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June 2019 Program Update: Person-Centered Program Design & Family Caregivers

Posted by on Wed, 06/26/2019 - 14:50

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...

June 2019 Stakeholder Update

Posted by on Wed, 06/26/2019 - 14:33

Healthy Connections Prime has released the June 2019 Stakeholder Update which focuses on County Coverage Expansion within the demonstration, a highlight on coverage model comparisons for members, and Medicaid Advantage Marketing Do's and Dont's....

Your Rights Concerning Marketing from Medicare Advantage Plan Representatives

Posted by on Mon, 10/29/2018 - 09:20

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.


Healthy Connections Prime Program Update July 2018 - Healthy Connections Prime Extended

Posted by on Wed, 07/25/2018 - 11:11

Healthy Connections Prime is authorized by the Centers for Medicare & Medicaid Services (CMS) and the South Carolina Department of Health and Human Services (SCDHHS) as a “demonstration” under the Medicare-Medicaid Financial Alignment...

Healthy Connections Prime & Nursing Facility Claims Processing

Posted by on Mon, 07/23/2018 - 11:35
Healthy Connections Prime has updated the claims filing process for members who are participating in the demonstration while also receiving services in a Nursing Facility.  
Please click on the image below to review the...

Stakeholder Update - April 2018

Posted by on Wed, 04/25/2018 - 14:14

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...

Healthy Connections Prime Appeals Process - Waiver Case Managers

Posted by on Thu, 04/12/2018 - 10:38

SCDHHS would like to provide a reminder of appeals process for waiver services to Healthy Connections Prime members. There have been some instances of confusion as to the party to which an appeal should be filed at each stage of the process....

Healthy Connections Prime and Nursing Facilities - Claims Processing Update

Posted by on Fri, 04/06/2018 - 10:21

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...

A New Medicare Card Is Coming Soon But the MMP Member ID Card Remains the Same

Posted by on Fri, 02/23/2018 - 13:11

The Centers for Medicare & Medicaid Services (CMS) will be mailing members a new Medicare card soon. However, for Healthy Connections Prime members, their Member ID Card remains the same. Learn more below by clicking the image below.


February 2018 Stakeholder Update

Posted by on Thu, 02/15/2018 - 09:24

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...


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