Bulletins

Get Provider Bulletins

Subscribe to the Provider listserv

Select any terms that are relevent
Post date: 12/07/2012 - 9:27am

The following revisions to the Preferred Drug List (PDL) are effective with dates of service on or after January 1, 2013.

Post date: 10/12/2012 - 9:05am

Effective for dates of service on or after October 15, 2012, the South Carolina Department of Health and Human Services (SCDHHS) will increase the rate for Synagis® to the current Average Wholesale Price (AWP) minus 18%. The new rate for the 100mg vial will be $2,339.98 up from $2,192.89. The 50mg vial will be reimbursed at $1,239.20 up from $1,161.31.

Post date: 09/27/2012 - 12:50pm

Effective on or after October 1, 2012, the South Carolina Department of Health and Human Services (SCDHHS) will implement the National Correct Coding initiative (NCCI) Procedure to Procedure (PTP) edits for Durable Medical Equipment (DME). This will affect services related to wheelchair bases (WCB), wheelchair options and accessories (WCOA), and wheelchair seating (WSC).

Post date: 09/24/2012 - 3:58pm

The following revisions to the Preferred Drug List (PDL) are effective with dates of service on or after October 15, 2012.

Post date: 09/12/2012 - 2:20pm

Effective with dates of service on or after October 1, 2012, the South Carolina Department of Health and Human Services (SCDHHS) will require prior authorization (PA) for the following services and medical record pre-payment review from our Quality Improvement Organization (QIO), KePRO.

Post date: 07/09/2012 - 10:52am

In July 2011, the South Carolina Department of Health and Human Services (SCDHHS) began partnering with the South Carolina Hospital Association (SCHA), the March of Dimes, other state agencies, public and private providers and payors, consumers and advocacy groups in an effort to reduce the number of low birth weight babies born in South Carolina. One of the first steps towards this goal was the elimination of non-medically necessary elective inductions and elective cesareans prior to 39 weeks gestation.

Post date: 06/26/2012 - 1:48pm

The following revisions to the Preferred Drug List (PDL) are effective with dates of service on or after August 1, 2012.

Post date: 04/12/2012 - 3:14pm

South Carolina Department of Health and Human Services (SCDHHS) is clarifying that pregnant women applying for Medicaid under Optional Coverage for Pregnant Women and Infants (OCWI) may enter the program under assumptive eligibility provisions. If a woman declares that she is pregnant, and submits an application, she can be determined Medicaid eligible based on her attestation of income, resources, and citizenship for a 30-day period, while she is given the opportunity to return the necessary verification to determine continued eligibility.

Post date: 03/21/2012 - 1:59pm

The South Carolina Department of Health and Human Services (SCDHHS) is offering training to Medicaid enrolled Federally Qualified Health Clinics, Rural Health Clinics, Family Practice, and OB/GYN providers on Screening, Brief Intervention, and Referral to Treatment (SBIRT). SBIRT is an agency initiative, in partnership with other stakeholders, to help identify and offer treatment to pregnant beneficiaries who may have alcohol or other /substance dependence, depression, or domestic violence.

Post date: 01/19/2012 - 5:02pm

Effective for dates of services on or after March 1, 2012, the South Carolina Department of Health and Human Services (SCDHHS) is updating its policy to include reimbursement for long acting birth control devices provided in a hospital setting. The coverage of this service will be considered an add-on benefit and will not be included in the Diagnostic Related Group (DRG) reimbursement system.

Pages

Subscribe to News Feed
Report Fraud