COVID-19-related section 1115 Demonstration waiver, submitted to CMS March 27, 2020, read the waiver here.
Appendix K Amendment
On April 21, 2020, the Centers for Medicare and Medicaid Services approved SCDHHS’ Appendix K Amendment request. Providers who have questions about Appendix K temporary retainer payments should email AppendixK@scdhhs.gov
Frequently Asked Questions (FAQ)
COVID-19 FAQs
Additional Operational Questions
Do you temporarily waive pre-authorization/pre-certification guidelines?
SCDHHS has extended the timeframe for submitting additional documentation from two days to seven days. The agency continues to work closely with its quality improvement organization, KEPRO, to monitor the needs of the provider community and will make additional changes should they be necessary.
For claims submitted to MCOs, providers should confirm authorization requirements with the MCO.
SCDHHS is asking providers and community partners to help us spread the word about the unwinding of the federal PHE and the restart of annual reviews for Healthy Connections Medicaid members. Providers and partners can help in relaying consistent and simple messages to Medicaid members by sharing messages and materials from our communications toolkit in newsletters, social media posts and other available means of communication. Current messaging focuses on urging members to update their contact information.