All Providers

Bulletins and Information for All Medicaid Providers

Coverage of New Screening Services for Healthy Connections Checkup

Effective August 1, 2014, The South Carolina Department of Health and Human Services (SCDHHS) will implement changes to the benefit structure for the Family Planning Eligibility Category, now to be known as Healthy Connections Checkup (Checkup).  Checkup is a Medicaid limited benefit program that provides coverage for preventive health care, family planning services and family planning-related services.  Checkup is available to men and women of all ages in South Carolina whose annual family income does not exceed 194 percent of the Federal Poverty Level (FPL) and who are in

Policy Changes to the Referral/Authorization Process

 

Effective with dates of service on or after July 1, 2014, the South Carolina Department of Health and Human Services (SCDHHS) will implement policy changes to the Referral and Authorization process for acquiring Rehabilitative Behavioral Health Services (RBHS) and Inpatient Psychiatric Services for Children Under 21. These changes are being made in an effort to increase beneficiary access to medically necessary services and to increase efficiency of the current referral and authorization process for behavioral health services.

Retraction of SBIRT Bulletin dated March 27, 2014

All providers should disregard the South Carolina Department of Health and Human Services’ (SCDHHS) Bulletin with release date of March 27, 2014 regarding a change in the Screening, Brief Intervention and Referral to Treatment (SBIRT) codes and billing procedures effective May 1, 2014. Providers should use the codes and billing procedures they use currently to receive payment for SBIRT services until further notice. The South Carolina Department of Health and Human Services will communicate any future changes in SBIRT codes and billing procedures in the form of a provider Bulletin.

Revising Language to the Rehabilitative Behavioral Health and Local Education Agencies Manuals to Amend the Licensed Bachelor’s Social Worker’s Scope of Practice

 

The South Carolina Department of Health and Human Services (SCDHHS) is issuing this bulletin to offer guidance to Rehabilitative Behavioral Health and Local Education Agency Providers.  A Licensed Bachelor’s Social Worker can sign the Individual Plan of Care (IPOC) for a Medicaid beneficiary when the IPOC is not used for the purpose of medical necessity. Effective May 1, 2014, this policy will be retroactive to August 1, 2013.

Targeted Case Management Provider Training

South Carolina Healthy Connections Medicaid is hosting three training sessions for Medicaid Targeted Case Management Providers. This training will teach Providers how to access the Phoenix portal, enroll users, receive and accept/decline referrals and to document service delivery.

Medicaid Targeted Case Management Providers will be able to select from the following dates and times:

Important Alert for Providers

On February 21, 2014, SCDHHS notified providers that 1099s for the week of October 29, 2013 were overstated. SCDHHS has resolved the issue, and the agency mailed corrected 1099s on March 3, 2014 to the approximately 5,000 providers whose original 1099 was not correct.
 
Only those providers who received a payment from SCDHHS for the week of October 29, 2013 will receive a corrected 1099.  The corrected 1099 will display a checked box at the top center of the form to identify it as the corrected form.

 

Important Alert for Providers

 

It has come to our attention that SCDHHS incorrectly overstated payment on the IRS Form 1099 for some enrolled providers.  Only providers included in the October 29, 2013 payment cycle are affected. We are working with our technical teams and have consulted with the IRS about the best approach to correct this information on your behalf.

We are working on a resolution and will provide information and instructions as soon as they are available. 

If you have any questions, you may contact our Provider Service Center at (888) 289-0709.

 

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