Communications
Bulletins 
Dec 31, 2020
Oct 15, 2020
Sep 10, 2020
Public Notices
Community Engagement Section 1115 Demonstration Waiver Application
Public notice is hereby given that South Carolina Department of Health and Human Services (SCDHHS) intends to apply for a new section 1115 demonstration waiver to the Centers for Medicare & Medicaid Services (CMS) to promote South Carolina Healthy Connections Medicaid beneficiaries’ health and well-being through incentivizing community engagement.
Post date: 03/04/2019 - 7:28pm
Public Notice of Proposed Action for the Supplemental Teaching Physician (STP) Payment Program
The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following proposed action regarding its methods and standards for setting payments for the Supplemental Teaching Physician (STP) Payment Program under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 03/01/2019 - 2:41pm
SCDHHS Extends Public Comment Period for Community Engagement Section 1115 Demonstration Waiver Application
The South Carolina Department of Health and Human Services (SCDHHS) extends the public comment period for its Community Engagement Section 1115 Demonstration Waiver Application, which began Dec. 3, 2018, to a full 60 days. The public comment period will remain open until 5 p.m. Feb. 4, 2019.
Post date: 01/23/2019 - 8:43am
Public Notice of Final Action for the FFY 2019 DSH Payments and Swing Bed and Administrative Day Rate Changes
The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following actions regarding its methods and standards for establishing Medicaid Disproportionate Share Hospital (DSH) payments to qualifying DSH hospitals, adjusting the SC Medicaid DSH Audit Redistribution Policy, and for updating the swing bed hospital and administrative d
Post date: 12/31/2018 - 4:05pm
Public Notice of Final Action for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
The South Carolina Department of Health and Human Services (Department), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following action regarding its methods and standards for paying providers under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 12/28/2018 - 4:10pm
Public Notice of Final Action for the Coverage of Opioid Treatment Program (OTP) Services
The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following action regarding the coverage of opioid treatment program (OTP) services under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 12/28/2018 - 4:06pm
Community Engagement Section 1115 Demonstration Waiver Application
I. Overview
Post date: 12/03/2018 - 12:31pm
Public Notice of Proposed Action for the FFY 2019 DSH Payments and Swing Bed and Administrative Day Rate Changes
The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following proposed actions regarding its methods and standards for establishing Medicaid Disproportionate Share Hospital (DSH) payments to qualifying DSH hospitals, adjusting the SC Medicaid DSH Audit Redistribution Policy, and for updating the swing bed hospital and adminis
Post date: 11/28/2018 - 4:57pm
Public Notice of Proposed Action for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID
The South Carolina Department of Health and Human Services (Department), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following proposed actions regarding its methods and standards for paying providers under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 11/28/2018 - 2:43pm
Public Notice of Proposed Action for the Coverage of Opioid Treatment Program (OTP) Services
The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following proposed action regarding the coverage of opioid treatment program (OTP) services under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 11/28/2018 - 1:49pm
Public Notice of Final Action for Non-Emergency Medical Transportation (NEMT) Nursing Facility Add-On
The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following action regarding its methods and standards for setting payment rates for long term care facility services under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 09/28/2018 - 3:59pm
Public Notice of Final Action for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
The South Carolina Department of Health and Human Services (Department), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following action regarding its methods and standards for paying providers under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 09/28/2018 - 2:43pm
Public Notice of Final Action for Setting Payment Rates for Long Term Care Facility Services (Excluding State Owned Nursing Facilities)
The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following actions regarding its methods and standards for setting payment rates for long term care facility services (excluding state owned nursing facilities) under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 09/20/2018 - 2:44pm
Public Notice of Proposed Action for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
The South Carolina Department of Health and Human Services (Department), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following proposed action regarding its methods and standards for paying providers under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 08/30/2018 - 2:32pm
Public Notice of Proposed Action for Non-Emergency Medical Transportation (NEMT) Nursing Facility Add-On
The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following proposed action regarding its methods and standards for setting payment rates for long term care facility services under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 08/29/2018 - 2:52pm
Proposed Action for Setting Payment Rates for Long Term Care Facility Services (Excluding State Owned Nursing Facilities)
The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following proposed actions regarding its methods and standards for setting payment rates and Essential Public Safety Net payments for long term care facility services (excluding state owned nursing facilities) under the State Plan under Title XIX of the Social Security Act M
Post date: 08/08/2018 - 12:22pm
Comprehensive Preconception Care Model Waiver
PUBLIC Notice
SUBJECT: Comprehensive Preconception Care Model Waiver
Post date: 07/23/2018 - 1:57pm
Public Notice of Final Action for the Recovery Audit Contractor (RAC)
The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following actions regarding an exception to 42 CFR § 455.502(b), which requires SCDHHS to contract with a Medicaid Recovery Audit Contractor (RAC) under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 06/29/2018 - 2:44pm
Public Notice of Final Action for Third Party Liability (TPL) Health Recovery CyclePublic Notice of Final Action for Third Party Liability (TPL) Health Recovery Cycle
The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following actions regarding the TPL Health Recovery Cycle under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 06/29/2018 - 2:38pm
Public Notice of Final Action for the Psychiatric Residential Treatment Facility (PRTF) Rate Increase
The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following action regarding its methods and standards for setting payments for the Psychiatric Residential Treatment Facilities (PRTFs) under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Post date: 06/25/2018 - 3:47pm
Pages
Provider Alerts
Jan 7, 2021
Dec 31, 2020
Dec 16, 2020
Latest Press Releases
Jul 7, 2020
The South Carolina Department of Health and Human Services (SCDHHS) announced it will immediately begin accepting applications for a new limited-benefit Medicaid coverage group to provide reimbursement for coronavirus disease 2019 (COVID-19) testing for those without healthcare coverage. SCDHHS’ COVID-19 Limited Benefit Program was authorized by the Families First Coronavirus Response Act (FFCRA) and will provide additional financial support to increase access to testing, a critical component of the state’s response to addressing the pandemic, for South Carolinians without other sources of healthcare coverage.
