Provider Alerts

Update on COVID-19 Regulatory and Reimbursement Flexibilities for Nursing Facilities

On April 30, 2020, the South Carolina Department of Health and Human Services (SCDHHS) issued a Medicaid Alert announcing it was granting certain temporary regulatory flexibilities related to admissions to skilled nursing facilities and participation in the Medicaid nursing home program.

Aug. 25 Pharmacy Provider Average Acquisition Cost Webinar

SCDHHS hosted a webinar to provide an update for pharmacy providers on its average acquisition cost process on Aug. 25, 2020. The webinar included a description of survey process SCDHHS and Mercer Government Health Consulting are implementing. The webinar presentation and a recording are available online.

COVID-19 Level of Care and Notice of Admission, Authorization and Change of Status for Long Term Care (SCDHHS Form 181) Guidance

The South Carolina Department of Health and Human Services (SCDHHS) has announced updated guidance for providers in nursing facilities, swing bed facilities and intermediate care facilities for individuals with intellectual disabilities.

Upcoming Informational Session for Pharmacy Providers on Average Acquisition Cost Program

The South Carolina Department of Health and Human Services (SCDHHS) plans to transition its pharmacy reimbursement methodology to include an average acquisition cost (AAC) component. The goal of this transition is to ensure that pharmacy reimbursement rates are responsive to drug pricing fluctuations in the South Carolina market. 

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