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

ICD-10 CM/PCS Compliance Date Strategic Planning

As previously communicated by the South Carolina Department of Health and Human Services (SCDHHS) on April 1, 2014, it was announced that the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the U.S. Department of Health and Human Services (DHHS) Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the DHHS expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015.

Preventative Health Screens Policy Update

Effective for dates of service on or after September 1, 2014, the South Carolina Department of Health and Human Services will begin covering most of the recommended preventive services defined by U. S. Preventive Services Task Force (USPSTF). The USPSTF recommended preventive services will be provided to Medicaid beneficiaries without cost sharing (co-payments).

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.

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