2008 Archived Bulletins

Medicaid Vision Providers
Description: New Contract Award For Vision Eyewear And Modification To The
Vision Eyewear Prescription Process
Posted: 12/23/2008

Medicaid Providers
Description: Please note that the Medicaid changes will take effect February 1, 2009, not January 1, 2009 unless otherwise noted
Note, That Specific Medicaid Bulletins Regarding These Changes Will Be Sent.
Posted: 12/17/2009 9:36:59 AM

Rural Health Clinics, Internists, Obstetricians/Gynecologists, And Surgeons
Description: Breast And Cervical Cancer Program Changes
Posted: 12/17/2008 3:46:45 PM

Local Education Agencies (LEAs)
Description: Lea Medicaid Provider Manual Clarifications And Changes
Posted: 12/15/2008 11:47:37 AM

Private Rehabilitative Therapy And Audiological Services Providers
Description: Private Rehabilitative Therapy And Audiological Services Medicaid Provider Manual Clarifications and Changes
Posted: 12/15/2008 11:46:49 AM

Local Education Agencies (Leas) Managed Care Organizations And Medical Homes Network
Description:
I. Clarification Of Coverage For Speech Generating Devices (SGDs)
– Augmentative Alternative Communication (AACs) Devises
II. Reimbursement for Health Care Procedure Coding System
(HCPCS) Procedure codes Associated with SGDs/AACs
Posted: 11/24/2008 9:48:52 AM

Hospital Providers
Description: 2009 Medicare Deductible,
Coinsurance And Medicaid Blood Deductible Rates
Posted: 11/18/2008 3:06:45 PM

Durable Medical Equipment (DME) Providers
Description:
I. Reimbursement Policy Updates, Deletions, Changes
II. Coverage Criteria for Hospital Bed, Semi-Electric (E0260)
III. Coverage Criteria for Use of External Insulin Pump (E0784) and
IV. Revised Medicaid Certificate Of Medical Necessity (MCMN) Form
V. Policy Clarifications for Documentation, Diabetic Strips and Web-based Claims Status Check
VI. Changes and Clarifications of Policies Concerning Waiver Services
Posted: 11/13/2008 11:50:09 AM

Amendment Number Two
Description: Prevention Partnership Grants (Gar 09-08)
Posted: 11/5/2008 4:41:43 PM

Dental Providers
Description: Procedure Code Reimbursement Revision
Posted: 11/5/2008 4:34:02 PM

Medicaid Providers
Description: Pharmacy Lock-In Program For Beneficiaries Using Multiple
Pharmacies
Posted: 11/5/2008 2:09:49 PM

Psychiatrists And Physicians
Description: Clarification Of Services Provided By An Allied Professional Under
Physician Supervision
Posted: 11/5/2008 2:08:48 PM

Medicaid Providers
Description: Non-Emergency Ambulance Transportation For Individuals Covered By
Medicare and Medicaid Residing in Skilled Nursing Facilities
Posted: 11/5/2008 2:07:47 PM

Prevention Partnership Grant Elimination
As a result of the South Carolina Budget Reduction Bill passed in October 2008, Prevention Partnership grants will not be awarded. The grant program was targeted for elimination as part of an overall reduction of $76.6 million in state funds from the South Carolina Department of Health and Human Services’ budget. The agency regrets any difficulties caused by the elimination of this program. Please contact Ernestine Staley at (803) 898-2642 if you have additional questions.

Posted: 11/5/2008 1:18:55 PM

Medically Complex Childrens Waiver
Description: New Home And Community Based Waiver Serving Medically Complex Children
Posted: 10/24/2008 1:02:38 PM

Physicians, Hospitals And Managed Care Providers
Description: Changes In Prior Authorization (PA) And Support Documentation Reviews by Qualis Health
Posted: 10/14/2008 4:03:35 PM

Medicaid and You
Description: Beneficiary Newsletter
Posted: 10/14/2008 11:41:52 AM

Dental Providers
Description: Newly Covered Dental Procedure Codes Added
Posted: 10/10/2008 1:28:45 PM

Pediatric Sub-Specialists
Description: Revised Fee Schedule
Posted: 10/7/2008 1:43:24 PM

Targeted Case Management (TCM) Providers
Description: Suspension of Certain Provisions of The June 17, 2008 Bulletin Regarding Reimbursement for TCM Activities
Posted: 10/7/2008 1:42:07 PM

HCBS Waiver Application Version 3.5
Description: Application For A §1915 (C) HCBS Waiver
Posted: 10/3/2008 9:32:47 AM

Physicians, Hospital Providers, and Infusion Centers
Description: Rate Increase For Synagis® Injectable
Posted: 9/24/2008 9:36:58 AM

Providers Indicated
Description: South Carolina Medicaid Preferred Drug List
Posted: 9/19/2008 10:37:29 AM

Prevention Partnership Grants (Gar 09-08)
Description: Grant Application Request
Posted: 9/12/2008 11:21:56 AM

Medicaid Providers
Description: Budget Reductions
Posted: 9/11/2008 8:44:39 AM

Medicaid Providers
Description: Electronic Medicaid Bulletins And Electronic Funds Transfer
Posted: 9/4/2008 12:47:58 PM

