2007 Archived Bulletins

Tagged: 

Providers Indicated
Description:

  1. South Carolina Medicaid Preferred Drug List
  2. National Provider Identification (NPI) Requirement for Pharmacy Services Claims
  3. Third Party Liability (TPL) Claims Submission Requirement

Posted: 12/20/2007 4:26:05 PM

 

Pediatric Sub-Specialists
Description: Revision Of Pediatric Sub-Specialists Fee Schedule
Posted: 12/20/2007 10:35:17 AM

Prevention Partnership Grant Application Request Gar 12-07
Description: Prevention Partnership Grants
Posted: 12/14/2007 3:30:27 PM

Award Notice
Description: Prevention Partnership Grants (Gar 08-07) Award Notice
Posted: 11/29/2007 2:14:36 PM

Press Release
Description: New Study Shows Medicaid Beneficiaries Satisfied With Transportation Services
Posted: 11/27/2007 12:02:27 PM

Medicaid Providers And Transportation Brokers
Description:

  • I. Non-Covered Transportation
  • II. Non- Emergency Ambulance Services Outside of the Transportation Broker
  • III. The Non- Emergency Transportation Broker Program

Revised DHHS Form 216 Posted: 11/20/2007 4:03:13 PM

 

End Stage Renal Disease Clinic Providers
Description: Revision To October 10, 2007 Bulletin
Bulletin Section V - End Stage Renal Disease (ESRD) Rate Adjustment
Posted: 11/20/2007 4:01:57 PM

Supplemental NEMT Flow Chart
Posted: 11/21/2007 1:46:16 PM

Local Education Agencies (LEA)
Description:
I. Changed/Added Procedure Codes With New Modifiers And Modifer Description Changes
II. Reimbursement Changes
III. Revised Audiologist Qualifications
Posted: 11/16/2007 4:46:46 PM

Medicaid Providers
Description: Clarification Of Early And Periodic Screening, Diagnosis, And Treatment (EPSDT) Billing And Reimbursement Policies
Posted: 11/16/2007 4:46:03 PM

Private Rehabilitative Therapy & Audiological Services
Description:
I. Reimbursement Changes
II. Revised Audiologist Qualifications
III. Retroactive Adjustments
Posted: 11/16/2007 4:45:16 PM

Dental Providers
Description: Extension Of Acceptance Of The American Dental Association (ADA) 1999 Version 2000 Claim Form
Schedule for Additional Training Classes on Completion of the ADA 2006 Claim Form and National Provider Identification (NPI) Update
Posted: 11/1/2007 2:59:24 PM

Pediatric Sub-Specialists
Description: Revised Fee Schedule
Posted: 10/30/2007 1:17:59 PM

Medicaid Providers
Description: Physician Fee Schedule Update

  1. Rate Change for Physician Administered Injectable Drugs
  2. Adult Preventative Wellness Exams
  3. Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Rate Increase
  4. End Stage Renal Disease (ESRD) Rate Adjustment
  5. Resolution for the 301 Edit Code
  6. Modification to Additional Ambulatory Visit Requests for Beneficiaries
  7. Modification to Policy Regarding Ambulatory Visits for Beneficiaries in Nursing Home Care
  8. Discontinuation of the Physicians Enhanced Program (PEP)
  9. Revised Essure Sterilization Procedures

Posted: 10/25/2007 2:22:46 PM

 

Hospital Providers
Description: Program Updates
Posted: 10/19/2007 10:10:40 AM

Prevention Partnership Grants (GAR 08-07)
Description: Amendment Number One
Prevention Partnership Grants (GAR 08-07)
Posted: 10/8/2007 2:53:57 PM

Providers Indicated
Description: South Carolina Medicaid Preferred Drug List
Posted: 10/5/2007 4:56:30 PM

Providers Indicated
Description: New Warning Messages And Edit Codes Related To National Provider Identification (NPI)
Posted: 10/5/2007 4:55:37 PM

Ambulance Providers
Description: Rate Increase For Ground Emergency
Ambulance Transportation Services
Posted: 10/1/2007 4:55:57 PM

