Managed Care

Managed Care

South Carolina Medicaid Preferred Drug List

 

The following revisions to the Preferred Drug List (PDL) are effective with dates of service on or after August 1, 2012.

 

ANTICONVULSANTS, RECTAL PREPARATIONS

Preferred

Non-Preferred

Training Workshop SBIRT

 

The South Carolina Department of Health and Human Services (SCDHHS) is offering training to Medicaid enrolled Federally Qualified Health Clinics, Rural Health Clinics, Family Practice, and OB/GYN providers on Screening, Brief Intervention, and Referral to Treatment (SBIRT).  SBIRT is an agency initiative, in partnership with other stakeholders, to help identify and offer treatment to pregnant beneficiaries who may have alcohol or other /substance dependence, depression, or domestic violence.

 

Tobacco Cessation for Pregnant Women

Effective with dates of service on or after February 1, 2012, the South Carolina Department of Health and Human Services (SCDHHS) will cover Tobacco Cessation treatment for all pregnant women in accordance with Section 4107 of the Affordable Care Act, which amended Section 1905 (bb)(2) of the Social Security Act. For the complete policy and billing instructions, please review the Physician, Laboratories and Other Medical Professionals manual located on the SCDHHS website at www.scdhhs.gov.

South Carolina Medicaid Preferred Drug List

 

The following revisions to the Preferred Drug List (PDL) are effective with dates of service on or after February 1, 2012. 

 

FLUOROQUINOLONES

Preferred

Non-Preferred

Spacers for Metered Dose Inhalers

 

 

I.              Spacers for Metered Dose Inhalers

Price Increase For Synagis Injectable

 

Effective for dates of service on or after October 15, 2011, the South Carolina Department of Health and Human Services (SCDHHS) will increase the rate for Synagis to the current Average Wholesale Price (AWP) minus 18%.  The new rates for 100mg vial will increase from $1,995.36 to $2,192.89.  The 50mg vial will increase from $1,056.71 to $1,161.31.

 

ATC Medicaid managed care plan scaling back in Upstate

COLUMBIA, SC—Approximately 8,100 South Carolina Medicaid beneficiaries in the Upstate who are enrolled in the Absolute Total Care (ATC) managed care plan will soon be asked to choose another plan, the South Carolina Department of Health and Human Services (SCDHHS) announced Wednesday. The announcement comes after ATC notified the Department it intends to withdraw from participation in Spartanburg, Cherokee and Union counties.

Preferred Drug List (PDL) Revisions

I. Preferred Drug List (PDL) Revisions
II. Processing of Claims for Compounded Pharmaceuticals
III. Six Month's Supply for Contraceptives

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