The Provider Perspective
Description: Please Note The "Bulletins" Article On Page 1. You must subscribe to the new listserv referenced in the article in order to continue receiving electronic bulletins and news from Medicaid.
Posted: 8/25/2008 4:28:55 PM

Pharmacy Services Providers And Managed Care Organizations
Description: Medicaid Managed Care Pharmacy Services Contact Information
Medicaid Managed Care Pharmacy Services Contact Information Grid

Posted: 8/21/2008 1:31:06 PM

Physicians
Description: Psychiatric And Counseling Services Revision
Posted: 8/8/2008 1:18:13 PM

Hospitals
Description: 2008 Hospital Provider Training
Posted: 8/8/2008 1:17:03 PM

Hospitals
Description: Administrative Days Rates
Posted: 8/8/2008 1:16:04 PM

Audiologists And Local Education Agencies (Leas)
Description:
Subject:I. Reimbursement Updates

a) Audiological Services
b) Psychological Services

II. Newly Covered CPT Code 92568 Added
Posted: 8/8/2008 1:14:32 PM

Nursing Facilities And Intermediate Care Facilities For The Mentally Retarded
Description: Non-Covered Medical Expenses
I.Attachment A
II.Attachment B

Posted: 7/21/2008 4:38:32 PM

Physician and Hospital Providers
Description: Interqual Criteria
Posted: 7/21/2008 4:36:52 PM

Medicaid Providers
Description: New Electronic Health Record System
Posted: 7/15/2008 2:14:56 PM

Providers Indicated
Description: Clarification of National Provider
Identifier (NPI) Billing Instructions for the 837 Professional Transactions
Posted: 7/15/2008 2:13:55 PM

Providers Indicated
Description: Transparency Website
Posted: 7/15/2008 2:12:32 PM

Providers Of Administrative Claiming And Special Needs Transportation In State Agencies
Description: Rescinding The January 29, 2008 Bulletin Calling For The Elimination Of Reimbursement Under The Medicaid Program For School-Based Administration And Some Special Needs Transportation
Posted: 7/9/2008 4:36:46 PM

Physicians Audiologists
Description: Coverage For Cochlear Implant Procedure Codes For Audiologists
Posted: 7/9/2008 4:35:55 PM

Hospital Providers
Description: Outpatient Reimbursement - Multiplier
Posted: 7/9/2008 4:34:59 PM

For Immediate Release
Description: New Internet Tool Puts Patient Information At Physicians’ Fingertips
Posted: 7/3/2008 1:59:26 PM

All Providers
Description: Health Opportunity Accounts (HOA)
Posted: 6/24/2008 9:09:42 AM

Medicaid Providers
Description: Training For The Following:
1. Ambulance Policy and Procedure
2. Revised DHHS Form 216
3. Ambulance Claim Billing Process

Posted: 6/24/2008 9:08:06 AM

Medicaid Providers
Description: Training For The Following:

1. Ambulance Policy and Procedure
2. Revised DHHS Form 216
3. Ambulance Claim Billing Process

Posted: 6/19/2008 9:53:48 AM

Medicaid Bulletin
Description:

  1. Revised South Carolina Medicaid Preferred Drug List
  2. Prior Authorization Required for Actig® and Fenotra®

Posted: 6/11/2008 1:14:34 PM

 

lance Training 2008.pdf" target="_new"> Medicaid Providers
Description: Training For The Following:
1. Ambulance Policy and Procedure
2. Revised DHHS Form 216
3. Ambulance Claim Billing Process

Posted: 6/24/2008 9:08:06 AM

 

Medicaid Providers
Description: Training For The Following:

1. Ambulance Policy and Procedure
2. Revised DHHS Form 216
3. Ambulance Claim Billing Process

Posted: 6/19/2008 9:53:48 AM

Medicaid Bulletin
Description:

  1. Revised South Carolina Medicaid Preferred Drug List
  2. Prior Authorization Required for Actig® and Fenotra®

Posted: 6/11/2008 1:14:34 PM

 

Providers Indicated
Description: Obstetrical Ultrasound Coverage
Posted: 5/22/2008 3:43:22 PM

Hospitals
Description: Pediatric Anesthesia Services
Anesthesia Attachment/Form
Posted: 5/22/2008 3:41:10 PM

Providers
Description: Telemedicine Home Care Grants (GAR 03-08) Award Notice
Posted: 5/16/2008 3:37:42 PM

Hospital Providers
Description: Infants Born to Minors Eligible for South Carolina Healthy Connections Kids

Attachments:

    I
    II

Posted: 5/1/2008 8:41:38 AM

 

Providers Indicated
Description: National Drug Code (NDC) Billing Requirement for Outpatient Hospital Setting
Posted: 5/1/2008 8:39:01 AM

Telemedicine Home Care Grants (GAR 03-08)
Description: Amendment Number One
Posted: 3/26/2008 3:05:24 PM

Providers Indicated
Description: Family Planning Waiver Renewal
Posted: 3/24/2008 3:05:04 PM