Providers Indicated
Description: Medicaid Tamper Resistant Prescription Requirement Delayed
Posted: 10/1/2007 4:54:49 PM

Medicaid Providers of Personal Care I And Agency Companion Services
Description: Community Long Term Care (CLTC) Reimbursement Changes For
Personal Care I and Agency Companion Services
Posted: 9/27/2007 4:41:21 PM

Integrated Personal Care (IPC) Providers
Description: Reimbursement Increase
Posted: 9/27/2007 4:39:57 PM

Medicaid Providers Of Personal Care II And Head And Spinal Cord Injury (HASCI) Attendant Care Services
Description: CLTC: Reimbursement Changes For Personal Care II And Head And
Spinal Cord Injury (HASCI) Attendant Care Services
Posted: 9/27/2007 4:39:10 PM

Medicaid Providers of Personal Emergency Response Systems
Description: CLTC: Reimbursement Changes For Personal Emergency Response
System Installation and Monitoring
Posted: 9/27/2007 4:37:51 PM

Medicaid Providers of Pest Control Services
Description: Change In Rates And Frequency Of Pest Control Services
Posted: 9/27/2007 4:36:54 PM

Medicaid DME Providers Of Nutritional Supplements
Description: Change In Payment Rate For Regular Nutritional Supplements
Posted: 9/27/2007 4:35:52 PM

Medicaid Providers of Home Delivered Meals
Description: Community Long Term Care (CLTC) Reimbursement Changes For
Home Delivered Meals
Posted: 9/27/2007 4:34:10 PM

Local Education Agencies (LEA)
Description: Lea Medicaid Bulletin Correction
Posted: 9/14/2007 4:06:05 PM

Prevention Partnership Grant Application Request
Description: Prevention Partnership Grants
Posted: 9/14/2007 8:30:17 AM

Medicaid Providers
Description: Rules For Medicaid Tamper-Resistant Prescription Pads
Posted: 8/30/2007 3:51:17 PM

Nursing Facilities And Intermediate Care Facilities For The Mentally Retarded
Description: Medicaid Reimbursement Training
Posted: 8/28/2007 10:00:48 AM

Local Education Agencies
Description:

  1. Revised Code Coverage
  2. CPT 2007 Descriptive Changes
  3. Procedure Code V5275 Changes
  4. Revised Medicaid Standards for Therapeutic Behavioral Services and Psychosocial Rehabilitation Services
  5. Changes to Medicaid Applied Behavioral Therapy Services
  6. Psychological Testing/Evaluation Revisions
  7. Medicaid Adolescent Pregnancy Prevention Services (MAPPS)

Posted: 8/28/2007 9:56:46 AM

 

Summary of Vent Waiver
Description: Summary Of The Medicaid Mechanical Ventilator Waiver Renewal
Posted: 8/22/2007 4:37:12 PM

Mechanical Ventilator Waiver
Description: This is a request to renew South Carolina's Mechanical Ventilator Waiver.
Posted: 8/22/2007 4:37:32 PM

Healthy Connections Choices Fact Sheet
Description: South Carolina Healthy Connections Choices Fact Sheet
Posted: 8/16/2007 3:13:34 PM

SC Healthy Connections Release
Description: SCDHHS Launches Medicaid Choice Campaign
Posted: 8/16/2007 3:11:41 PM

Private Rehabilitative Therapy & Audiological Services
Description:

  1. Additional Code Coverage
  2. Current Procedural Terminology (CPT) 2007 Descriptive Change
  3. Unit of Services and Frequency Changes for CPT Codes 92507 and 92508
  4. Procedure Code V5275 Changes

Posted: 8/10/2007 12:29:41 PM

 

Community Mental Health Services Providers
Description: Policy Revisions To The Medicaid Manual For Community Mental
Health Services (CMHS)
Posted: 8/10/2007 12:28:10 PM

Physicians, Hospitals And Managed Care Providers
Description: Prior Authorization (Pa) And Support Documentation Reviews By The
New Quality Improvement Organization, Qualis Health
Posted: 8/8/2007 12:23:52 PM

