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:
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.
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.
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.
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
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.
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:
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%.
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)
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.