For Providers

Section 1115 Demonstration Waiver Preconception Care (PCC)

SCDHHS will submit a Section 1115 Demonstration Waiver application to the Centers for Medicare & Medicaid Services (CMS)to implement a...

EPSDT

For more information view the Full Site Early Periodic Screening, Diagnosis and Treatment, or EPSDT, is the Medicaid program's benefit that covers...

BABYNET

Full BabyNet Site Young children learn and develop differently. One baby may walk earlier than another, while another baby might talk first. Often,...

Autism Spectrum Disorder Services

View Autism Spectrum Disorder Services Site Effective July 1, 2017, the South Carolina Title XIX State Plan will include covered autism spectrum...

Fee Schedules

CLTC Fee Schedule CLTC Fee Schedule.xls Private Mental Health Fee Schedule Private Mental Health Fee Schedule.xlsx Audiology Fee Schedule Audiology...

Carrier Codes

  Megallan Carrier Code List Alpha12/31/2018 (MS Excel Spread sheet) Megallan Carrier Code List Numeric12/31/2018 (MS Excel Spread sheet) Carrier...

Electronic Data Interchange (EDI)

  Electronic claims are processed faster and more accurately than those received by mail. SCDHHS will provide an electronic response indicating that...

Psychiatric Residential Treatment Facility (PRTF) Carve-In Frequently Asked Questions (FAQs)

Effective July 1, 2017, the South Carolina Department of Health and Human Services (SCDHHS) will include Psychiatric Residential Treatment Facility (...

File Appeals & Reschedule/Cancel Hearings Online

You can now file your appeal online and make requests to reschedule or cancel hearings and withdraw appeal requests on the new Appeals and Hearings...

Palmetto Coordinated System of Care

The Palmetto Coordinated System of Care is a program to help children stay: at home in school when possible, out of the child welfare system, and...

SC Medicaid Companion Guides

South Carolina Medicaid Companion Guides supplement the HIPAA-required ANSI X-12 Implementation Guide to explain billing instructions specific to...

APR-DRG

The South Carolina Department of Health and Human Services (SCDHHS) intends to move to a new method of paying for hospital inpatient services. The...

ICD-10

Read More about the ICD-10 Implementation The South Carolina Department of Health and Human Services (SCDHHS) is moving forward in updating our...

HCBS Final Rule

The Home and Community-Based Services (HCBS) rule creates a more outcome-oriented definition of home and community-based settings. It does not just...

Healthy Connections Checkup

Medicaid has added to our Family Planning benefit and now offers screenings and a physical exam. We still cover birth control and now also cover:

New Tool! SC HealthViz

Access maps, reports and data on Medicaid health services in South Carolina SC HealthViz is designed to provide greater transparency of the data that...

Proviso 33.34

The 2014 budget currently includes Proviso 33.34 which-for the first time-provides funds that may only be accessed if hospitals and clinics serving...

Affordable Care Act Initiatives

South Carolina Department of Health and Human Services (SCDHHS) received final State Plan Amendment approval for the payment methodology for enhanced...

OSS Advisories

OSCAP advisory August 2013   July 1, 2013 OSCAP Advisory07/09/2013 February 2013 OSS AdvisoryDescription: OSS Advisory NewsletterPosted:01/29/2012...

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