-- Any entity, agency, facility or institution that provides health services to health care members. The web servers are located in the United States and the hostname resolves to the IP address 130.127.205.20. Q. The MEA evaluates five areas including medication, sick / emergency room / hospital visits, hands-on skilled care, specialty care physician, and daily routine. Providers can submit resolutions for workers that were having mobile app issues. Providers should continue to submit their questions and feedback to covid@scdhhs.gov. +3a"dcQswk?]}\E`u:MQ?W2??H2h'swk>6;*n P%)R{a*Jg)J)RR)JTrJR)I%$IJI$RI$wwO~8>?F g f:H216V[v=uV?o{V XonF8xFe d^N3\XOOZP0>v)JO)%$(rI)J)*JR)JJI%$IJI$RI$I%)u?R:u"5v0?cFIz,tkGXr* The signature may be handwritten, electronic or digital. If your primary language is not English, language assistance services are available to you, free of charge. Can providers performing Applied Behavior Analysis services as parent-directed services or through remote supervision of a registered behavior technician change between the two delivery methods during the COVID-19 pandemic? The Reference ID is required to retrieve a saved application and to correct or update enrollment information after the application is approved. of Scdhhs Phoenix Portal using the official link. Sc Dhhs The advanced tools of the editor will lead you through the editable PDF template. , . When a member is in an MCO, the MCO covers services. Home and Community-Based waiver programs (HCBS)Designed to meet the needs of those with disabilities or chronic conditions. If a provider submits a bill before the announced claims submission date and the claim is rejected, the provider should call the Medicaid Provider Service Center at (888) 289-0709 or resubmit the claim after the submission date stated in the bulletin. @Dcc "S"$HI$JRI$I%$IJI$RIo}[z4@s]gq ?PEndffM}54}*?K_ Zv7\1]u kFc>Z5`c k kFc>Za%W$b (}JY%LTI"$I)I$JRI$\KUzD6JzD6J}igOi3V?5ojh c kZ4kX*/s.Yd$^B(}y%)$^BJ}y%)$^BJ Photoshop 3.0 8BIM% 8BIM: printOutput PstSbool Inteenum Inte Clrm printSixteenBitbool printerNameTEXT c 6 0 0 0 l printProofSetupObjc P r o o f S e t u p The memo is available here on SCDHHS COVID-19 website. Check on the eligibility of your Medicaid subscribers. They will also continue to create Prior Approval requests for services in the Service Plan. Call: 1-888-549-0820 (TTY: 1-888-842-3620). Once annual renewals resume, how will long will beneficiaries be given to complete renewal? A. Medicaid MCOs may have additional requirements related to the place of service for COVID-19 related telehealth services. Does the three-visit limit in 30 days for physical, occupational and speech therapists apply to assessment and management only? Once a plan is chosen, a member will have 90 days to make a change to their chosen MCO. The decision to switch between delivery methods must be agreed to by both the provider and the parent or guardian of the child receiving the service. This service group is to report their usual and customary revenue received for each service over a six-week period, as well as actual revenue received for those services provided during the periods of March 16 to April 24, 2020; April 27 to June 5, 2020; and, June 8 to July 17, 2020. SC Health & Human Services P.O. Healthy Connections Medicaid also has an optional MMP program members may join if they are already participating in Medicare and Healthy Connections Medicaid. https://phoenix.scdhhs.gov/cltc_referrals/new, Notice of Non-Discrimination/Language Services. To be approved for retainer payments, providers must have been enrolled with the South Carolina Department of Health and Human Services (SCDHHS) as of Jan. 1, 2020, and remain in good standing with SCDHHS. Create an account using your email or sign in via Google or Facebook. Create your signature, and apply it to the page. Select the document you want to sign and click. An individual may bill independently for services or may have an affiliation with an organization. Question: For ADHC services, there are some authorizations on my remittance advice with procedure code LTC10. Most members enrolled with Healthy Connections Medicaid will also enroll with an MCO. A. What is the location code when billing telephonic and telehealth codes? Enrollment Roadmap - SC DHHS A: For codes 90832, 90834, 90837, 99408, H0001, H0032 and H0038, providers should bill with existing modifiers and use the second modifier field to add the GT modifier as applicable. Do you temporarily waive or extend provider enrollment time frames? How to Apply. In certain circumstances, the retainer payment may be applied as a credit against the outstanding amount due. Beneficiaries should never give out their social security number or other personal information to anyone they have not contacted. ? hbbd```b``v+@$N 6 TrLEX&0*H($H8)"oVHW?c[ h An organization may bill independently for services performed or may be an affiliation of individual providers. -- All providers of health care services may be ordering/referring providers but not all ordering/referring providers are billing providers. If a provider is provisionally enrolled, will they have to be re-enrolled once the crisis is over. What are the documentation requirements for reimbursement for telehealth services? SCDHHShighly values the safety of beneficiaries personal information anddoes not call beneficiaries asking for personal information such as their social security number. PDF Community and Facility Services - SC DHHS Q. Will telehealth services be reimbursed at the same rate as traditional services? SC Medicaid Portal | SC