Report Fraud

BabyNet Provider Outreach

Please email a BabyNet Team member at BabyNet@scdhhs.gov with any questions.

The South Carolina Department of Health and Human Services (SCDHHS) integrated the Individuals with Disabilities Education Act (IDEA) Part C program - commonly known as BabyNet - with the Healthy Connections Medicaid program in July 2019.

BabyNet claims submitted to the BabyNet Reporting & Intervention Data Gathering Electronic System (BRIDGES) are processed and then adjudicated by the Medicaid Management Information System (MMIS). 

BRIDGES will not contain payment information for claims. Claims-level remittance advice for providers enrolled in BabyNet are available in the SCDHHS web tool. Providers must use the remittance advice in the SCDHHS web tool to reconcile payment for their claims. Providers will no longer be emailed their remittance advice.

BabyNet Resources

Billing Companion Guide for BRIDGES PowerPoint - January 2020

Billing Companion Guide for BRIDGES - January 2020

BabyNet Claims Inquiry Form - March 2021

 


Remittance Advice Resources for Claims with Dates of Service on and after July 1, 2019

An Example of a Remittance Advice with a Void and Replace Transaction

An Example of the BabyNet Claims Submission, Processing and Payment Cycle after July 1, 2019

BabyNet Claims-level Remittance Advice and Other Changes - Example

BabyNet and Medicaid Claims-level Edit Codes, CARCs/RARCs, and Resolutions

How to Access Remittance Advice in the SCDHHS Web Tool

 


Managed Care Organization (MCO) Resources

Contact Information for MCOs for BabyNet Providers

The Universal BabyNet Prior Authorization Form 

MCO Continuity of Care Contact & Quick Reference Table

 


Other Resources

SCDHHS communications, recorded webinars, and other training information

Frequently Asked Questions

More information about the transition of claims payments to SCEIS can be found here.


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Previously Issued Guidance and Archived Outreach Material:

Temporary Remittance Advice Resources for Claims with Dates of Service between July 1 and Oct. 31, 2019

An Example of the Temporary BabyNet Claims Payment Cycle (Obsolete)

Temporary BabyNet Claims-Level Remittance Advice Emailed to Providers - Example  (Obsolete)

Temporary BabyNet Claim Edit Codes (Obsolete)

BRIDGES Resources

Billing Companion Guide for BRIDGES - October 2019 (Obsolete)

 

Back to Top