All Providers

New Claims-level Remittance Advice Features Coming in November

Individualized Family Service Plans will be Regenerated Oct. 17-23

Medicaid managed care organizations (MCOs) who contract with the South Carolina Department of Health and Human Services (SCDHHS) for the provision of Medicaid services request medical records from providers to comply with SCDHHS' requirements for reporting Healthcare Effectiveness Data and Information Set (HEDIS ^® ). Thank you for cooperating with the MCOs' medical record requests and ensuring that any medical record vendors do so as well.

Continuity of Care Period in Effect Oct. 1

Resources for Continuity of Care Period, which Begins Oct. 1

The South Carolina Department of Health and Human Services (SCDHHS) has been integrating the Individuals with Disabilities Education Act (IDEA) Part C, commonly known as BabyNet, and Healthy Connections Medicaid programs over the past several months. The integration will improve the quality and delivery of services for infants and toddlers participating in the programs and standardize payment to providers who serve these children.

Reminders for Continuity of Care Period, which Begins Oct. 1

The continuity of care period for the integration of the Individuals with Disabilities Education Act (IDEA) Part C program, commonly known as “BabyNet,” and South Carolina Healthy Connections Medicaid program begins Oct. 1. Providers and service coordinators are reminded that several changes will take place during the continuity of care period (Oct. 1-Dec. 31, 2019):

The South Carolina Department of Health and Human Services (SCDHHS) is beginning 2019 provider revalidation.  

Reminder: Healthy Connections Medicaid Providers MUST Have a BabyNet Enrollment Agreement to Serve BabyNet Children Beginning Friday

The South Carolina Department of Health and Human Services (SCDHHS), in partnership with the state’s contracted enrollment broker, MAXIMUS, will facilitate two provider training sessions in September.

Continuity of Care Period Begins Oct. 1