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Bulletins and Information for All Medicaid Providers



On January 16, 2009, the U.S. Department of Health and Human Services (HHS) published a final rule on the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10 CM/PCS), requiring all HIPAA-covered entities to adopt the ICD-10- CM/PCS (diagnosis/inpatient procedure codes) by October 1, 2014.

IPC Program Closure and OSS Transformation


The South Carolina Department of Health and Human Services (SCDHHS) was notified by the Centers for Medicare and Medicaid Services (CMS) in July 2010 the IPC program had to be reconfigured in order to comply with federal guidelines.  SCDHHS is submitting an amendment to delete the program from the State Medicaid Plan with an effective date of July 1, 2013.

Provider Training Events for the Optional Supplemental Care for Assisted Living Program (OSCAP).


The South Carolina Department of Health and Human Services (SCDHHS), Division of Long Term Care Transformation, will sponsor three regional training events focusing on provider enrollment and provider requirements for OSCAPThese training events are for any Community Residential Care Facility (CRCF) currently enrolled as an Optional State Supplementation (OSS) provider and for those contracted as Integrated Personal Care (IPC) providers. 

Announcement regarding Regulations Executive Order


On January 12, 2013, Governor Nikki Haley filed an Executive Order to establish a Regulatory Review Task Force to evaluate South Carolina's current regulatory burdens on businesses and to propose recommendations to relieve those burdens.  As part of this review, the Task Force will evaluate reports submitted by agencies that identify current and proposed statutes, rules, regulations and policies that are a burden on South Carolina's economy.  All Cabinet agencies must submit a written report to the Task Force by May 15, 2013.

SCDHHS Hosts Non-Emergency Medical Transportation Open Forum

As the South Carolina Department of Health and Human Services (SCDHHS) nears the expiration date of the Broker contracts for Non-Emergency Medical Transportation (NEMT), the agency will host an Open Forum to receive input on the future of how SCDHHS provides the NEMT service. The meeting is open to the public and will be held on January 28, 2013 from 10:00 AM to 12:00 PM at the Department of Juvenile Justice Bill Rogers Community Connections Center (directions).

Administrative Day Rates


Managed Care Withholds and Incentives Initiative


The South Carolina Department of Health and Human Services (SCDHHS) in collaboration with our Coordinated Care Improvement Group has identified and targeted key withhold and incentive categories to assist us in measuring and supporting quality outcomes.

Alcohol and Other Drug Abuse Treatment Services Authorized or Provided by State Agencies


In a further effort to provide beneficiaries with comprehensive care, effective February 1, 2013, alcohol, drug, and substance abuse treatment services provided by the Department of Alcohol and Other Drug Abuse Services (DAODAS), and its thirty-three (33) subcontracted county authorities, will be part of the Managed Care Organizations (MCOs) core benefit package. DAODAS and its subcontracted county alcohol and drug abuse authorities will be required to file claims for all MCO-enrolled beneficiaries for services.


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