All Providers

Bulletins and Information for All Medicaid Providers

SCDHHS Announces Use of National Correct Coding Initiative (NCCI) on a Prepayment Basis

 

NCCI Background and FAQs

Initially National Correct Coding Initiative (NCCI) was developed by CMS for Medicare Part B claims and is now being implemented for state Medicaid programs.

July 2011 Bulletin Archive

Durable Medical Equipment (DME) Providers
Description: Changes In Policies And Procedures For Providing Incontinence And Other Waiver Supplies And Services

Final Notice Of Action

PUBLIC NOTICE
FINAL NOTICE of ACTION
SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES
Payment to Medicaid Providers Reduced and Beneficiary Co-payments Increased July 11, 2011
The South Carolina Department of Health and Human Services (SCDHHS), as required by
Federal Regulations of Title 42 Part 447 Section 205, gives final notice of the following actions
regarding its methods and standards for paying providers and beneficiary cost sharing under the
State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Medicaid Reimbursement Changes

The South Carolina Department of Health and Human Services (SCDHHS) announces the
following changes to maintain expenditures within budget appropriations for State Fiscal Year
2012. Public Notice of the proposed changes was published June 6, 2011. Comments were
accepted and considered through 5:00 p.m. July 6, 2011. The reductions in this notice are in
addition to the previous reduction of 3% that was applied on April 8, 2011.

Preferred Drug List (PDL) Revisions

I. Preferred Drug List (PDL) Revisions
II. Processing of Claims for Compounded Pharmaceuticals
III. Six Month's Supply for Contraceptives

Transportation Broker Contract Awards

On May 24, 2011, the South Carolina Department of Health and Human Services (SCDHHS) received final notice from the South Carolina Materials Management Office that two brokers were awarded Non-Emergency Medical Transportation (NEMT) contracts; LogistiCare Solutions, LLC and American Medical Response, Incorporated.

May 2011 Bulletin Archive

17 Alpha Hydroxyprogesterone Caproate
Description: In February 2011, The Food And Drug Administration (FDA) Issued Approval For Makenatm, A Commercially Produced 17-Alpha Hydroxyprogesterone Caproate (17-P) Product.
Posted: 5/20/2011 4:43:45 PM

April 2011 Bulletin Archive

New MCO Contract Language
Description: The South Carolina Department of Health and Human Services (SCDHHS) Has Developed a Standardized Subcontract Boilerplate for All Providers Who Contract with Medicaid Managed Care Organizations (MCOs).

March 2011 Bulletin Archive

SCDHHS Offers Free Provider Workshops
Description: SCDHHS Offers Free Provider Workshops April - June 2011
The free workshops offered by the SCDHHS include Medicaid Basics, Comprehensive Web Tool, Overview of Third Party Liability and Overview of Claim-level Adjustments.
Posted: 3/30/2011 10:01:39 AM

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