All Providers

Bulletins and Information for All Medicaid Providers

Update to Screening Brief Intervention and Referral to Treatment (SBIRT) Initiative

The South Carolina Department of Health and Human Services (SCDHHS) began the Screening, Brief Intervention and Referral to Treatment (SBIRT) initiative in August 2011. In the Department’s effort to improve birth outcomes and overall health of the Mom and Baby, we have partnered with other stakeholders throughout the state to help identify and treat pregnant beneficiaries who may experience alcohol or other substance dependencies, depression, smoking, or domestic violence.

Absolute Total Care-Corrective Action Plan to Address Non-compliance

This CAP is necessary in order for ATC to address their non-compliance for failure to pay claims in a timely manner.  ATC has a large number of unpaid, denied and disputed claims outstanding with providers including major hospitals, physician groups, ambulance providers and others.  ATC has contracted with SCDHHS since 2007 and serves approximately 87,700 South Carolina Medicaid enrollees in 39 counties.

SCDHHS Offers Free Provider Workshops June-August 2012

Attached is a schedule of the free provider workshops offered by the
SCDHHS to include Medicaid Basics, Comprehensive Web Tool, Overview of
Third Party Liability and Overview of Claim-level Adjustments.

New Provider Enrollment and Screening Requirements

 

The South Carolina Department of Health and Human Services (SCDHHS) will be implementing new provider enrollment and screening regulations published by the Centers for Medicare and Medicaid Services (CMS).  These regulations have been developed under standards established by the Affordable Care Act.  Prior to implementation, new policies for provider enrollment and screening will be communicated to providers in subsequent Medicaid bulletins.  Provider enrollment and screening information and a link to the new Federal regulations, can be found on the SCDHHS website at:

 

SCDHHS Offers Free Provider Workshops May - July 2012

To attend these training sessions, you may register through the South
Carolina Medicaid Provider Outreach Web site
at www.scmedicaidprovider.org or by calling the South Carolina Medicaid
Provider Service Center at 1-888-289-0709. Select menu option 1 for the
Electronic Data Interchange (EDI) Support Center.

~~~TRAINING SESSIONS ARE NOW AVAILABLE ONLINE ~~~

To access the online training sessions through our e-learning Web site:

Quality Improvement Organization (QIO) Training Session

 

 

The South Carolina Department of Health and Human Services (SCDHHS) will co-sponsor provider/facility training with Keystone Peer Review Organization, Inc. (KePRO), the new QIO for Medicaid.  KePRO will offer 4 regional trainings with morning sessions designated for facility staff.  Afternoon sessions are designated for physicians and other medical professionals. 

New Medicaid Quality Improvement Organization (QIO)

 

Effective March 1, 2012, the South Carolina Department of Health and Human Services (SCDHHS) began implementation of a contract with the Keystone Peer Review Organization, Inc. (KePRO), to serve as the new Quality Improvement Organization with an operational date of June 1, 2012.

 

SCDHHS Offers Free Provider Workshops - Apr -May -June 2012

To attend these training sessions, you may register through the South
Carolina Medicaid Provider Outreach Web site
at www.scmedicaidprovider.org or by calling the South Carolina Medicaid
Provider Service Center at 1-888-289-0709. Select menu option 1 for the
Electronic Data Interchange (EDI) Support Center.

~~~TRAINING SESSIONS ARE NOW AVAILABLE ONLINE ~~~

To access the online training sessions through our e-learning Web site:

South Carolina Medicaid ICD-10 Web page

 

The South Carolina Department of Health and Human Services (SCDHHS) is pleased to announce its new web page dedicated to information related to the implementation of the International Classification of Diseases Version 10 (ICD-10), with a mandatory compliance date of October 1, 2013. 

The SCDHHS ICD-10 web page is available now and includes important information related to ICD-10 implementation including project status, pertinent ICD-10 links, as well as other relevant information to assist with this transition.

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