Mar 31, 2017
Governor Henry McMaster today announced Christian L. Soura’s resignation as Director of the South Carolina Department of Health and Human Services, effective April 7, 2017.
Jun 2, 2016
South Carolina Birth Outcomes Initiative Wins National Award for Innovative Strategies to Improve Health of Moms and Babies
Feb 23, 2016
Beginning April 1, the South Carolina Department of Health and Human Services (SCDHHS) will require that providers verify Medicaid members' controlled substance prescription history before issuing prescriptions for opioids
Reports / Statistics
- Reduce the per capita cost of health care
- Improve the health of populations
- Improve the patient experience (quality and satisfaction)
Posted: 01/24/2013 - 4:08pm
Posted: 01/22/2013 - 11:11am
Section 1: Purchasing Health in SC
Section 2: FY 2013 Update
Section 3: FY 2014 Budget Request
Download Full Presentation
Posted: 01/17/2013 - 2:45pm
Posted: 12/05/2012 - 9:25am
All eligibility, revenue, and expenditure estimates are preliminary projections as of October 2012 and not considered final. Estimates will change as more state and federal data and guidance becomes available.
Posted: 10/24/2012 - 12:53pm
•SFY12 and SFY13 Update
•Affordable Care Act Summary
•What Medicaid is looking for from providers
•Efforts underway
Posted: 08/01/2012 - 2:39pm
Posted: 07/25/2012 - 2:05pm
Posted: 07/24/2012 - 2:34pm
South Carolina Department of Health and Human Services: Strategic Vision/Plan for Rebalancing Long Term Care
Posted: 06/14/2012 - 2:36pm
Posted: 04/02/2012 - 2:15pm
- Section 1: Overview & FY 2012 Update
- Section 2: FY 2013 Budget Request
- Section 3: Looking Ahead
- Appendix: Update Regarding Improper Release of Medicaid Beneficiary Data, and PERM
Posted: 03/28/2012 - 2:39pm
Posted: 01/19/2012 - 4:06pm
- Section 1: Overview & FY 2012 Update
- Section 2: FY 2013 Budget Request
- Section 3: Looking Ahead
Posted: 01/19/2012 - 1:41pm
Posted: 01/11/2012 - 5:03pm
- Section 1: Overview
- Section 2: FY 2012 Update
- Section 3: FY 2013 Budget Request
- Section 4: Looking Ahead
Posted: 12/15/2011 - 1:43pm
Medicaid Cost and Quality Effectiveness
- Cost Effectiveness Analysis
- Cost Effectiveness Analysis Supplement - Rx Rebates
- CY2013_SC Medicaid Proviso Plan Performance Report
The Department of Health and Human Services shall establish a procedure to assess the various forms of health care delivery systems to measure cost effectiveness and quality. These measures must be compiled on an annual basis on identifiable benchmarks. These measures must broadly address agency program areas and initiatives using national and state measures. Cost effectiveness shall be determined in an actuarially sound manner and data must be aggregated in a manner to be determined by a third party. The methodology must use appropriate case-mix and actuarial adjustments. The department shall issue an annual healthcare report of statewide measures deemed appropriate by the department required under state and federal guidelines. The report shall be formatted in a clear, concise manner in order to be easily understood by Medicaid beneficiaries and other stakeholders. The annual results of the cost effectiveness calculations, quality measures and the report cards shall be made public on the department's website by December thirty-first for the prior state fiscal year.
Medicaid Cost And Quality Effectiveness
Description: The South Carolina Department of Health and Human Services (SCDHHS) commissioned the following reports that meet the requirements of Proviso 21.33 of the General Appropriations Act of 2011-2012: “Medicaid Cost Effectiveness Analysis” and “Managed Care Savings Analysis”. These reports are important tools in understanding South Carolina Medicaid’s recent experience with coordinated care and will help guide future development of service delivery models. Posted: 10/14/2011 2:54:10 PM
Medicaid Cost And Quality Effectiveness
Description: The South Carolina Department of Health and Human Services (SCDHHS) commissioned the following three independent reports that meet the requirements of Proviso 21.33 of the General Appropriations Act of 2010-2011: “Medicaid Cost and Quality Effectiveness,” “Managed Care Savings Analysis” and “South Carolina Health Plans Report Card.” These reports are important tools in understanding South Carolina Medicaid’s recent experience with coordinated care and will help guide future development of service delivery models.
Posted: 10/4/2010 8:50:17 AM
Posted: 10/14/2011 - 12:07pm
Best Management Practices Self Assessment
Description: DHHS self-assessment of management, as mandated by Proviso 72.62, State Fiscal Year 2008-2009 Appropriations Act.
Posted: 12/04/2009
2009 Non-Emergency Medicaid Transportation Services Survey
This report was produced under contract with the SC Department of Health and Human Services by the USC Institute for Families in Society. We are indebted to the staff of the USC Institute for Public Service and Policy Research Survey Lab for their help in conducting the telephone interviews.
Download Full Report
Posted:9/22/2009
DHHS 2008 Annual Report
Posted: 7/6/2009 4:06:30 PM
SCDHHS Response to LAC Audit of
Non-emergency Transportation Program
Copy of the LAC Report
2008 Annual Satisfaction and Experience Report
Description: Report Of Annual Survey Of Community Long Term Care (CLTC) Consumer Experience and Satisfaction
Posted: 4/6/2009 4:18:41 PM
Posted: 12/04/2009 - 12:22pm