Policy Changes to SCDHHS LIPs Manual
Individual Psychotherapy Frequencies
Effective with dates of service on or after Jan. 1, 2017, the South Carolina Department of Health and Human Services (SCDHHS) will limit the billable encounters of individual psychotherapy to six per month, unless otherwise prior approved by SCDHHS. Six sessions of individual psychotherapy will be billable each month, in any combination of the following codes: 90832, 90834 and 90837.
SCDHHS is implementing these changes in order to be consistent with individual psychotherapy frequencies currently allowed within the Rehabilitative Behavioral Health Services program.
There may be clinical exceptions to the service limits when the number of encounters allowed may not be sufficient to meet the complex and intensive medical needs of a beneficiary. On these occasions, requests for frequencies beyond the service limits may be submitted directly to SCDHHS in accordance with the guidelines in the LIPs provider manual. These submissions may be securely emailed, in compliance with all Health Insurance Portability and Accountability Act (HIPAA) and Medicaid Confidentiality rules, to email@example.com.
Clinical Service Notes Time Frame
Clinical Service Notes must be completed and placed in the clinical record following service delivery, but no later than five business days from the date of service.
If you have any questions regarding this bulletin, please contact the Division of Behavioral Health at (803) 898-2565.
Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.