All Providers

Bulletins and Information for All Medicaid Providers

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.

 

High Tech Radiology Services

 

Effective March 1, 2014, the South Carolina Department of Health and Human Services (SCDHHS) will no longer require prior authorization on High Tech Radiology services.  All other Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes requiring prior authorization or support documentation can be found in the Physicians, Laboratories and Other Medical Professional manual located at: www.scdhhs.gov.

Avoid disruption of electronic claims submissions

Avoid disruption of electronic claims submissions: New security policies implemented by the South Carolina Department of Health and Human Services (SCDHHS) requires all Electronic Data Interchange (EDI) Submitters, EDI Vendors, Clearinghouses, Billing Agents and South Carolina Medicaid Web-based Claims Submission Tool (Web Tool) users to change their password every 60 days. Any passwords that have not been changed will expire March 1, 2014. Please log onto https://portal.scmedicaid.com to change your password before that date.   

New Speech Therapy Codes

 

Effective with dates of services on or after January 1, 2014, the South Carolina Department of Health and Human Services (SCDHHS), in accordance with the Current Procedural Terminology (CPT), will discontinue coverage of the deleted code for Speech Evaluation (92506) and activate the new procedure codes listed below.  The following codes will be added to the list of reimbursable codes replacing the deleted procedure code 92506:

SMA ICD-10 Provider Readiness Assessment

 

The purpose of this assessment is to gauge the current state of overall ICD-10 readiness among our providers and help inform how we can best assist our providers through the transition to ICD-10.  The questions in this assessment should take no more than 10 minutes to complete and all responses will remain anonymous. Please take the time now to complete this assessment.

Thank you in advance for your response.

Logisticare - Corrective Action Plan to Address Non-compliance

 

This bulletin is to notify all service providers that the South Carolina Department of Health and Human Services (SCDHHS) has placed Logisticare on notice that a Corrective Action Plan (CAP) update is required in accordance with the SCDHHS Non-Emergency Medical Transportation (NEMT) contract.

This CAP addresses the following contractual requirements:

Medicaid cards now have a new design

Medicaid cards have been updated to reflect the new Healthy Connections logo, as pictured at right.

Cards with the previous design (below) are still in use and valid too, so please accept either version from your Medicaid beneficiaries.

Discontinuation of Edit Correction Forms (ECFs)

The South Carolina Department of Health and Human Services is improving provider communications regarding the status of claims submitted to SC Medicaid.  Effective January 3, 2014, providers will no longer receive Edit Correction Forms (ECFs) for rejected claims.  Additionally, effective April 1, 2014, SC Medicaid will no longer accept provider corrected ECFs.  Providers will be required to submit a new claim form to resolve billing edits.

Pages

Subscribe to RSS - All Providers
Report Fraud