Pediatric Sub-Specialist
Pediatric Sub-Specialist Form
Description: Clarification To Pediatric Sub-Specialist Program
Posted: 8/6/2007 4:07:37 PM

Gov. Sanford Names Emma Forkner As DHHS Director
Description: Health Care Consultant, Air Force Colonel, SC Native
Posted: 8/3/2007 12:59:13 PM

Physician Enhanced Program Providers
Description: Physician Enhanced Program
Posted: 8/2/2007 3:44:09 PM

Residential Children�s Behavioral Health Services Providers And Child Placing State Agencies
Description: Changes To Treatment Rates For Residential Service Providers
Posted: 7/27/2007 4:36:08 PM

Primary Care Physicians And Dentists
Description: Fluoride Varnish Application
Posted: 7/27/2007 4:35:21 PM

Medicaid Providers
Description: Modification Of The Preventative Care Services Billing Procedures For Covered Colorectal Cancer Screenings
Posted: 7/27/2007 4:34:18 PM

South Carolina Named First State For Medicaid Innovation
Description: Administration�s Groundbreaking Medicaid
HEALTH CARE PLANS CHOSEN FOR NATIONAL MODEL
Posted: 7/20/2007 10:12:40 AM

Medicaid Providers Of Nursing Services
Description: Cltc: Reimbursement Changes For Nursing Services
Other Providers of Nursing Services for Children Under 21
Posted: 7/11/2007 10:28:22 AM

Medicaid Providers Of Adult Day Health Care
Description: Cltc: Reimbursement Changes For Adult Day Health Care
Posted: 7/11/2007 10:24:24 AM

Interested Civil Money Penalty Funding Applicants-Organizations Only
Description: Beginning July 1, 2007, The SCDHHS Will Again Accept Applications For The CMPQI Program.

Posted: 7/6/2007 9:20:44 AM

 

Ambulatory Surgery Centers, Hospital Providers And Ophthalmologists
Description: Coverage And Reimbursement Of Corneal Transplant Tissue Posted: 7/2/2007 4:43:55 PM

Medicaid Providers Of Case Management Services
Description: Community Long Term Care Reimbursement
Changes for Case Management Services
Posted: 7/2/2007 9:52:49 AM

Providers Of Professional And Hospital Services
Description: Revised Procedures For Organ Transplant Services
Posted: 7/2/2007 9:50:04 AM

Hospital Providers
Description: Reimbursement On Questionable Admission Claims (Edit 105) Posted: 7/2/2007 9:48:43 AM

Medicaid Providers
Description: Clarification Of Family Planning Policy
Posted: 7/2/2007 9:47:41 AM

Alcohol And Other Drug Abuse Services Providers
Description: Policy Revisions To The Medicaid Manual For Alcohol And Other Drug (Aod) Abuse Services
Posted: 6/22/2007 2:13:53 PM

Providers Indicated
Description: South Carolina Medicaid Preferred Drug List
Posted: 6/22/2007 2:12:28 PM

Medicaid Providers
Description: Durable Medical Equipment�s Fee Schedule Update
Posted: 6/22/2007 2:10:25 PM

Children�s Behavioral Health Services Providers
Description: Policy Revisions To The Medicaid Manual For Children�s Behavioral Health Services (CBHS)
Posted: 6/11/2007 11:26:50 AM

Dental Providers
Description: Deadline Extension For The American Dental Association
1999 version 2000 Claim Form
Posted: 5/24/2007 3:32:37 PM

All Providers
Description: New Medicaid Quality Improvement Organization (Qio)
Posted: 5/24/2007 3:31:16 PM

Medicaid Providers
Description: Revised SCDHHS Claim Adjustment Form 130
Posted: 5/24/2007 3:30:28 PM

Providers
Description: New Edit Codes Related To National Provider Identification Posted: 5/24/2007 3:29:24 PM

All Medicaid Providers
Description: Enrollment Counseling Services
Posted: 5/2/2007 3:51:36 PM

