Mental Health and Rehabilitation Clinics (MHRC)

Mental Health and Rehabilitation Clinics (MHRC)

Behavioral Health is revising the description of Group Psychotherapy and adding Multiple Family Group Psychotherapy to the Behavioral Health Manual

 

The South Carolina Department of Health and Human Services (SCDHHS) is implementing the following changes and clarifications effective December 1, 2013 to the Group Psychotherapy code and adding Multiple Family Group Psychotherapy code as outlined below:

Procedure code 90853 – Group Psychotherapy

South Carolina Medicaid Preferred Drug List

 

The following revisions to the Preferred Drug List (PDL) are effective with dates of service on or after July 22, 2013. 

LAXATIVES & CATHARTICS

Preferred

Non-Preferred

PRTF Alternative CHANCE Waiver Providers

 

The South Carolina Department of Health and Human Services (SCDHHS) is pleased to announce the PRTF Alternative CHANCE Waiver Provider Manual. This manual is effective April 1, 2013, and is to be used for program information and requirements, billing procedures, and provider services guidelines. Providers should carefully review this manual in order to be compliant with policy guidelines.

The manual is organized as follows, with each section having its own table of contents:

Changed/Added Procedure Codes

 

 

The Centers for Medicare and Medicaid Services (CMS) revises the nomenclature within the HCPCS/CPT each quarter.  When a HCPCS/CPT code is deleted, the SC Medicaid program will discontinue coverage of the deleted code and new procedure codes for behavioral health services may be added.  The SC Medicaid program will not accept billing of discontinued codes for dates of service on the date on which the code is discontinued.  

Barbiturate and Benzodiazepine Coverage Changes for Dual Eligibles under Medicare Part D Plans

 

Effective January 1, 2013, the South Carolina Department of Health and Human Services (SCDHHS) will exclude coverage for barbiturates “used in the treatment of epilepsy, cancer, or a chronic mental health disorder” and benzodiazepines for dual eligible individuals (Medicare/Medicaid).  This exclusion of coverage applies only to dual eligible individuals.

Additional Services Performed by KePRO

Effective with dates of service on or after January 1, 2013, the South Carolina Department of Health and Human Services (SCDHHS) will require prior authorization (PA) for Inpatient Psychiatric Services for Children Under 21 from our Quality Improvement Organization (QIO), KePRO.  PA requests must meet the requirements for Certification of Need (CON) for Children Under 21 admitted for psychiatric services.

South Carolina Medicaid Preferred Drug List

 

The following revisions to the Preferred Drug List (PDL) are effective with dates of service on or after January 1, 2013.

 

ANTIDEPRESSANTS, OTHER

Preferred

Non-Preferred

South Carolina Medicaid Preferred Drug List

 

The following revisions to the Preferred Drug List (PDL) are effective with dates of service on or after October 15, 2012.

 

ANTIHYPERURICEMICS

Preferred

Non-Preferred

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

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

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