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News & Updates

Jun 26, 2019 | Press Release

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 the full 2019 program update, click the image below.

Jun 26, 2019 | Press Release

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. Provider specific guidance has also been released with an updated process for Nursing Facilities, Hospice, and Institutional Respite Providers. 

Click on the image below to view the full update. 

Oct 29, 2018 | Press Release

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.

Jul 25, 2018 | Press Release

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 Initiative to explore how coordination between Medicare and Healthy Connections Medicaid can improve health outcomes, create administrative efficiencies and make accessing care easier for members. With the support of CMS and all three Medicare-Medicaid plans (MMPs), Healthy Connections Prime has been granted an extension through Dec. 31, 2020.

Jul 23, 2018 | Press Release
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 full memo for additional background and understanding.
 
Apr 25, 2018 | Press Release

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 Module. You will also find highlights about the upcoming Older Americans Month and learn how to join our distribution list!

Click on the image below to learn more:

Apr 12, 2018 | Press Release

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.

Please click on the image below to read the full memo or visit the Provider Toolkit to review this memo and more. 

Apr 6, 2018 | Press Release

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 the MMP in which the member is enrolled.

Feb 23, 2018 | Press Release

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.

To learn more about how this may impact providers, visit the Provider Tool Kit to view a provider specific FAQ. 

Feb 15, 2018 | Press Release

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 conducting an Introduction to Healthy Connections Prime webinar highlighting how the program works for providers. 

To learn more or register for the webinar, click on the image below:

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