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SCDHHS joins national payment reform effort

COLUMBIA, S.C. — The South Carolina Department of Health and Human Services (SCDHHS) announced Monday that it has joined forces with several of the nation’s largest employers and other health care purchasers in an initiative to create more value in today’s health care system by improving how health care providers are paid.

SCDHHS working with DSS to improve customer service, access to assistance

Fragile households seeking solid footing in a weak economy will receive reinvigorated support as Colorado, Idaho, Illinois, North Carolina, Rhode Island, and South Carolina take up the challenge of streamlining services aiding low-income working families. The six states have been awarded three-year grants to test and implement easy-to-navigate, quick-to-deliver public benefit systems. The grants, the centerpiece of the Work Support Strategies: Streamlining Access, Strengthening Families (WSS) initiative, average about $460,000 per state for each year.

Improper Release of Beneficiary Information

Last week, the South Carolina Department of Health and Human Services (SCDHHS) discovered that a Medicaid employee inappropriately transferred personal information for 228,435 Medicaid beneficiaries to his personal email account, constituting a violation of agency policy.

The department immediately contacted the South Carolina Law Enforcement Division to investigate the incident and also informed other state and federal agencies. The employee was terminated last week.

SC agencies working together to ensure health, safety of residents from closed North Charleston assisted living facility

 

COLUMBIA, S.C.— Several state agencies are working with law enforcement to ensure the health and safety of residents of a North Charleston assisted living facility closed on Thursday by police. The closing comes after the owner of Fair Havens Manor on Cosgrove Avenue was arrested by North Charleston police Thursday morning. She is accused of neglecting the residents at the community residential care facility (CRCF), which was home to 15 vulnerable adults.

 

New Medicaid Quality Improvement Organization (QIO)

 

Effective March 1, 2012, the South Carolina Department of Health and Human Services (SCDHHS) began implementation of a contract with the Keystone Peer Review Organization, Inc. (KePRO), to serve as the new Quality Improvement Organization with an operational date of June 1, 2012.

 

Medicaid State Plan Amendment (SPA) Related to Targeted Case Management

The South Carolina Department of Health and Human Services (SCDHHS) is in the process of submitting a State Plan Amendment (SPA) for Targeted Case Management (TCM) to the Centers for Medicare and Medicaid Services (CMS). SCDHHS is providing the following updates to the public:

TCM SPA Key Proposals
DRAFT TCM SPA

South Carolina Non-Emergency Medical Transportation

 

Effective February 21, 2012, LogistiCare Solutions, LLC will begin covering the two (2) regions currently operated by Access2Care.  At that time LogistiCare will be responsible for all three (3) South Carolina Non-Emergency Medical Transportation (NEMT) regions in the state.

 

Updates to the SCDHHS Dental Services Program

FREQUENCY LIMITATION APPLICATION
With the transition to DentaQuest (DQ), the South Carolina Department of Health and
Human Services (SCDHHS) made changes to the frequencies allowed for certain dental
services. These changes were communicated in a Provider Bulletin dated October 15,
2010. Providers should review the latest version of the Dental Office Reference Manual
(ORM) to verify frequency limits and to check the web portal to determine if the
beneficiary has received the service within the frequency time period. Failure to follow

Spacers for Metered Dose Inhalers

 

 

I.              Spacers for Metered Dose Inhalers

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