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Nov 26, 2019

Effective Jan. 1, 2020, the South Carolina Department of Health and Human Services (SCDHHS) will update daily limits for procedure codes for four Autism Spectrum Disorder (ASD) services and adopt the Medicare Eight Minute Rule to define service unit contact time for ASD services. The adoption of the Medicare Eight Minute Rule will be added to the...

Jun 22, 2018

Effective with dates of service on and after July 1, 2018, the South Carolina Department of Health and Human Services (SCDHHS) will implement the following changes to the applied behavior analysis (ABA) fee schedule and the policy manual for autism spectrum disorder (ASD) services.

The rate for codes 0364T and 0365T will increase to $15.50 per unit. Providers will no longer utilize...

Jun 22, 2018

Effective on or after July 1, 2018, the South Carolina Department of Health and Human Services (SCDHHS) will increase reimbursement for applied behavior analysis (ABA) provided by a registered behavior technician (RBT) to $15.50 per 30 minutes ($31 per hour).

SCDHHS is amending the South Carolina Title XIX State Plan to update the rate-setting methodology for autism spectrum disorder (...

Jun 22, 2018

Effective April 1, 2018, the South Carolina Department of Health and Human Services (SCDHHS) will implement the following changes to the policy manual for autism spectrum disorder (ASD) services.

New language regarding the SCDHHS quality improvement organization (QIO)
Providers serving Medicaid fee-for-service beneficiaries must receive prior authorization from the...

Jun 22, 2018

The South Carolina Department of Health and Human Services (SCDHHS) will amend its autism spectrum disorder (ASD) manual to include additional providers that will be allowed to complete the comprehensive psychological assessment/testing report to determine if Medicaid beneficiaries meet medical necessity criteria for ASD services.

In addition to licensed psychologists and school...

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