All Providers

Bulletins and Information for All Medicaid Providers

2018 Provider Revalidation: Group 3

The South Carolina Department of Health and Human Services (SCDHHS) continues its 2018 provider revalidation. Providers who enrolled as a Healthy Connections Medicaid provider between Dec. 1, 2012, and Dec. 31, 2013, are scheduled for revalidation in 2018. 

South Carolina Emergency Response Provider Registration

The South Carolina Department of Health and Human Services (SCDHHS) is committed to ensuring reimbursement for services rendered by qualified providers, in good faith, during the Hurricane Florence emergency response period.

Emergency Response: Provider Reimbursement for North Carolina Medicaid Beneficiaries

The purpose of this bulletin is to describe additional state efforts to ensure continued access to care during the emergency response to Hurricane Florence and the impact of these efforts on North Carolina Medicaid beneficiaries and South Carolina Healthy Connections Medicaid providers.

Emergency Response Provider Enrollment Requirements

The purpose of this bulletin is to describe state and federal efforts to ensure continued access to care during the emergency response to Hurricane Florence and the impact of these efforts will have on Healthy Connections Medicaid beneficiaries and providers.

The South Carolina Department of Health and Human Services (SCDHHS) is committed to ensuring reimbursement for services rendered by qualified providers, in good faith, during this emergency response period. Accordingly, SCDHHS implemented several emergency response provisions, which included:

Changes in Freedom of Choice (FoC) Process and Timeframe for Inpatient Delivery of Medicaid Targeted Case Management (MTCM)

Effective Sept. 1, 2018, the South Carolina Department of Health and Human Services (SCDHHS) will no longer use the SCDHHS Phoenix System or its electronic referral portal, https://phoenix.scdhhs.gov/cltc_referrals/new, for Medicaid targeted case management (MTCM) services or require the Freedom of Choice (FoC) form. 

Healthy Connections Choices Enrollment Broker Training

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. 

Service Rate Increases

Effective for services provided on or after July 1, 2018, the South Carolina Department of Health and Human Services (SCDHHS) increased reimbursement for qualified Adult Day Health Care Services, Personal Care I, Personal Care II and Attendant Care providers by approximately 8.2 percent. 

SCDHHS Stakeholder Survey

The South Carolina Department of Health and Human Services (SCDHHS), in partnership with Mercer Health and Benefits, LLC (Mercer), is revising and consolidating the Medicaid provider manuals to develop a more user-friendly guide for SCDHHS stakeholders.

Implementation of the project will rely on feedback from South Carolina Healthy Connections Medicaid providers. SCDHHS and Mercer have developed a survey that can be accessed by clicking on the link below.

2018 Provider Revalidation; Group 2

The South Carolina Department of Health and Human Services (SCDHHS) continues 2018 provider revalidation. Providers who enrolled as a Healthy Connections Medicaid provider between Dec. 1, 2012-Dec. 31, 2013, are scheduled for revalidation in 2018. 

KEPRO Prior Authorizations

The South Carolina Department of Health and Human Services (SCDHHS) encourages all autism spectrum disorder (ASD) providers to complete their prior authorization submissions through Keystone Peer Review Organization (KEPRO), the agency's quality improvement organization.

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