News & Updates
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 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.
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:
Dec 11, 2017 | Press Release
The Healthy Connections Prime Decemeber 2017 Stakeholder Update hightlights National Family Caregivers Month and the recently issued Care Coordinator Member Brochure. Healthy Connections Prime has also released an FAQ for members regarding Palliative Care and has updated the Waiver Case Manager FAQ.
Learn more by clicking on the image below.
Nov 6, 2017 | Press Release
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.
Nov 3, 2017 | Press Release
As part of the bi-monthly provider webinar series, Healthy Connections Prime and SC Thrive will be hosting a webinar tailored specifically to provider front office and billing staff. This event will cover billing processes for Healthy Connections Prime members and what can and cannot be billed. It will also cover the issue of how our newly enrolled members are offered at least six months of care with their providers while the member’s health plan works to get the provider into their network or a single case agreement.
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