As a part of the state's preparation and response to coronavirus disease 2019 (COVID-19), the South Carolina Department of Health and Human Services (SCDHHS) is announcing several policy changes and resources to protect the health and well-being of South Carolina Healthy Connections Medicaid members by ensuring ongoing access to care. The temporary provider policy changes outlined below will give providers needed flexibility to help ensure Healthy Connections Medicaid members continue to have access to care while supporting important social distancing measures.

The information provided below is unique to the Healthy Connections Medicaid program and other SCDHHS-administered programs. For the latest public health information, resources and guidance, please visit the South Carolina Department of Health and Environmental Control (DHEC) COVID-19 website at scdhec.gov/covid19 .

Provider Announcements

Tuesday, October 27, 2020 | Provider Announcements

The U.S. Department of Health and Human Services (HHS) recently announced it is broadening the categories of providers who are eligible to receive a Phase 3 provider relief payment provided by HHS...

Tuesday, October 13, 2020 | Provider Announcements

The U.S. Department of Health and Human Services (HHS) announced it is distributing an additional $20 billion in new relief funds to eligible Medicaid and Children’s Health Insurance Program (CHIP...

Tuesday, September 29, 2020 | Provider Announcements

...

Wednesday, September 9, 2020 | Provider Announcements

On April 30, 2020, the South Carolina Department of Health and Human Services (SCDHHS) issued a Medicaid Alert announcing it was granting certain temporary regulatory flexibilities related to...

Thursday, August 27, 2020 | Provider Announcements

The South Carolina Department of Health and Human Services (SCDHHS) has announced updated guidance for providers in nursing facilities, swing bed facilities and intermediate care facilities for...

Friday, August 7, 2020 | Provider Announcements

The South Carolina Department of Health and Human Services (SCDHHS) has published an updated fee schedule for coronavirus disease 2019 (COVID-19) testing. The fee schedule is available below and...

Healthy Connections Members and Applicant Resources

If you don’t have health insurance, Healthy Connections Medicaid can cover the cost of COVID-19 testing. Apply for the COVID-19 limited benefit coverage through the link below. Current Healthy Connections Medicaid members do not need to apply for this new program.

Apply for COVID-19 limited benefit coverage

Healthy Connections is South Carolina's Medicaid program. It is a medical assistance program that helps pay for some or all medical bills for many people who cannot afford medical care. The program also assists individuals who are over 65 or have a disability with the costs of nursing facility care and other medical expenses.
Apply for Healthy Connections Medicaid on SCDHHS’ website here.

SCDHHS’ BabyNet eligibility team is still conducting evaluations and making referrals for infants and toddlers under 3 years of age with developmental delays, or who have conditions associated with developmental delays.

Download BabyNet eligibility’s COVID-19 flyer here

Read the Healthy Connections Medicaid Member update from May 29, 2020. This update includes resources available to Healthy Connections Medicaid members and reminders about the importance of well-child visits and participation in the 2020 Census. 

Read More Here

SCDHHS has answered questions about eligibility including questions about electronic signatures, how to securely submit documents electronically and when renewals will resume.

Read the message here

Feeling Ill?

Find Free COVID-19 Testing Near You

DHEC offers free COVID-19 testing through their mobile and pop-up clinics. DHEC mobile testing sites are free for anyone and you can find one by  clicking here . COVID-19 testing and associated treatment is a covered benefit for Healthy Connections Medicaid members.

Questions about COVID-19?

General information about COVID-19 can be found by visiting DHEC's website  here  or by calling the DHEC Care Line at (855) 472-3432 between the hours of 8 a.m. and 6 p.m.  If you have symptoms of COVID-19 including fever, cough, shortness of breath, or new loss of taste or smell, please contact your healthcare provider. A  list of virtual healthcare providers  is located on DHEC's website for people who are displaying symptoms of COVID-19 but are unable to physically visit a healthcare provider.

Access Care Virtually and by Phone

If you are experiencing symptoms of COVID-19, including cough, fever, or shortness of breath, there are a number of free resources that allow you to receive care from your home. Click here to view free resources that allow you to receive non-emergency care virtually and over the phone.

 

Other COVID-19 Resources

On April 21, 2020, the Centers for Medicare and Medicaid Services approved SCDHHS’ Appendix K Amendment request. Read the letter and the amendments here.
 
Providers who have questions about Appendix K temporary retainer payments should email AppendixK@scdhhs.gov
Read More

 

Q. Why is there a difference between covered dates of service and the claims submission acceptance date?

A. SCDHHS’ goal in preparing and responding to COVID-19 is to authorize services quickly, but the agency also needs time to update its system(s) to receive bills and reimburse for claims. Having earlier covered dates of service allows providers to start providing these reimbursable services to their patients immediately while system changes are being implemented and tested.

If a provider submits a bill before the announced claims submission date and the claim is rejected, the provider should call the Medicaid Provider...

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On April 30, SCDHHS issued a memo to the Individuals with Disabilities Education Act (IDEA), Part C program providers clarifying previously issued guidance.

Read Memo

Memo sent on April 17, 2020 to the South Carolina Department of Alcohol and Other Drug Abuse Services regarding COVID-19-related temporary modifications and telehealth. 

Read Memo

Letter sent on April 16, 2020, to Development Evaluation Centers regarding COVID-19-related temporary policy modifications and telehealth.

Read Letter Here

Letter sent to SCDHHS’ non-emergency medical transportation broker, LogistiCare, regarding continued access to NEMT services.

Read the letter here.

Memo regarding utilization management and continuity of care provisions sent to South Carolina’s Managed Care Organizations on March 28, 2020, read the memo here

 

COVID-19-related section 1115 Demonstration waiver, submitted to CMS March 27, 2020, read the waiver here

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