Actions Regarding Managed Care Changes

PUBLIC NOTICE: 
SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirements of Title 42 Part 447 Section 205 of the Code of Federal Regulations, gives notice of the following actions regarding Managed Care changes under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective on or after October 1, 2013, SCDHHS will amend the South Carolina Title XIX State Plan to allow the following changes:

  1. Dual eligible (Medicare/Medicaid) beneficiaries currently in a Medical Homes Network (MHN) will be placed into Medicaid Fee-For-Service effective October 1, 2013. Qualifying dual eligibles will have the opportunity to voluntarily enroll in the South Carolina Dual Eligible (SCDuE) Demonstration, which is projected to begin July 1, 2014. Please visit https://msp.scdhhs.gov/scdue/content/about for additional information on the SCDuE Demonstration.
  2. SCDHHS will perform the face to face informed choice counseling with beneficiaries who are selecting a managed care option. This task was previously performed by the enrollment broker.
  3. All beneficiaries under one (1) year of age will be a mandatory managed care eligible group. This will allow better care coordination for these beneficiaries.

SCDHHS does not anticipate a financial impact on the changes above.

Copies of this notice are available at each County Department of Health and Human Services Office and at www.scdhhs.gov for public review. Additional information regarding this action is available upon request at the address cited below.

Any written comments submitted may be reviewed by the public at the Department of Health and Human Services, Division of Care Management, Jefferson Square Building, 8th Floor, 1801 Main Street, Columbia, South Carolina, Monday through Friday between the hours of 9:00 A.M. and 5:00 P.M.

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