All Providers

The South Carolina Department of Health and Human Services (SCDHHS) has enhanced its claim correction functionality in the integrated BabyNet Reporting & Intervention Data Gathering Electronic System (BRIDGES) and Medicaid Management Information System (MMIS). This functionality is an automatic internal void and/or replace process in the integrated BRIDGES and MMIS systems, and often requires little provider interaction with the claim. Exceptions to this occur when providers request to delete or update service logs in BRIDGES as described below.

The South Carolina Department of Health and Human Services (SCDHHS) is announcing updated guidance to clarify several behavioral health policies. The clarifications are described below.

Licensed Independent Practitioners

Effective immediately, the South Carolina Department of Health and Human Services (SCDHHS) will recognize the Individualized Family Service Plan (IFSP) as prior authorization (PA) for all services rendered under the Individuals with Disabilities Education Act (IDEA) Part C program, commonly known as BabyNet in South Carolina.

The South Carolina Department of Health and Human Services (SCDHHS) has published an updated RBHS accreditation crosswalk. The accreditation crosswalk includes updates to covered services and standards for each accrediting body (i.e., Commission on Accreditation of Rehabilitation Facilities, Council on Accreditation and The Joint Commission).

The South Carolina Department of Health and Human Services (SCDHHS) has published an updated fee schedule for coronavirus disease 2019 (COVID-19) testing. The fee schedule is available below and here on SCDHHS’ COVID-19 website.

The South Carolina Department of Health and Human Services (SCDHHS) has posted new training resources for Healthy Connections Medicaid behavioral health providers online. These new resources provide an overview of processes and policies applicable to the following behavioral health service areas: Applied Behavior Analysis (ABA), Medicaid Targeted Case Management (MTCM) and Rehabilitative Behavioral Health Services (RBHS).

As part of the South Carolina Department of Health and Human Services’ (SCDHHS) ongoing response to the state and federal states of emergency related to coronavirus disease 2019 (COVID-19), SCDHHS submitted a request to the Centers for Medicare and Medicaid Services (CMS) to amend the Palmetto Coordinated System of Care (PCSC) waiver with the Emergency Preparedness and Response Appendix K. The request was approved on Jan. 15, 2021, and will grant providers additional flexibility in delivering services to waiver participants.