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Bulletins and Information for All Medicaid Providers

2020 Provider Revalidation: Group 1

The South Carolina Department of Health and Human Services (SCDHHS) is beginning 2020 provider revalidation.  

Individuals with Disabilities Education Act Part C Program (BabyNet) Updates and Important Dates

New and Updated Resources Available on the BabyNet Website
The South Carolina Department of Health and Human Services (SCDHHS) has published updated information and resources online for providers who serve children enrolled in the Individuals with Disabilities Education Act (IDEA) Part C program, commonly known as BabyNet in South Carolina. Some of the updated information available on the BabyNet website includes:

2020 Provider Enrollment Application Fee

The Centers for Medicare and Medicaid Services (CMS) has announced the enrollment application fee amount for calendar year 2020 will be $595. This fee is required with any applicable Healthy Connections Medicaid provider enrollment application.

End-of-Year Provider Payment Holiday Schedule

The  South  Carolina  Department  of  Health  and  Human  Services  (SCDHHS) will  operate  on  an  updated schedule  forHealthy  Connections  Medicaid  claims  submission  and  payments for  December  2019  and January 2020 to accommodate holiday schedules. 

November 2019 Provider Payment Holiday Schedule

The South Carolina Department of Health and Human Services (SCDHHS) will operate on an updated schedule for Healthy Connections Medicaid claims submission and payments for one week in November 2019 to accommodate the Thanksgiving holiday.

Due to this holiday schedule, claims must be submitted by 5 p.m. on Saturday, Nov. 23 to be included with the payment scheduled for Friday, Nov. 29. Payments will run on Monday, Nov. 25 and electronic remittance advices will be available on Tuesday, Nov. 26. Payments will be dated Friday, Nov. 29, as usual.

2019 Provider Revalidation: Group 3

The South Carolina Department of Health and Human Services (SCDHHS) is continuing 2019 provider revalidation.  

CMS Medicare-Medicaid Coordination Office Timelines for Inclusion as a Medicare-Medicaid Plan

The Centers for Medicare and Medicaid Services (CMS) released a memo on Oct. 17, 2019, with key dates for contract year (CY) 2021 Medicare-Medicaid Plan (MMP) applications. The memo included several key deadlines for organizations that are interested in participating in the Healthy Connections Prime Dual Demonstration Waiver in South Carolina for CY 2021. These dates are listed in the table below for reference. The first date, the deadline to submit a notice of intent to apply (NOIA) as a New/Initial MMP, is Nov. 11, 2019.

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