Announcements

One of our Healthy Connections Prime health plans, Absolute Total Care has changed its name to Wellcare Prime by Absolute Total Care. This name change will not affect current medical benefits or services to members. Please note that as part of...

Healthy Connections Prime has released the October 2021 Stakeholder Update. 

In this update, we share that Healthy Connections Prime is now available statewide, Absolute Total Care's MMP is changing their name, and we highlight recent...

In the April 2021 Stakeholder Update, you will find highlights on the Non-Emergency Medical Transportation (NEMT) provider name change along with reminders of key Healthy Connections Prime benefits and other supporting documentation. This...

Healthy Connections Prime has issued a December 2020 Stakeholder Update. This release features information regarding Absolute Total Care's county expansion efforts, SC Thrive community outreach efforts, updated member stories/testimonials, and...

Greetings from Healthy Connections Prime!

In the June 2020 update below, you will find highlights regarding COVID-19 and Healthy Connections Prime interactions, details regarding this year's Elder Abuse Awareness Day, program growth and...

Greetings from Healthy Connections Prime!

Below, you will find our December 2019 Stakeholder update which highlights updates to our Incontinence Supply Guidance, inmportant information for indentifying claims contacts at the MMPs, and...

Healthy Connections Prime has issued an 2019 update. Person-Centered Program Design & Family Caregivers focuses on four program design domains: assessment and care planning, benefit design, training, and quality improvement.

To view...

In conjunction with CMS, Healthy Connections Prime has compiled a list of acceptable activities regarding health plans  and their marketing activities. To learn more, click in on the image below.

...

In the April 2018 Stakeholder update, you will find information regarding a Healthy Connections Prime and Nursing Facilities Update, Healthy Connections Prime Waiver Services Appeals Process and a Healthy Connections Prime Provider Training...

Claims processing for Medicaid LTC nursing facility stays by an MMP has been modified to align with the Healthy Connections Medicaid fee-for-service methodology. All Medicaid LTC claims for Healthy Connections Prime members must be submitted to...

Healthy Connections Prime has released the February 2018 Stakeholder Update which highlights initiatives to educate dual eligible members on the new Medicare cards they will receive later this year. Healthy Connections Prime will also be...

Healthy Connections Prime has released a Palliative Care FAQ for members. 

To learn more about Palliative Care and Healthy Connections Prime, visit the Member Tool Kit or click the image below.

...

Healthy Connections Prime has released a brochure for members that explains the role of the Care Coordinator. The purpose of this document is to provide more clarification on what a Care Coordinator is and what he or she may do for Healthy...

Healthy Connections Prime has released the October 2017 Stakeholder Update. Click on the image below to learn more about the Hurricane Irma Update, the October 10th - SC Thrive Webinar for Advocates and Caregivers, and the October 13th - Webinar...

Healthy Connections Prime has released the August 2017 Stakeholder Update. Click on the image below to read the full update.

...

Healthy Connections Prime released a document for providers explaining how to bill for Healthy Connections Prime members.

Payment from Healthy Connection Prime Medicare-Medicaid Plans (MMPs) represents payment in full from both Medicare...

The Centers for Medicare & Medicaid Services (CMS) sent a notice to South Carolina Medicare providers on May 17, 2017 to remind them that patients and care recipients have a choice in what health plan they wish to join. The notice also...

Healthy Connections Prime has released an FAQ document for Nursing Home providers. Topics in this FAQ include guidance on working with Healthy Connections Prime members, becoming a contracted or 'In-Network' provider, and a comparison chart...

Healthy Connections Prime has release the January 2017 Stakeholder Update which includes updated county information for Molina Dual Options as well as information about the January 19, 2016 Palmetto Senior Show at the South Carolina State...

In September's Stakeholder update, you can find information about Advicare Advocate's claims and HCBS Phase II Transition activities. You can also find details regarding the Healthy Connections Prime CICOs' experience with the Dementia Dialogues...

On July 1, 2016, Healthy Connections Prime increased its membership substantially through Wave 2 of a passive enrollment process that auto-assigns eligible enrollees to one of the three MMPs. Wave 1 of passive enrollment took place in April 2016...

On September 1, 2016, SCDHHS is taking the next step in its transition of key Home and Community Based Services (HCBS) responsibilities to the Medicare-Medicaid Plans (MMP) for HCBS recipients in the Healthy Connections Prime program. Phase II...

Throughout the Healthy Connections Prime demonstration, health plans were afforded the opportunity to attend Dementia Dialogues, a structured dementia education program developed by the Office for the Study of Aging at the University of South...

BALANCE BILLING IS PROHIBITED

Balance billing is the practice in which providers bill dually eligible beneficiaries enrolled in the Qualified Medicare Beneficiary (QMB) program for Medicare cost-sharing. This population is exempt from...