Pharmacy Providers
Description: National Provider Identifier Contingency
Posted: 4/27/2007 3:28:40 PM

Providers Indicated
Description: National Provider Identifier Contingency
Posted: 4/27/2007 3:27:32 PM

Providers Indicated
Description: Medicare Part B Drugs And Secondary Billing Through The Pharmacy
Point-Of-Sale System
South Carolina Medicaid Preferred Drug List
Posted: 4/27/2007 8:53:01 AM

Early Intervention Services
Description: Medicaid Policy Manual For Early Intervention Services
Posted: 4/20/2007 3:56:44 PM

Medicaid Bulletin
Description: Credit Balance Review Project
Posted: 4/19/2007 2:37:32 PM

Medicaid Updates
Description:

  1. 2007 Current Procedural Terminology (Cpt) Update
  2. Modification to Billing Requirements for EPSDT Services on the Revised CMS 1500 Form
  3. Clarification of Nerve Conduction Studies Policy
  4. Modification of the Preventative Care Services Billing Procedures for Covered Cancer Screenings
  5. Coverage and Billing Information for the Gastrostomy Button Device Feeding Tube Kit
  6. Clarification of CPT Codes and Rates for the Administration of Vaccines and Immunizations in the "Vaccine Administration For All Children� (VAFAC) Program

Posted: 4/13/2007 2:18:25 PM

 

Ambulance Providers
Description: Training
Transportation Services Broker Update
National Provider Identifier (NPI)
Revised CMS-1500 Claim form
Posted: 4/12/2007 5:03:07 PM

Foster Care Individual Transportation Providers (ITP)
Description: Itp Re-Enrollment Training
Medicaid Transportation Invoice � 217 Claim Form
ITP Reimbursement Procedures
Posted: 4/12/2007 5:00:33 PM

Providers Of Preventive/Rehabilitative Services For Primary Care Enhancement (P/RSPCE) Services
Description: Annual Workshop
Posted: 4/3/2007 4:32:25 PM

Dental Providers
Description:
American Dental Association (ADA) 2006 Claim Form,
Centers for Medicare and Medicaid Services (CMS) Revised 1500 (08/05)
Claim Form and the National Provider Identifier (NPI)
Posted: 4/3/2007 3:50:05 PM

Orientation And Mobility Providers
Description:
I New Reimbursement Rates For Orientation And Mobility Services
II The Proper Use of Modifiers
III Retroactive Adjustments
Posted: 4/3/2007 3:49:21 PM

Providers Of Medicaid Adolescent Pregnancy Prevention Services
Description: Annual Workshop
Posted: 4/3/2007 3:48:15 PM

SCDHHS Director Bids Farewell To Agency
Description: Robert M. Kerr Announced His Resignation Thursday As Director Of The South Carolina Department Of Health And Human Services, Effective In Approximately Three Weeks.
Posted: 3/29/2007 2:16:33 PM

Medicaid Providers
Description: CMS-1500 Update
Posted: 3/29/2007 10:43:52 AM

Obstetrical Ultrasounds Coverage
Description: Effective on or after June 1, 2007, the South Carolina Department of Health and Human Services (SCDHHS) will update its policy to cover two obstetrical ultrasounds per pregnancy.
Posted: 3/29/2007 3:28:06 PM

Medicaid Ambulance Providers
Description: Emergency Ambulance Services Outside The Brokerage Model
Attachment - Form 216
Posted: 3/29/2007 8:35:00 AM

Medicaid Providers
Description: Medicaid Transportation Update
Posted: 3/29/2007 8:34:26 AM

Modification Clarification Resoltion For 202 Edit
Description:
I. Modification And Clarification Of Requirements For Submitting The National Drug Code (NDC) In Conjunction With The Drug-Related Healthcare Common Procedure Coding System (HCPCS) Code

