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Healthy Connections Medicaid team members and managed care plans will never ask for money, gift cards or something else of monetary value via text, email or a phone call. If someone contacts you asking for something of monetary value to get or keep Medicaid coverage, please report it by contacting the Medicaid fraud hotline at (888) 364-3224 Monday through Friday from 8:30 a.m. to 5 p.m. or by sending an email to FraudRes@scdhhs.gov.

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Updates to Autism Spectrum Disorder (ASD) Provider Manual

Updates to Autism Spectrum Disorder (ASD) Provider Manual

The South Carolina Department of Health and Human Services (SCDHHS) is updating the Autism Spectrum Disorder Services (ASD) Provider Manual. The updated ASD Provider Manual will be published on June 9, 2017, and will include three changes relative to the direct provision of services by applied behavior analysis (ABA) providers.

  1. Direct service limits for board certified behavior analysts (BCBAs) and board certified assistant behavior analysts (BCaBAs) will increase to 10% of direct service hours up to 32 units per month. Direct service hours are billed using 0362T, 0363T, 0364T and 0365T.
  2. In accordance with the Behavior Analyst Certification Board (BACB) guidelines, case supervision must be provided by a BCBA or BCaBA.
  3. Providers will have the option of determining which ABA treatment delivery structure to utilize.

Should you have any questions regarding this bulletin, please contact the SCDHHS Division of Behavioral Health at (803) 898-2565.

Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.

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