ICD-10 CM/PCS Compliance Date Strategic Planning

PROVIDER ALERT

As previously communicated by the South Carolina Department of Health and Human Services (SCDHHS) on April 1, 2014, it was announced that the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the U.S. Department of Health and Human Services (DHHS) Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the DHHS expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015.

Although we are still waiting on the interim final rule to be published, SCDHHS is moving forward updating our strategic plan in accordance with the revised ICD-10 compliance date of October 1, 2015. The updating of our plan includes leveraging the extended time period for more extensive testing with trading partners. In consideration of these efforts by SCDHHS, community providers and associated business partners should review their strategy now for probable adjustments to their ICD-10 implementation plan.

Upon notification of the published interim final rule, SCDHHS will release an update to the provider community and associated business partners confirming the rule changes as well as our revised program schedule which will include a revised testing timeline.

SCDHHS will continue to share information related to the preparation and implementation of ICD-10 with providers through alerts, bulletins and the dedicated ICD-10 webpage (https://msp.scdhhs.gov/aca/).

This alert applies to Fee-For-Service, Medical Homes Networks (MHNs) and vendors. Please monitor the appropriate Managed Care Organization (MCO) for their instructions regarding ICD-10 implementation. If you have any questions concerning this announcement, please contact the South Carolina Healthy Connections Provider Service Center at (888) 289-0709. 

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