All Providers
Description: New Coverage For Uninsured Children
Posted: 3/20/2008 8:47:16 AM

Providers Indicated
Description: National Provider Identification (NPI) Required On Claims Effective May 24, 2008
Posted: 3/20/2008 8:45:51 AM

Nursing Facilities, Hospice Agencies, And Nurse Aide Programs
Description: Paid Feeding Assistant Program
I. Paid Feeding Assistant
II. State Approved Training Course
III. Procedures for State Approval
IV. Procedures for Bi-Yearly Approval
V. Survey Process
VI. Cost Reporting

Attachments
Attachment A - Nursing Homes Signature Sheet
Attachment B - Nursing Homes Core Curriculum Outline
Attachment C - Nursing Homes Questions & Answers
Posted: 3/17/2008 9:06:26 AM

Telemedicine Home Care Grants (GAR 03-08)
Description: Telemedicine Home Care
Grants (GAR 03-08)
Posted: 3/12/2008 2:39:33 PM

Medicaid Providers
Description:
I. New South Carolina Healthy Connections Medicaid Cards
II. Medicaid Eligibility Verification Services
III. Medicaid Interactive Voice Response System (IVRS)
IV. Web-based Claims Submission Tool
Posted: 3/12/2008 9:45:10 AM

Dental Providers
Description: Medicaid Policy Manual For Dental Services
Posted: 3/11/2008 1:50:48 PM

Primary Health Care Providers
Description: Additional Training Tool For Application Of Fluoride Varnish
Posted: 3/11/2008 1:50:21 PM

Medicaid Providers
Description: Revised Procedures And Reimbursement For The Home Uterine Activity Monitor (HUAM)
Posted: 2/29/2008 4:11:37 PM

Providers
Description: Third Party Liability (TPL) Tips And Training Opportunities
Health Insurance Information Referral Form
Posted: 2/29/2008 4:09:20 PM

Sickle Cell Program Providers
Description: Medicaid Policy Manual For Sickle Cell Services Program
Posted: 2/29/2008 1:20:43 PM

Hospitals
Description: Present On Admission (POA) Indicator
Posted: 2/29/2008 1:19:49 PM

Award Notice
Description: Prevention Partnership Grants (GAR 12-07) Award Notice
Posted: 2/29/2008 8:56:18 AM

Providers Of Administrative Claiming And Special Needs Transportation In State Agencies
Description: Elimination Of Reimbursement Under The Medicaid Program For School-Based Administration And Some Special Needs Transportation
Posted: 1/31/2008 11:37:51 AM

Local Education Agencies (LEA) Providers
Description:
I. Occupational Therapy Services

 

 

 

 

 

  • Deletion of Procedure Codes L3800 and L3805
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    Private Rehabilitative Therapy & Audiological Services Providers
    Description:
    I. Occupational Therapy Services

     

    Licensed Midwives
    Description: Birthing Center Reimbursement Procedure Change
    Posted: 1/31/2008 11:29:06 AM

    Hospice Providers
    Description: Medicaid Hospice Client Summary Report
    Posted: 1/25/2008 4:40:44 PM

    Medicaid Hospice Providers
    Description: Community Long Term Care Overlap Procedures And Medicaid Reimbursement Training
    Posted: 1/25/2008 4:40:08 PM

    Home Health Agencies
    Description: Social Work Services To Enhance The Effectiveness Of Home Health
    I. Service Definition
    II. Reimbursement
    III. Limitations
    Posted: 1/25/2008 4:36:58 PM

    Head And Spinal Cord Injury (HASCI) Waiver Renewal
    Description: A Request To Renew The Head And Spinal Cord Injury Waiver
    Posted: 1/24/2008 9:55:31 AM

    Medicaid Providers
    Description: Revised Essure Sterilization Procedures
    Posted: 1/23/2008 11:08:15 AM

    Medicaid Bulletin
    Description: National Provider Identification (NPI) Required On Claims
    Effective March 1, 2008
    Posted: 1/22/2008 3:29:51 PM

    End Stage Renal Disease, Ambulatory Surgical Center And Infusion Center Clinic Providers
    Description: Billing Workshops

    Billing Workshop-Directions to Palmetto GBA Building Posted: 1/15/2008 3:03:13 PM

    Hospital Providers
    Description: 2008 Medicare Deductible, Coinsurance And Medicaid Blood
    Deductible Rates
    Posted: 1/15/2008 3:02:07 PM

    Prevention Partnership Grants (Gar 12-07)
    Description: Prevention Partnership Grants (Gar 12-07)
    Amendment Number One
    Posted: 1/11/2008 11:07:44 AM

    • Replacement Procedure Code Coverage Using L3808
    • II.Speech Language Therapy Services

    • Deletion of Procedure Code 92506-52
    • Replacement Procedure Code Coverage Using S9152
    • Posted: 1/31/2008 11:34:48 AM

    • Deletion of Procedure Codes L3800 and L3805
    • Replacement Procedure Code Coverage Using L3808
    • II. Speech Language Therapy Services

    • Deletion of Procedure Code 92506-52
    • Replacement Procedure Code Coverage Using S9152
    • Posted: 1/31/2008 11:30:35 AM

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