II. Resolution for the 202 Edit Code
Posted: 3/19/2007 10:18:39 AM

Payment Error Rate Measurement (PERM)
Description: Under PERM, the Centers for Medicare and Medicaid Services (CMS) will measure the accuracy of Medicaid and State Children�s Health Insurance Program (SCHIP) payments made by States by choosing a sample of claims for review.
Posted: 3/19/2007 9:59:00 AM

Pharmacy Services Providers
Description: National Provider Identifier (NPI) Requirements For South Carolina Medicaid
Posted: 3/6/2007 1:30:01 PM

DME Providers
*** This replaces the bulletin e-mailed on March 2 ***
Description: Billing Workshops
Posted: 03/06/2007

Dental Providers
Description: Implementation Of The Copyrighted American Dental Association�s (Ada�s) 2006 Claim Form
2006 (ADA) CLAIM FORM FOR MEDICAID REIMBURSEMENT
ADA Dental Claim Example
Posted: 3/6/2007 8:39:01 AM

Oral And Maxillofacial Surgeons
Description: Implementation Of The Centers For Medicare And Medicaid Services (Cms) 1500 (08/05) Claim Form
ADA-CMS 1500
Health Insurance Claim Example
Posted: 3/5/2007 4:49:49 PM

Medicaid Providers
Description: Etonogestrel Implant (Implanon�) Coverage

Posted: 3/5/2007 4:43:56 PM

Durable Medical Equipment Providers (DME)
Description: Reimbursement Updates And Changes
Posted: 3/2/2007 2:56:31 PM

Psychological Services For Children Under 21 Providers
Description: Psychological Services Program Policy And
Reimbursement Training
Posted: 3/2/2007 2:53:48 PM

Pharmacy Services Providers
Description: National Provider Identifier (NPI) Requirements For
South Carolina Medicaid Pharmacy Claims
Posted: 3/2/2007 2:52:04 PM

S.C. Medicaid Agency Thanks Tipsters; Urges Others To Report Fraud
Description: On the heels of Tuesday's guilty plea of an Upstate transportation provider for making false Medicaid claims, the South Carolina Department of Health and Human Services wishes to applaud those who report suspected fraud and abuse in the system.

Posted: 3/1/2007 10:58:52 AM

Alcohol And Drug Rehabilitation Services Providers
Description: Medicaid Policy Manual For
Alcohol and Drug Rehabilitation Services Providers

Posted: 2/15/2007 8:56:24 AM

Psychological Services Providers
Description: Medicaid Provider Manual For Psychological Services
For Children Under 21
Posted: 2/1/2007 2:04:28 PM

Medicaid Bulletin
Description: Revision To December 13, 2006 Bulletin
Section II - Administrative Days Rates
Posted: 2/1/2007 12:28:02 PM

Medicaid Bulletin
Description: Coverage Of Positron Emission Tomography (PET) Scans
Posted: 1/29/2007 8:49:16 AM

CMS Approves SCDHHS' PDD Waiver Application
Waiver Approval Letter
Updated Waiver Document
Posted: 1/22/2007 8:51:33 AM

Inpatient Psychiatric Hospitals And Psychiatric Residential Treatment Facilities For Children Under 21 Description:

  1. Ub-04 Billing Form/Npi Provider Workshops
  2. UB-04 Billing Form Timeline
  3. UB-04 Form Completion

Posted: 1/16/2007 4:17:12 PM

 

Medicaid Bulletin
Description:

  1. Dose Optimization Program
  2. S. C. GAPS Program and Medicare Part D Prescription Drug Plans
  3. South Carolina Medicaid Preferred Drug List

Posted: 1/16/2007 4:14:42 PM

 

Durable Medical Equipment Providers (DME)
Description: Reimbursement Updates And Changes
Posted: 1/9/2007 12:44:33 PM

Dental Providers
Description: Training For:
American Dental Association�s (ADA�s) 2006 Claim Form
Centers for Medicare and Medicaid Services (CMS) Revised 1500 (08/05) Claim Form
Posted: 1/9/2007 12:43:56 PM

Medicaid Providers
Description: Employee Education About False Claims Recovery
Posted: 1/9/2007 12:43:04 PM

Report Fraud