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Services for Children

Autism Spectrum Disorder Services

Autism spectrum disorder (ASD) is a developmental disability that can cause significant social, communication and behavioral challenges.

SCDHHS covers all medically necessary care for children with autism through age 21 as part of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit.  

Autism Spectrum Disorder Services

BabyNet

BabyNet is South Carolina’s interagency early intervention system for infants and toddlers under three years of age with developmental delays, or who have conditions associated with developmental delays.

BabyNet matches the special needs of infants and toddlers who have developmental delays with the professional resources available within the community. BabyNet will evaluate the child at no cost to determine if they may be eligible for services. Services are provided in everyday routines, activities and places relevant to the life of the family.

You do not have to be a Medicaid Member to receive free BabyNet services!

BabyNet

Early and Periodic Screening, Diagnostic & Treatment (EPSDT)

This Medicaid benefit covers checkups and health care services for children from birth until age 21 to detect and treat health problems. EPSDT checkups are free for all children and youth who have Healthy Connections Medicaid.

Often referred to as well-child visits, EPSDT finds children with actual or potential health problems and screens, diagnoses and treats the problems before they become permanent, lifelong disabilities. 

Early and Periodic Screening, Diagnostic & Treatment

Child Advocacy

Do you have a complaint regarding services being provided to a child by a state agency? Please submit your complaint to the South Carolina Department of Children’s Advocacy by phone (1-800-206-1957) or via the electronic submission form.

South Carolina Birth Outcomes Initiative (SCBOI)

The South Carolina Birth Outcomes Initiative (SCBOI) is a collaborative of the South Carolina Department of Health and Human Services (SCDHHS), the South Carolina Department of Health and Environmental Control (DHEC), South Carolina Hospital Association, March of Dimes, BlueCross BlueShield of South Carolina (BCBSSC) and more than 100 stakeholders.

SC Birth Outcomes Initiative

Behavioral Health Services

South Carolina Department of Health and Human Services (SCDHHS) includes outpatient mental health services and Rehabilitative Behavioral Health Services (RBHS) as part of the Managed Care benefit. 

Addressing behavioral health issues is just as important as addressing physical health issues. Both require coordinated medical attention and care. 

Behavioral Health Services

Home and Community Based Services

Home and Community Based Services enables people to receive services in their home and community, keeping them out of institutions.

  • Helps people become more independent
  • Allows people to become more integrated within in their community
  • Based on the needs of the individual

Home and Community Based Services

Long Term Living

Long term living programs promote a comprehensive, coordinated continuum of long-term care options for South Carolina’s citizens.

Long Term Living

Managed Care Organizations

Healthy Connections Prime

Healthy Connections Prime is an enhanced program that combines all of the benefits of Medicare and Healthy Connections Medicaid under a single Medicare-Medicaid Plan to make it easier for members to get needed health services.

Healthy Connections Prime

Program For All-Inclusive Care Of The Elderly (PACE)
 

PACE is a program under Medicare, and states can elect to provide PACE services to Medicaid beneficiaries as an optional Medicaid benefit. To find out if you’re eligible and if there’s a PACE program near you, search for PACE plans in your area, or call your Medicaid office.

Program For All-Inclusive Care Of The Elderly (PACE)

Dual Special Needs Plans (SNP)

A Special Needs Plan (SNP) is type of Medicare Advantage Plan (MA) that provides benefits to members who have Medicare and Medicaid. First offered in 2006 as result of the 2003 Medicare Modernization Act to individuals identified by CMS 

Dual Special Needs (SNP)
 

 Managed Care

Managed Care

Quality through Technology and Innovation in Pediatrics (QTIP)

The Quality through Technology and Innovation in Pediatrics (QTIP) program works to improve health care for children in South Carolina by working on quality measures and incorporating mental health into a medical home.

QTIP

Home Again Program

The Home Again program is the state's Nursing Home Transition Program that helps seniors and people with physical disabilities move from skilled nursing facilities into communities and receive appropriate services and supports.

Home Again

Pharmacy

The pharmacy program provides comprehensive prescription drug coverage for recipients enrolled in FFS Medicaid and the state's five managed care organizations. This program allows unlimited monthly prescriptions for Medicaid members and copay exemptions for certain drug classes.

Pharmacy

Quality Initiative

The Bureau of Quality helps to improve health outcomes for South Carolinians. The team focuses on identifying the success of interventions, accounting for provider and member input, and evaluating the South Carolina Department of Health and Human Services (SCDHHS) using state and national standards.

Quality Initiative