Mental Health and Rehabilitation Clinics (MHRC)

Mental Health and Rehabilitation Clinics (MHRC)

Updates to State Plan Therapeutic Child Care Rates

The South Carolina Department of Health and Human Services (SCDHHS) is increasing reimbursement rates for specific therapeutic child care services included in this bulletin.

Rate Increases for Therapeutic Child Care

Effective Oct. 1, 2022, reimbursement for the below listed codes will be increased as follows:

Description

Code

Current Rate

Updated Training Resources for School-based Rehabilitative Behavioral Health Services Providers

The South Carolina Department of Health and Human Services (SCDHHS) has posted updated training resources in support of its school-based mental health services initiative. These resources include training presentations on provider enrollment, fee-for-service (FFS) claims submission, and the provision of rehabilitative behavioral health services (RBHS) delivered in school-based settings. 

Provider Enrollment Training

List of School IDs to be Included on School-based Mental Health Claims Published

The South Carolina Department of Health and Human Services (SCDHHS) has published a list of the South Carolina Department of Education’s unique school IDs in support of its school-based mental health services initiative. The unique school ID must be included on claims submitted by providers for school-based mental health services.

SCDHHS School-based Mental Health Policy Updates for July 1, 2022

The South Carolina Department of Health and Human Services (SCDHHS) is formally launching its school-based mental health services initiative effective July 1, 2022. The SCDHHS policy changes announced in this bulletin are consistent with the recommendations made by SCDHHS to improve access to school-based mental health services for children across the state.

SCDHHS Behavioral Health Policy Updates for July 1, 2022

The South Carolina Department of Health and Human Services (SCDHHS) is announcing updates to several behavioral health policies. The updates are described below and are effective for dates of service beginning July 1, 2022.  

Change in the Child and Adolescent Level of Care Utilization System (CALOCUS) Guidance

Rate Increase for Psychiatric Residential Treatment Facilities (PRTFs)

The South Carolina Department of Health and Human Services (SCDHHS) will increase the reimbursement rate for all contracting Medicaid PRTFs to $500 per patient day for services provided to South Carolina Medicaid-eligible children. The change is being made in order to address the impact of market forces affecting the South Carolina Medicaid PRTF program and will be effective for dates of service on and after April 1, 2022.

Approval of South Carolina’s Appendix K Amendment Request for Temporary Rate Increases

As part of the South Carolina Department of Health and Human Services’ (SCDHHS) ongoing response to the state and federal states of emergency related to coronavirus disease 2019 (COVID-19), SCDHHS submitted a request to the Centers for Medicare and Medicaid Services (CMS) to amend multiple waivers with the Emergency Preparedness and Response Appendix K. The request was approved Jan. 20, 2022, and will temporarily:

Rate Increases for Certain Incontinence Supplies and DAODAS and ASD Services

Effective Jan. 1, 2022, the South Carolina Department of Health and Human Services (SCDHHS) will increase the reimbursement rates for the services and supplies mentioned below. These rate increases apply to the Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes included in this bulletin.

Incontinence Supplies

SCDHHS will increase the reimbursement rates for incontinence supplies billed using the HCPCS codes listed below by 10%.

SCDHHS Policy Updates for July 1, 2021

The South Carolina Department of Health and Human Services (SCDHHS) is announcing updates to several policies. The updates are described below and are effective for dates of service beginning July 1, 2021.  

Recognition of Licensed Addiction Counselors (LACs) as Licensed Practitioners of the Healing Arts (LPHAs)

Updated Guidance for Behavioral Health Policies

The South Carolina Department of Health and Human Services (SCDHHS) is announcing updated guidance to clarify several behavioral health policies. The clarifications are described below.

Licensed Independent Practitioners

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