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Update on Continued Postponement of EVV Launch for SCDDSN-operated Waiver Programs

On Nov. 22, 2022, the South Carolina Department of Health and Human Services (SCDHHS) announced it was postponing the launch of the electronic visit verification (EVV) system for providers who were rendering services through the three waivers operated by the South Carolina Department of Disabilities and Special Needs (SCDDSN) (the Community Supports [CS], Head and Spinal Cord Injury [HASCI] and Intellectual Disability and Related Disabilities [ID/RD] waivers).

December 2022 Holiday Season Provider Payment Schedule

The South Carolina Department of Health and Human Services (SCDHHS) will operate on an updated schedule for Healthy Connections Medicaid claims submission and payments to accommodate the December 2022 holidays.

December 2022

Due to observance of the Christmas holiday, Monday, Dec. 19, at 5 p.m. is the deadline to submit claims for payment date Friday, Dec. 23. Payments will run Tuesday, Dec. 20, and electronic remittance advices will be available Thursday, Dec. 22. Payments will be dated Friday, Dec. 23, as usual.

Veterans Day Holiday Provider Payment Schedule Update

The South Carolina Department of Health and Human Services (SCDHHS) will operate on an updated schedule for Healthy Connections Medicaid payments this week to accommodate the 2022 Veterans Day holiday.

Friday, Nov. 11, 2022, is a South Carolina state and banking holiday. Due to the holiday, providers who receive payments by electronic funds transfer will receive their payments either Thursday, Nov. 10 or Monday, Nov. 14 depending on their bank’s policy. Claims submitted by 5 p.m. Saturday, Nov. 5 are included in this payment.

Head and Spinal Cord Injury Waiver Amendment and Community Supports Waiver Renewal

The South Carolina Department of Health and Human Services (SCDHHS) is announcing the approval and implementation of an amendment to the Head and Spinal Cord Injury (HASCI) waiver and renewal of the Community Supports waiver effective July 1, 2022. Both waivers are operated by the South Carolina Department of Disabilities and Special Needs (SCDDSN).

The HASCI waiver amendment includes the following major changes:

Updated Guidance Regarding Certification of Temporary Nurse Aides

The South Carolina Department of Health and Human Services (SCDHHS) is issuing updated guidance regarding the certification of temporary nurse aides. This updates the prior provider alert dated Aug. 19, 2022. The Centers for Medicare and Medicaid Services (CMS) has approved South Carolina’s request for an extension of the 1135 waiver of the requirements contained in 42 CFR §483.35(d) Training and Certification of Nurse Aides for Skilled Nursing Facilities/Nursing Facilities.

Update on Occupational Therapy Telehealth Flexibilities

On April 29, 2022, the South Carolina Department of Health and Human Services (SCDHHS) announced future updates to the telehealth flexibilities that were created during the federal coronavirus disease 2019 (COVID-19) public health emergency (PHE) through Medicaid bulletin 22-005.

Coronavirus Disease 2019 (COVID-19) Pediatric Vaccine Administration Coverage

The Centers for Disease Control and Prevention (CDC) updated its recommendations regarding who is eligible to receive a COVID-19 vaccine to include children as young as six months old. The South Carolina Department of Health and Human Services (SCDHHS) is confirming that it will reimburse enrolled providers for the administration of COVID-19 vaccines to children as young as six months old, including additional doses of the COVID-19 vaccine consistent with the CDC’s guidance, for dates of service on or after June 17, 2022.

Updates to Pneumococcal Immunizations for Adults

(Update: CMS Claims Processing instructions were referenced in the coding for this bulletin. Level I of the HCPCS is comprised of Current Procedural Terminology (CPT-4), a numeric, uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals.

Reminder About Enhanced Rate for Evaluation Services for Children in Foster Care

The South Carolina Department of Health and Human Services (SCDHHS) is reminding providers about the enhanced reimbursement rate for initial evaluation and management encounters with children when they enter foster care.

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