Communications
Bulletins
Public Notices
Proposed Action for Setting Payment Rates for Long Term Care Facility Services (Excluding State Owned Nursing Facilities)
Comprehensive Preconception Care Model Waiver
Public Notice of Final Action for the Recovery Audit Contractor (RAC)
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
Public Notice of Final Action for the Psychiatric Residential Treatment Facility (PRTF) Rate Increase
Public Notice of Proposed Action for Third Party Liability (TPL) Health Recovery Cycle
Public Notice of Proposed Action for the Recovery Audit Contractor (RAC)
Public Notice of Proposed Action for the Psychiatric Residential Treatment Facility (PRTF) Rate Increase
Public Notice of Final Actions for Autism Spectrum Disorder (ASD) Rate Setting Methodology
Comprehensive Preconception Care Model Waiver
Public Notice of Final Action for the Supplemental Teaching Physician (STP) Payment Methodology Update
Public Notice of Final Actions for the Update of Periodicity Schedules
Proposed Action for the Supplemental Teaching Physician (STP) Payment Methodology Update
Public Notice: Opioid Prescribing Limits
Public Notice of Proposed Actions for the Update of Periodicity Schedules
Public Notice of Proposed Actions for Autism Spectrum Disorder (ASD) Rate Setting Methodology
Proposed Renewal of the Head and Spinal Cord Injury Waiver
Public Notice of Final Actions for Non-Emergency Medical Transportation (NEMT) Services Provided for Nursing Facility Residents
Proposed Actions for Non-Emergency Medical Transportation (NEMT) Services Provided for Nursing Facility Residents
Public Notice of Final Actions for FFY 2018 DSH Payments and Inpatient/Outpatient Hospital Changes
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Provider Alerts
Latest Press Releases
South Carolina Department of Health and Human Services (SCDHHS) Acting Director Thomas Clark Phillip, in coordination with Governor Henry McMaster, today urged the Centers for Medicare and Medicaid Services (CMS) to maintain a key public health initiative it approved in December 2019. In a letter sent to Acting CMS Administrator Elizabeth Richter, Phillip requested the Biden administration uphold the two Section 1115 demonstration waivers that make up the Healthy Connections Community Engagement Initiative citing its “innovative approach to promote better health outcomes and financial independence by providing access to resources to the most vulnerable South Carolinians while incentivizing able-bodied South Carolinians to achieve self-sustainability.”
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.
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.
South Carolina Birth Outcomes Initiative Wins National Award for Innovative Strategies to Improve Health of Moms and Babies
Reports / Statistics
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
Posted: 04/18/2008 - 5:13pm
CLTC Annual Consumer Experience and Satisfaction Report
Description: Report of Annual Survey of Community Long Term Care (CLTC)
Consumer Experience and Satisfaction
Posted: 11/7/2007 11:31:10 AM
Best Management Practices Self Assessment
Description: DHHS self-assessment of management, as mandated by Proviso 72.59, State Fiscal Year 2007-2008 Appropriations Act.
Posted: 10/29/2007
DHHS 2006 Annual Report (7 Mb)
Posted: 4/17/2007 10:41:11 AM
Description: THe State Children's Health Insurance Plans
Posted: 2/20/2007 9:18:58 AM
Posted: 11/07/2007 - 4:15pm
Best Management Practices Self Assessment
Description: DHHS self-assessment of management, as mandated by Proviso 72.62, State Fiscal Year 2006-2007 Appropriations Act.
Posted: 08/22/2006
Posted: 08/22/2006 - 5:17pm
Best Management Practices Self Assessment
Posted: 12/08/2005
Posted: 12/08/2005 - 4:19pm
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