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Post date: 04/05/2013 - 1:16pm

In §6407 of the Affordable Care Act (Pub.L. 111-148) Congress added some conditions on the coverage of Durable Medical Equipment (DME). The Centers for Medicare and Medicaid Services (CMS) has proposed implementing changes to the DME regulations which also clarify the federal agency’s position as to the availability of incontinence and other supplies and equipment under the Medicaid State Plan Home Health benefit. See 76 FR 41032–41039 (July 12, 2011).

Post date: 03/27/2013 - 3:14pm

Effective January 1, 2013, the South Carolina Department of Health and Human Services (SCDHHS) implemented the Affordable Care Act (ACA) final rule, increasing Medicaid reimbursements for evaluation and management and immunization services to 100 percent of Medicare reimbursement in 2013 and 2014. The increase applies to both fee-for-service (FFS) and managed care organization (MCO) plans.

Post date: 02/28/2013 - 4:04pm

The South Carolina Department of Health and Human Services (SCDHHS) has updated the fee schedule for long acting reversible contraceptive drug codes A4264, J7302, and J7307. Please refer to the Injectable Drug Fee schedule located at www.scdhhs.gov; this fee schedule is updated quarterly.

Post date: 02/27/2013 - 1:50pm

Effective January 1, 2013, the South Carolina Department of Health and Human Services (SCDHHS) implemented the Affordable Care Act (ACA) increasing Medicaid reimbursements for evaluation and management and immunization services to 100 percent of Medicare reimbursement in 2013 and 2014. The increase applies to both fee­ for-service (FFS) and managed care organization (MCO) plans.

Post date: 02/08/2013 - 4:26pm

SCDHHS has updated its reimbursement calculations for Medicare Deductible, Coinsurance, and Blood Deductibles to reflect the new 2013 Medicare Rates for Dually Eligible Medicaid members.

Post date: 01/08/2013 - 2:14pm

Increased Medicaid Payments for Primary Care

Post date: 12/14/2012 - 10:12am

The South Carolina Department of Health and Human Services (SCDHHS) is announcing the statewide integration of the Community Health Worker (CHW) into eligible primary care practices under the Department’s Health Access at the Right Time (HeART) initiative.

Post date: 12/13/2012 - 4:47pm

Effective January 7, 2013, the Division of Community Long Term Care (CLTC) will centralize intake activities for all programs operated by CLTC. This includes referrals for nursing home placement, nursing home conversion, Pre-Admission Screening Resident Review (PASRR), home and community based waiver services, children’s personal care and nursing services, and Katie Beckett Medicaid Program (TEFRA). When intake activities are centralized, referrals will no longer be accepted at the CLTC Regional Offices. Referrals will only be accepted by one of the methods below.

Post date: 12/13/2012 - 4:20pm

Effective January 1, 2013, the South Carolina Department of Health and Human Services (SCDHHS) will exclude coverage for barbiturates “used in the treatment of epilepsy, cancer, or a chronic mental health disorder” and benzodiazepines for dual eligible individuals (Medicare/Medicaid). This exclusion of coverage applies only to dual eligible individuals.

Post date: 12/13/2012 - 4:15pm

Effective for dates of service on or after January 1, 2013, the South Carolina Department of Health and Human Services (SCDHHS) will no longer provide reimbursement for elective inductions or non–medically indicated deliveries prior to 39 weeks to hospitals and to physicians. This change is a result of an extensive effort and partnership by SCDHHS, South Carolina Hospital Association, South Carolina Chapter of the American Congress of Obstetricians & Gynecologists, Maternal Fetal Medicine physicians, BlueCross BlueShield of SC and other stakeholders to reduce non-medically necessary deliveries.

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