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Durable Medical Equipment (DME) Providers

The South Carolina Department of Health and Human Services (SCDHHS) is changing the billing procedures for all oral nutritional supplement and incontinence providers. This change will streamline the billing process and allow you to receive referrals and authorizations from CLTC (Community Long Term Care) in an electronic format.

Final Notice Of Action

PUBLIC NOTICE
FINAL NOTICE of ACTION
SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES
Payment to Medicaid Providers Reduced and Beneficiary Co-payments Increased July 11, 2011
The South Carolina Department of Health and Human Services (SCDHHS), as required by
Federal Regulations of Title 42 Part 447 Section 205, gives final notice of the following actions
regarding its methods and standards for paying providers and beneficiary cost sharing under the
State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Medicaid Reimbursement Changes

The South Carolina Department of Health and Human Services (SCDHHS) announces the
following changes to maintain expenditures within budget appropriations for State Fiscal Year
2012. Public Notice of the proposed changes was published June 6, 2011. Comments were
accepted and considered through 5:00 p.m. July 6, 2011. The reductions in this notice are in
addition to the previous reduction of 3% that was applied on April 8, 2011.

Preferred Drug List (PDL) Revisions

I. Preferred Drug List (PDL) Revisions
II. Processing of Claims for Compounded Pharmaceuticals
III. Six Month's Supply for Contraceptives

Transportation Broker Contract Awards

On May 24, 2011, the South Carolina Department of Health and Human Services (SCDHHS) received final notice from the South Carolina Materials Management Office that two brokers were awarded Non-Emergency Medical Transportation (NEMT) contracts; LogistiCare Solutions, LLC and American Medical Response, Incorporated.

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