All Providers

Bulletins and Information for All Medicaid Providers

New Healthy Connections Medicaid Slim Card

The South Carolina Department of Health and Human Services (SCDHHS) announces the release of a new Healthy Connections Medicaid slim card. The cards will have the same dimensions but will be thinner and more lightweight than the previous cards. The slim card design will go into circulation in late-March or early-April and will be distributed to newly eligible Healthy Connections Medicaid members. Current members who request replacement cards will also receive the new slim cards.

Individuals with Disabilities Education Act Part C Program (BabyNet) Updates

The South Carolina Department of Health and Human Services (SCDHHS) is continuing to integrate the Individuals with Disabilities Education Act (IDEA) Part C program, commonly known as BabyNet in South Carolina, and Healthy Connections Medicaid program. This includes integrating the two programs’ respective systems, the BabyNet Reporting & Intervention Data Gathering Electronic System (BRIDGES) and the Medicaid Management Information System (MMIS).

SCDHHS to Replace its Medicaid Management Information System

The South Carolina Department of Health and Human Services (SCDHHS) is replacing its Medicaid Management Information System (MMIS) with a more efficient, modern system that will reduce administrative burden on providers.

Changes to Administrative Review Procedures of Select Physician Administered Drugs

Effective March 1, 2020, the South Carolina Department of Health and Human Services (SCDHHS) will implement the changes described below for select physician-administered drugs.

SCDHHS contracts with a designated quality improvement organization, KEPRO, for utilization review and prior authorization services. Providers serving Medicaid fee-for-service beneficiaries must receive prior authorization from KEPRO for the following limited list of physician-administered drugs:

2020 Provider Revalidation: Group 1

The South Carolina Department of Health and Human Services (SCDHHS) is beginning 2020 provider revalidation.  

Individuals with Disabilities Education Act Part C Program (BabyNet) Updates and Important Dates

New and Updated Resources Available on the BabyNet Website
The South Carolina Department of Health and Human Services (SCDHHS) has published updated information and resources online for providers who serve children enrolled in the Individuals with Disabilities Education Act (IDEA) Part C program, commonly known as BabyNet in South Carolina. Some of the updated information available on the BabyNet website includes:

2020 Provider Enrollment Application Fee

The Centers for Medicare and Medicaid Services (CMS) has announced the enrollment application fee amount for calendar year 2020 will be $595. This fee is required with any applicable Healthy Connections Medicaid provider enrollment application.

End-of-Year Provider Payment Holiday Schedule

The  South  Carolina  Department  of  Health  and  Human  Services  (SCDHHS) will  operate  on  an  updated schedule  forHealthy  Connections  Medicaid  claims  submission  and  payments for  December  2019  and January 2020 to accommodate holiday schedules. 

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