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November Stakeholder Update Released

Posted by on Mon, 11/14/2016 - 10:42

Healthy Connections Prime has released the November 2016 Stakeholder Update to include details about Hurricane Matthew and emergcy prepardness along with information about the December 10th Healthy Connections Prime Lunch and Learn. The November...

September Stakeholder Update Released

Posted by on Thu, 09/15/2016 - 14:50

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...

Medicare Alert: Filing Advicare Advocate Claims

Posted by on Tue, 09/13/2016 - 11:23

Advicare Advocate will continue to process provider claims for dates of service before Sept. 1, 2016, as long as they meet the timely filing requirement of 365 days. Please click on the notice for more information.

To learn more, click on...

Healthy Connections Prime Wave 2 Passive Enrollment Began July 2016; More Seniors in South Carolina now have a new health care option

Posted by on Tue, 09/06/2016 - 14:07

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...

Medicaid Alert: Filing Advicare Advocate Claims

Posted by on Tue, 09/06/2016 - 13:46

Advicare Advocate will continue to process provider claims for dates of service before Sept. 1, 2016, as long as they meet the timely filing requirement of 365 days. Please click on the notice for more information.

...

HCBS Provider FAQ Released

Posted by on Fri, 08/26/2016 - 08:49

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...

July Stakeholder Update Released

Posted by on Mon, 07/18/2016 - 14:51

The July stakeholder update cotains information regarding Passive Enrollment Wave 2, the Transition of Advicare Advocate, Balance Billing Prohibition Notice information, and details regarding the July Senior Resource Fair. Click the image below...

Plans receive Dementia Dialogues training. Courses open to the public.

Posted by on Tue, 07/05/2016 - 15:41

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...

May Stakeholder Update Released

Posted by on Thu, 05/26/2016 - 15:42

This April/May stakeholder update contains recent milestones and activities for the Healthy Connections Prime program including Wave 1 Passive Enrollment kickoff and the release of a new Provider Training Module. Click on the Stakeholder update...

Prohibition on Balance Billing of Healthy Connections Prime Members

Posted by on Mon, 05/23/2016 - 09:49

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...

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