Bulletins




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Post date: 02/16/2017 - 3:26pm

Post date: 01/17/2017 - 1:59pm

Post date: 01/13/2017 - 9:47am

Post date: 12/20/2016 - 9:56am

Post date: 12/06/2016 - 2:02pm

Post date: 12/01/2016 - 5:03pm

Effective July 1, 2017, the South Carolina Department of Health and Human Services (SCDHHS) will require that all applied behavior analysis (ABA) line therapists, providing treatment services to beneficiaries who have been diagnosed with Autism Spectrum Disorder (ASD) and approved for ASD services via the ASD Interim Process and/or the SC Medicaid State Plan, hold a Registered Behavior Technician (RBT) credential.

Post date: 11/16/2016 - 11:10am

Effective Jan. 1, 2017, the South Carolina Department of Health and Human Services (SCDHHS) will include Advanced Practice Registered Nurses (APRNs) as ordering providers of Medical Management Only (MMO) for providers under the Community Mental Health provider manual.

Post date: 11/10/2016 - 3:42pm

Individual Psychotherapy Frequencies & Clinical Service Notes Time Frame

Post date: 11/09/2016 - 10:29am

Post date: 11/08/2016 - 4:31pm

Effective for dates of service on or after Jan. 1, 2017, and as required by federal regulation, the South Carolina Department of Health and Human Services (SCDHHS) will implement cost-avoidance rules for the procedure codes reflected below.

Post date: 10/27/2016 - 3:33pm

Post date: 10/21/2016 - 5:44pm

Post date: 09/26/2016 - 2:47pm

Effective Nov. 1, 2016, the South Carolina Department of Health and Human Services (SCDHHS) will limit payment for Current Procedural Terminology (CPT) code 96127 to a maximum of two units per date of service.

Post date: 09/13/2016 - 1:04pm

Post date: 08/31/2016 - 3:34pm

Post date: 08/31/2016 - 10:29am

Post date: 08/08/2016 - 4:18pm

Post date: 07/28/2016 - 9:43am

Post date: 07/27/2016 - 8:39am

Post date: 07/21/2016 - 3:21pm

Effective for dates of service beginning Jan. 1, 2016, the South Carolina Department of Health and Human Services (SCDHHS) will cover the following presumptive and definitive drug testing codes at the reimbursement rates as stated in the attached table.

Post date: 07/18/2016 - 1:33pm

Post date: 07/11/2016 - 11:47am

The new card, effective August 1, 2016, will no longer contain a magnetic data strip on the backside.

Post date: 06/28/2016 - 2:43pm

Post date: 06/23/2016 - 8:58am

Effective for all claims submitted on or after Aug. 1, 2016, the South Carolina Department of Health and Human Services (SCDHHS) will lower the age limitation for the codes listed in the table below. This change is to adhere to best practice guidelines.

Tags: Dental
Post date: 06/17/2016 - 8:48am

Post date: 06/13/2016 - 1:44pm

Post date: 06/08/2016 - 1:32pm

SCDHHS will expand the bariatric surgery benefit to include coverage of sleeve gastrectomy.

Post date: 06/01/2016 - 2:35pm

Changes will be effective with dates of service on or after July 1, 2016. This bulletin provides notice and an overview of revisions effective July 1, 2016; it is not intended to reflect all revisions in the manual. The RBHS manual may be subject to further change.

Post date: 05/05/2016 - 2:08pm

Post date: 04/29/2016 - 11:19am

The Centers for Medicare and Medicaid Services (CMS) will 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: 04/12/2016 - 11:58am

Post date: 04/11/2016 - 1:34pm

Post date: 04/11/2016 - 10:14am

Post date: 03/11/2016 - 4:44pm

Effective immediately the South Carolina Department of Health and Human Services (SCDHHS) is imposing a moratorium on the enrollment of Medicaid Targeted Case Management (MTCM) providers.

Post date: 03/11/2016 - 2:32pm

Post date: 03/04/2016 - 1:41pm

Post date: 03/02/2016 - 1:25pm

Post date: 03/01/2016 - 1:59pm

The South Carolina Department of Health and Human Services (SCDHHS) is revising the Rehabilitative Behavioral Health Services (RBHS) Policy Manual. Changes will be effective on or after April 1, 2016.

Post date: 02/24/2016 - 11:42am

Post date: 02/23/2016 - 2:45pm

Beginning with dates of service on or after April 1, 2016, the South Carolina Department of Health and Human Services (SCDHHS) will require that providers verify Medicaid members' controlled substance prescription history through the South Carolina Reporting & Identification Prescription Tracking System (SCRIPTS) before issuing a prescription for any Schedule II through IV controlled substance.

Post date: 02/19/2016 - 2:36pm

Post date: 02/02/2016 - 10:07am

An update to sections three and four of the Ambulance Services Provider Manual will make a clear distinction between the current requirements for submitting claims with modifiers and origin/destination codes.

Post date: 02/01/2016 - 8:49am

Post date: 01/28/2016 - 5:12pm

Effective Feb. 1, 2016, the South Carolina Department of Health and Human Services (SCDHHS) will initiate an improved interim process by which its members are evaluated for and receive Autism Spectrum Disorder (ASD) services that are identified as medically necessary based on an Early and Periodic Screening Diagnosis and Treatment (EPSDT) encounter.

Post date: 01/27/2016 - 10:28am

Effective Jan. 1, 2016, Section 1 of all South Carolina Medicaid Provider Manuals have been updated to reflect changes to the following policies: SC Medicaid program, Records/documentation requirements, Medicaid program integrity, & Appeals

Post date: 01/26/2016 - 4:33pm

Post date: 01/22/2016 - 11:54am

Post date: 12/15/2015 - 4:23pm

Post date: 12/14/2015 - 3:43pm

Post date: 12/11/2015 - 4:59pm

Effective immediately the South Carolina Department of Health and Human Services (SCDHHS) is rescinding the policy, bulletin 14-001 released Feb. 6, 2014, that allowed services delivered to recipients 21 years and over in place of service (62) Outpatient Rehabilitation Facility. Beneficiaries will continue to receive outpatient physical, occupational and speech therapies (PT/OT/SP) services in an outpatient hospital, clinic or office setting.

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