Medicaid Portal Install the signNow application on your iOS device. -- CMS defines atypical providers as "providers that do not provide health care, as defined under HIPAA in Federal regulations at 45 CFR section 160.103." Columbia, South Carolina, United States. Previous layoffs prior to the retainer payment request are not part of the required attestation. Q. Procedure code S5170 is not approved for retainer payments. Q. Retainer Payments-Appendix K Waiver Amendment-Frequently Asked Questions (FAQs). The provider will be paid in individual adjustments for each waiver and each service. The agency continues to work closely with its quality improvement organization, KEPRO, to monitor the needs of the provider community and will make additional changes should they be necessary. endobj only those credentials to sign in to the portal. As the period of recommended social distancing has increased, SCDHHS will allow providers to change from parent-directed services to in-home services with an RBT receiving remote supervision by a BCBA once. States cover some Medicare costs, depending on the state and the individuals eligibility. It appears that your browser does not have cookies enabled, a requirement for this online application. Children that receive a Skilled or Intermediate score are eligible for the MCCW. A unique Reference ID is assigned to each application. Please enable cookies before continuing. Click here to learn more: https://msp.scdhhs.gov/snp/, Program for All-inclusive Care for the Elderly (PACE). This typically includes services offered under a waiver program. Box 8206 Columbia, SC 29202-8206| Email: info@scdhhs.gov | phone: (888) 549-0820. SC DHHS Provider Services Do you temporarily waive pre-authorization/pre-certification guidelines? If your primary language is not English, language assistance services are available to you, free of charge. Q. The reason the applicant cannot sign the form must also be entered as instructed on the form. If your primary language is not English, language assistance services are available for you, free of charge. Answer:Adult Day Health Care, Adult Day Health Care Nursing, Attendant Care, Personal Care I and II, Agency Companion, Respite, Nursing (Registered Nurse (RN), Licensed Practical Nurse (LPN), Medicaid Nursing, Childrens Private Duty Nursing), Day Activity, Career Preparation, Community Services, Support Center Services, Group Employment, Individual Employment. A. Only revenue received under the approved procedure code S5102 will be considered for retainer payments. PK ! An individual may bill independently for services or may have an affiliation with an organization. It appears that your browser does not support JavaScript, a requirement for this online application. Draw your signature or initials, place it in the corresponding field and save the changes. Answer:The acceptance of retainer payments is strictly voluntary. Click to learn more about thePalmetto Coordinated System of Care. Gi s 1-888-549-0820 (TTY:1-888-842-3620). Select the area you want to sign and click. Nu bn ni Ting Vit, c cc dch v h tr ngn ng min ph dnh cho bn. -- Organizations (facilities, agencies, groups, etc.) If you are still unable to use Scdhhs Phoenix Portal . Enter your official identification and contact details. For Providers Tools and resources for healthcare providers Contact (602) 933-3627 (888) 933-3627 Refer a Patient At Phoenix Children's, we strive to make access to our network easier and to promote collaboration between clinicians to provide the best healthcare for our patients. PACE is a State Plan program that provides comprehensive care that allows frail elderly participants to live within their communities. The first step is a Medical Eligibility Assessment (MEA). SCDHHS Phoenix System Create a new referral or search for an existing one. Now it is possible to print, download, or share the form. Dual Eligible Special Needs Plans (D-SNPs) enroll individuals who are entitled to both Medicare (Title XVIII) and medical assistance from a state plan under Medicaid (Title XIX). 457 0 obj <>/Filter/FlateDecode/ID[<6D1319D5B6B7034D9DEADA2716A64642>]/Index[434 45]/Info 433 0 R/Length 112/Prev 329159/Root 435 0 R/Size 479/Type/XRef/W[1 3 1]>>stream https://providers.phoenix.scdhhs.gov/login. Brownt@scdhhs.gov Hospice Coordinator Andrew Lowder, LMSW 803-898-2691 Andrew.lowder@scdhhs.gov IS Nurse Murray Goode, RN 864-953-9957 Murray.goode@scdhhs.gov IS Coordinator Danita Goodman, MA 864-942-3307 Goodmand@scdhhs.gov A. SCDHHS has extended the timeframe for submitting additional documentation from two days to seven days. <>/Metadata 1612 0 R/ViewerPreferences 1613 0 R>> Examples of ordering/referring providers are Physicians, a Licensed Nurse Practitioners, and Certified Midwives. Yes, SCDHHS published a memo on April 17, 2020, that clarified authorities for telehealth authorities for Act 301 local alcohol and drug abuse authorities. Columbia, SC 29202-8809 endobj Ligue para 1-888-549-0820 (TTY: 1-888-842-3620). For youth with Medicaid, please contact the Phoenix referral system at 1 (888) 549-0820 and request the COC as your provider. Question: How will this work if we owe SCDHHS funds? An applicant, or a person authorized by SCDHHS policy to apply on behalf of an individual, may sign an application by typing the name on the signature line and completing the Is someone helping you fill out this application? section of the form. Category: Billing and Reimbursement, FAQ, Telehealth Documentation and Platform Requirements. A summary of who is eligible for these waiver programs, which services