Updated Guidance for Behavioral Health Policies

PROVIDER ALERT

The South Carolina Department of Health and Human Services (SCDHHS) is announcing updated guidance to clarify several behavioral health policies. The clarifications are described below.

Licensed Independent Practitioners

To further align with the American Medical Association (AMA) Current Procedural Terminology (CPT) 2021 Professional Codebook, the description of individual psychotherapy in the Licensed Independent Practitioner provider manual will specify that the Healthy Connections Medicaid member is required to be present for individual psychotherapy. These services may still be delivered via telehealth as described in previous guidance; however, the Healthy Connections Medicaid member who is receiving the service must receive the service directly regardless of the delivery method.

Rehabilitative Behavioral Health Services

  • The SCDHHS Division of Behavioral Health fax number and email are now included as methods of submitting the Community Integration Services Provider Credentialing Request and Therapeutic Childcare Center Credentialing Request forms.
  • In order to comply with SCDHHS’ State Plan, Residential Substance Abuse Treatment will only be reimbursed when rendered by Department of Alcohol and Other Drug Abuse Services (DAODAS) providers. DAODAS providers are reimbursed at the rate specified on the DAODAS fee schedule .

Please direct any questions or concerns regarding this alert to the SCDHHS Division of Behavioral Health at (803) 898-2565.

Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.

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