All Providers

Bulletins and Information for All Medicaid Providers

Updates in BRIDGES

As part of the South Carolina Department of Health and Human Services’ (SCDHHS) integration of BabyNet and Healthy Connections Medicaid services, BabyNet service coordinators may see changes to information in some areas of the BabyNet Reporting & Intervention Data Gathering Electronic System (BRIDGES) case management system. This includes, but is not limited to, demographic information; third-party liability (private insurance) information; managed care organization (MCO) information; and, Medicaid ID number, and associated eligibility and referral dates.

Changes to Individuals with Disabilities Education Act Part C Program (BabyNet) Services

As part of the ongoing effort to improve the quality and delivery of services for infants and toddlers with disabilities through the Individuals with Disabilities Education Act (IDEA) Part C program, commonly known as “BabyNet,” the South Carolina Department of Health and Human Services (SCDHHS) is aligning BabyNet with the Healthy Connections Medicaid program through a series of policy and technology initiatives. Throughout the alignment process, SCDHHS has received feedback and questions from families, providers, and stakeholders about changes they will experience.

BRIDGES Integration Webinar and Email Address

The South Carolina Department of Health and Human Services (SCDHHS) IDEA Part C, BabyNet and Medicaid Operations teams conducted a webinar to begin preparing early intervention providers for the upcoming changes to the BabyNet Reporting & Intervention Data Gathering Electronic System (BRIDGES) system and billing processes. 

New Medicaid Provider Manuals Provider Training

The South Carolina Department of Health and Human Services (SCDHHS) has worked with stakeholders, for the past year, to update and streamline Medicaid provider manuals.

Before transitioning to the platform and format for provider manuals, or guides, the agency will hold a series of provider trainings. These trainings will occur in three locations (Charleston, Columbia, Greenville) in June to provide an overview of the basic structure of the guides, the new approach to coding and rate information and an introduction of the new Provider Administrative and Billing Guide.

Hepatitis A Outbreak

On Monday, the South Carolina Department of Health and Environmental Control (DHEC) announced that cases of hepatitis A across the state have reached outbreak level. Hepatitis A is a contagious liver infection that is transmitted through person-to-person contact with someone who has the infection or through eating or drinking food or water contaminated by an infected person.

Healthy Connections Choices Enrollment Broker Training

The South Carolina Department of Health and Human Services (SCDHHS), in partnership with the state’s contracted enrollment broker, MAXIMUS, will facilitate two provider training sessions in May. 

Autism Spectrum Disorder State Plan Procedure Codes

Effective May 1, 2019, the South Carolina Department of Health and Human Services (SCDHHS) will transition from the 2014 Category III Current Procedural Terminology (CPT) codes for adaptive behavior services to the 2019 Category I CPT codes. The 2019 Category I CPT codes are: 

• 97151 – Behavior identification assessment, each 15 minutes

• 97153 – Adaptive behavior treatment by protocol, each 15 minutes

• 97155 – Adaptive behavior treatment with protocol modification, each 15 minutes

• 97156 – Family adaptive behavior treatment guidance, each 15 minutes

HEDIS® Tips

Medicaid managed care organizations (MCOs), who contract with the South Carolina Department of Health and Human Services (SCDHHS) for the provision of Medicaid services, request medical records from providers to comply with SCDHHS's requirements for reporting Healthcare Effectiveness Data and Information Set (HEDIS®). Thank you for cooperating with the MCOs' medical record requests and ensuring that any medical record vendors do so as well.

SCDHHS and KEPRO Provider Quality Improvement Training

The South Carolina Department of Health and Human Services (SCDHHS) will co-sponsor provider and facility training with Keystone Peer Review Organization (KEPRO), the SCDHHS quality improvement organization. The annual quality improvement training includes requirements, updates and a review of the process and procedures for prior authorization.

The online training sessions will be held May 14 and 16, at 10 a.m. and 1 p.m. Registration is not required.

KEPRO online training dates:

  • May 14, 10 a.m. and 1 p.m.
  • May 16, 10 a.m. and 1 p.m.

 

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