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Post date: 06/21/2018 - 1:29pm

Post date: 06/15/2018 - 3:59pm

Effective with dates of service on and after July 1, 2018, the South Carolina Department of Health and Human Services (SCDHHS) will implement the following changes to the applied behavior analysis (ABA) fee schedule and the policy manual for autism spectrum disorder (ASD) services.

Post date: 06/15/2018 - 3:22pm

Post date: 06/13/2018 - 12:07pm

Post date: 06/05/2018 - 3:09pm

Post date: 06/05/2018 - 9:51am

SCDHHS has observed that nearly 16% of recovery claims are rejected by the financially liable insurer for untimely filing. This is due in-part to the length and infrequent commencement of each cycle.

Post date: 06/04/2018 - 9:33am

Post date: 06/01/2018 - 4:08pm

Effective July 2, 2018, BlueCross BlueShield of South Carolina (BCBSSC) will perform the following third party liability (TPL) services on behalf of the South Carolina Department of Health and Human Services (SCDHHS):

Post date: 06/01/2018 - 3:08pm

Post date: 06/01/2018 - 11:24am

Effective with dates of service on or after July 1, 2018, the South Carolina Department of Health and Human Services (SCDHHS) will limit the billable units of crisis management to 80 units annually, unless otherwise prior authorized by SCDHHS. The daily limits outlined in the respective manuals will remain in place.

Post date: 05/25/2018 - 3:12pm

Post date: 05/23/2018 - 4:18pm

Post date: 05/16/2018 - 9:08am

Post date: 05/04/2018 - 9:55am

The Improper Payments Information Act of 2002 directs federal agency heads, in accordance with the Office of Management and Budget (OMB) guidance, to review programs on an annual basis that are susceptible to significant erroneous payments and to report the improper payment estimates to Congress. In previous reviews, OMB identified Medicaid and Children's Health Insurance Program (CHIP) as at-risk programs for erroneous payments. As a result, the Centers for Medicare and Medicaid Services (CMS) decided to measure the accuracy of Medicaid and CHIP payments made by states for services rendered to recipients through the Payment Error Rate Measurement (PERM) program.

Post date: 04/26/2018 - 10:20am

Post date: 04/12/2018 - 8:27am

Post date: 04/06/2018 - 11:45am

Post date: 04/04/2018 - 11:24am

Effective May 1, 2018, the South Carolina Department of Health and Human Services (SCDHHS) is updating the SCDHHS Dental Periodicity Schedule. This update follows the American Academy of Pediatric Dentistry (AAPD) recommendations on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance and Oral Treatment for Infants, Children and Adolescents. The Dental Periodicity Schedule recommends a set of dental procedures and services that are applicable at each stage of a child's development, from birth through the 21st birthday, with appropriate intervals of care that meet reasonable standards of dental practice.

Tags: Dental
Post date: 04/02/2018 - 4:09pm

Post date: 03/30/2018 - 2:39pm

To ensure the highest quality care to children enrolled in the South Carolina Medicaid program, the South Carolina Department of Health and Human Services (SCDHHS) adopts the following updates and reminders regarding Early and Periodic Screening, Diagnosis and Treatment (EPSDT) coverage policy. The EPSDT benefit is available to Medicaid beneficiaries under the age of 21.

Post date: 03/29/2018 - 4:11pm

Post date: 03/26/2018 - 2:12pm

Post date: 03/14/2018 - 2:50pm

Post date: 03/13/2018 - 1:09pm

Effective April 1, 2018, the South Carolina Department of Health and Human Services (SCDHHS) will implement the following changes to the policy manual for autism spectrum disorder (ASD) services.

Post date: 03/02/2018 - 3:18pm

SCDHHS is issuing the following policies for dental providers effective for dates of service on and after April 1, 2018

Tags: Dental
Post date: 02/08/2018 - 1:58pm

Post date: 02/05/2018 - 11:01am

The South Carolina Department of Health and Human Services (SCDHHS) is amending physician signature requirements for continuous positive airway pressure (CPAP) and bi-level positive airway pressure (BiPAP) devices.

Post date: 02/01/2018 - 3:41pm

The South Carolina Department of Health and Human Services (SCDHHS) is amending current physician signature requirements for the following forms located in the Durable Medical Equipment (DME) Provider Manual:

Post date: 02/01/2018 - 3:30pm

This is to inform psychiatric residential treatment facility (PRTF) providers that the South Carolina Department of Health and Human Services (SCDHHS) will update the Quarterly Seclusion and/or Restraint Reporting Form.

Post date: 01/19/2018 - 2:02pm

Post date: 12/20/2017 - 5:07pm

Post date: 12/20/2017 - 3:55pm

The South Carolina Department of Health and Human Services (SCDHHS) issues the following policy for all dental providers effective for dates of service on and after Jan. 1, 2018.

Tags: Dental
Post date: 12/18/2017 - 9:40am

Post date: 12/06/2017 - 4:47pm

The South Carolina Department of Health and Human Services will be amending its autism spectrum disorder (ASD) manual to include additional providers that will be allowed to complete the comprehensive psychological assessment/testing report to determine if Medicaid beneficiaries meet medical necessity criteria for ASD services.

Post date: 12/06/2017 - 1:41pm

Effective for dates of service on or after Jan. 1, 2018, and pursuant to South Carolina Budget Proviso 117.135, Section A, the South Carolina Department of Health and Human Services (SCDHHS) will accept Act 301 Behavioral Health Centers (301 Centers) as approved referring sites for Medication Assisted Treatment (MAT) services rendered via telemedicine consultation.

Post date: 11/29/2017 - 1:49pm

Post date: 11/14/2017 - 3:58pm

Effective Dec. 1, 2017, SCDHHS will add criteria and prior authorization guidelines for ventilators to the Durable Medical Equipment (DME) Provider Manual for DME providers. This policy will be posted in the DME Provider Manual located on the SCDHHS website, www.scdhhs.gov.

Post date: 11/07/2017 - 2:06pm

Post date: 11/02/2017 - 1:51pm

Post date: 09/29/2017 - 10:15am

Post date: 09/13/2017 - 4:04pm

Post date: 09/07/2017 - 10:31am

Post date: 09/01/2017 - 4:53pm

The South Carolina Department of Health and Human Services (SCDHHS) will update the form for reporting seclusion and restraint. The form will contain an additional field indicating who ordered the restraint. The manual will also be updated to include this additional requirement. The new form must be used for all seclusion and restraint reports beginning Oct. 1, 2017.

Post date: 09/01/2017 - 9:37am

Effective Oct. 1, 2017, in lieu of having one year of pediatric nursing experience in a clinical setting, nursing providers may submit a pediatric nurse training program for registered nurses (RNs) and licensed practical nurses (LPNs) to SCDHHS for review and potential approval.

Post date: 07/26/2017 - 4:28pm

Post date: 07/24/2017 - 2:24pm

Post date: 07/17/2017 - 8:49am

Post date: 06/30/2017 - 3:21pm

Post date: 06/26/2017 - 2:54pm

Post date: 06/26/2017 - 2:45pm

The Centers for Medicare and Medicaid Services (CMS) issued an informational bulletin clarifying Medicaid coverage of services to children with autism on July 7, 2014. As a result of that bulletin and extensive consultation with CMS, the Pervasive Developmental Disorder (PDD) Waiver will be terminated Dec. 31, 2017.

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