Bulletin: Provider Training: Upcoming Healthy Connections Medicaid Provider Training Opportunities – Jan. - March 2023
Bulletin: Provider Rate Increases for Home and Community Based Waiver Services
Bulletin: Retroactive Rate Increases for ID/RD, CS and HASCI Waiver Services, and Early Intervention Services
Bulletin: Postponement of EVV Launch for SCDDSN-operated Waiver Programs
Bulletin: Provider Training: Upcoming Healthy Connections Medicaid Provider Training Opportunities – Dec. 2022 - Feb. 2023
Bulletin: Reminder: Funding for One-time Direct Care Retention Payments
Bulletin: Veterans Day Holiday Provider Payment Schedule Update
Friday, Nov. 11, 2022, is a South Carolina state and banking holiday. Due to the holiday, providers who receive payments by electronic funds transfer will receive their payments either Thursday, Nov. 10 or Monday, Nov. 14 depending on their bank’s policy. Claims submitted by 5 p.m. Saturday, Nov. 5 are included in this payment.
Bulletin: Medicaid Credit Balance Amnesty Review
SCDHHS has a contract with Health Management Systems, Inc. (HMS) to act as the agency’s recovery audit contractor (RAC), pursuant to the federal RAC audit requirements. As a part of the RAC services provided, HMS was to conduct credit balance audits of Medicaid overpayment transactions of South Carolina Healthy Connections Medicaid-enrolled providers.
Bulletin: Provider Resources: Public Health Emergency Annual Medicaid Eligibility Review Provider Fact Sheet; Update on Medicaid Bulletin Terminology
Bulletin: Provider Resources: Public Health Emergency Annual Medicaid Eligibility Review Provider Fact Sheet; Update on Medicaid Bulletin Terminology
Provider Alert: EVV Launch for SCDDSN-operated Waivers Starts Dec. 11, 2022; Register for Training Now
Bulletin: Update to Case Management Policies for HCBS Waiver Providers, Assistance in Maintaining Updated Member Contact Information
Bulletin: Head and Spinal Cord Injury Waiver Amendment and Community Supports Waiver Renewal
Bulletin: Update to Previous State Plan Emergency Ambulance Service Rates
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