Disabilities and Special Needs

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).

Provider Rate Increases for Home and Community Based Waiver Services

*Jan. 5, 2023, Update: SCDHHS is updating its guidance previously published in Medicaid Bulletin 22-033 to clarify that the rate for children’s personal care state plan services (procedure code T1019) was also increased to $25.00/hr. effective Jan.

Retroactive Rate Increases for ID/RD, CS and HASCI Waiver Services, and Early Intervention Services

The South Carolina Department of Health and Human Services (SCDHHS) is retroactively increasing reimbursement rates for the specific services included in this bulletin. This includes early intervention services and services provided through the Intellectual Disability/Related Disabilities (ID/RD), Community Supports (CS) and Head and Spinal Cord Injury (HASCI) waivers operated by the South Carolina Department of Disabilities and Special Needs (SCDDSN).

SCDDSN-operated Waiver Services Rate Increases

Postponement of EVV Launch for SCDDSN-operated Waiver Programs

The South Carolina Department of Health and Human Services (SCDHHS) is postponing the previously announced launch of the electronic visit verification (EVV) system for providers rendering in-home services to Healthy Connections Medicaid members participating in the three waivers operated by the South Carolina Department of Disabilities and Special Needs (SCDDSN). This includes the Community Supports (CS), Head and Spinal Cord Injury (HASCI) and Intellectual Disability and Related Disabilities (ID/RD) waivers.

Funding for One-time Direct Care Retention Payments

The American Rescue Plan Act of 2021 (ARPA) provided funding to enhance, expand or strengthen HCBS beyond what was available under states’ Medicaid programs as of April 1, 2021. The South Carolina Department of Health and Human Services’ (SCDHHS) ongoing evaluation of HCBS demonstrates that additional support is warranted to maintain an adequate direct care provider network. Nationally, health care providers are experiencing a shortage of direct care workers and this shortage is impacting each of South Carolina’s Medicaid HCBS programs.

EVV Launch for SCDDSN-operated Waivers Starts Dec. 11, 2022; Register for Training Now

Effective December 2022, South Carolina Healthy Connections Medicaid providers rendering in-home services to Healthy Connections Medicaid members participating in the three waivers operated by the South Carolina Department of Disabilities and Special Needs (SCDDSN) must use an electronic visit verification (EVV) system to capture in-home service delivery visits.

Update to Case Management Policies for HCBS Waiver Providers, Assistance in Maintaining Updated Member Contact Information

During the initial response to the ongoing coronavirus disease 2019 (COVID-19) pandemic, the South Carolina Department of Health and Human Services (SCDHHS) announced temporary policy changes designed to ensure ongoing access to care for Healthy Connections Medicaid members enrolled in HCBS waiver programs and Healthy Connections Prime.

Medically Complex Children Waiver Program Update: Increased Maximum Age Limit, Implementation of Environmental Modifications and Respite Service Provider Recruitment

The South Carolina Department of Health and Human Services (SCDHHS) is announcing the implementation of three changes to the Medically Complex Children Waiver (MCCW) program. The MCCW program serves children who meet hospital level-of-care and have chronic physical/health conditions that are expected to last longer than 12 months. MCCW participants must also meet the state-defined medical eligibility criteria, which evaluates the child's dependency on medications, medical supervision, hospitalizations, skilled nursing services, therapies and medical specialists.

Updates to State Plan Therapeutic Child Care Rates

The South Carolina Department of Health and Human Services (SCDHHS) is increasing reimbursement rates for specific therapeutic child care services included in this bulletin.

Rate Increases for Therapeutic Child Care

Effective Oct. 1, 2022, reimbursement for the below listed codes will be increased as follows:

Description

Code

Current Rate

New Rate

Updates to Adult Day Health Care Service Rates

The South Carolina Department of Health and Human Services (SCDHHS) is increasing the reimbursement rate for the adult day health care (ADHC) service provided to Healthy Connections Medicaid members participating in waiver programs operated by SCDHHS and the South Carolina Department of Disabilities and Special Needs.

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