Mental Health and Rehabilitation Clinics (MHRC)

Mental Health and Rehabilitation Clinics (MHRC)

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%.

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

Updated Rehabilitative Behavioral Health Services (RBHS) Accreditation Crosswalk

The South Carolina Department of Health and Human Services (SCDHHS) has published an updated RBHS accreditation crosswalk. The accreditation crosswalk includes updates to covered services and standards for each accrediting body (i.e., Commission on Accreditation of Rehabilitation Facilities, Council on Accreditation and The Joint Commission).

Updates to Behavioral Health Policies

The South Carolina Department of Health and Human Services (SCDHHS) is announcing updates to two behavioral health policies. The updates are described below along with their effective dates.  SCDHHS is also announcing a new supplement to three behavioral health provider manuals.

Progress Summaries for Applied Behavior Analysis (ABA)

New SCDHHS Healthy Connections Training Materials Available for Behavioral Health Providers

The South Carolina Department of Health and Human Services (SCDHHS) has posted new training resources for Healthy Connections Medicaid behavioral health providers online. These new resources provide an overview of processes and policies applicable to the following behavioral health service areas: Applied Behavior Analysis (ABA), Medicaid Targeted Case Management (MTCM) and Rehabilitative Behavioral Health Services (RBHS).

Approval of South Carolina’s Appendix K Amendment Request for the Palmetto Coordinated System of Care (PCSC) Waiver

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 the Palmetto Coordinated System of Care (PCSC) waiver with the Emergency Preparedness and Response Appendix K. The request was approved on Jan. 15, 2021, and will grant providers additional flexibility in delivering services to waiver participants.

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