are provided and how the programs are operated can be found by clicking on theWaiver Summary Chart. Medicaid Permit day means a day of service provided to a Medicaid patient in a Medicaid certified nursing home which holds a Medicaid days permit. A. Bulletin 20-008 , which was issued on March 27, authorized common therapy codes to be used to render therapy through telemedicine. Location. $X+=W$d"ao\\jeHY. We will follow our normal process and will mail renewal forms approximately 60 days in advance of ending benefits. Answer: No. Question:What if a provider has already let staff go due to low census? endobj 1-888- 549-0820 (: 1-888-842-3620). . Step two is a face-to-face visit for a Level of Care Assessment. Add the PDF you want to work with using your camera or cloud storage by clicking on the. The program is called Healthy Connections Prime. Any workers still having mobile app issues should contact the Authenticare Helpdesk at 1-800-441-4667 option 3 for assistance. The location being added must operate under the same EIN/NPI as the previously enrolled location. These services are not a Medicaid function or reimbursable by the Medicaid program. Notice of Non-Discrimination/Language Services P. O. c. Click on the . -- An Individual/Sole proprietor is a person enrolled directly who provides health services to health care members. %PDF-1.7 Policy changes and additional guidance and resources related to the COVID-19 pandemic are available at www.scdhhs.gov/covid19. Providers who perform home and vehicle modifications, respite services, and attendants working in Community Long Term Care (CLTC) facilities are examples of atypical providers reimbursed by the Medicaid program. Full Healthy Connections Medicaid benefits, Not currently residing in a nursing facility, Diagnosed with AIDS or HIV-positive with episodes of specific related conditions, Requires the use of mechanical ventilation, Ages 0 to 18 with chronic physical/health condition(s), Ages 0 to 21 with behavioral health challenges, Diagnosis of intellectual or related disability, Diagnosis of traumatic brain injury, spinal cord injury, or similar disability, Currently reside in a skilled nursing facility or hospital, Have been in the institution for at least 60 consecutive days, Be on Medicaid payment for at least one day before transitioning, Meet either Intermediate or Skilled Level of Care. Awaiver is a type of program designed for people with disabilities and chronic health conditions. . 2 0 obj Yes, SCDHHS will ensure newborn members have retroactive coverage; however, the agency does not anticipate delays in enrollment. If these conditions do not apply, your SSN is your taxpayer identification number. ( Yes, SCDHHS published a memo on April 17, 2020, that clarified authorities for telehealth authorities for Act 301 local alcohol and drug abuse authorities. Fee-for-Service (FFS)SCDHHS pays providers for health care services. 8206 th Carolina Medicaid legacy. It appears the comparison is not an equal date range. Organizations enrolling in SCDHHS Medicaid program are required to submit their Employer Identification Number (EIN) and NPI. Check the official login link, follow troubleshooting steps, or share your problem detail in the comments section. Q. Scdhhs Phoenix Portal Learn the fundamentals of the Phoenix Provider Portal and the Care Call system. These services (codes 97530, 97110 and 92507)can be provided through telehealth in accordance with the service authorization or service plan in place within the parameters set in the bulletin. . There are a number of programs within the South Carolina Department of Health and Human Services (SCDHHS) designed to meet the complex needs of the individuals. This course is for new staff or any provider staff who needs a refresher on those systems. An atypical individual may bill independently for services or may have an affiliation with an organization. Beneficiaries should never give out their social security number or other personal information to anyone they have not contacted. 1-888- 549-0820 (: 1-888-842-3620). Are the revenue figures used to complete the attestation form strictly revenue related to our South Carolina operations? To access the Portal, please type your user name and password above and press Enter. Search for the document you need to electronically sign on your device and upload it. Medical Homes Network (MHN)SCDHHS pays providers for health care services in a primary care physician network only. S.C. Continuum of Care Call: 1-888-549-0820 (TTY: 1-888-842-3620). In addition, SCDHHS issued a bulletin on April 6, 2020, shortly after the conclusion of the webinar, that provides additional expanded coverage and guidelines for licensed associates.Bulletins explaining these flexibilities are available at www.scdhhs.gov/covid19 . SCDHHShighly values the safety of beneficiaries personal information anddoes not call beneficiaries asking for personal information such as their social security number. The waivers allow healthcare professionals to provide care in a persons home or community instead of a long term care facility. Providers have the same ethical and other obligations to maintain the security and privacy of their patients information and the service delivery platform. within 365 days from the last assessment in the Phoenix system (sooner if there has been a change in medical need). Question:. Individuals, Organizations, Atypical Individuals, Atypical Organizations, Ordering/Referring providers as well as currently enrolled providers adding a new location can enroll into the system. The South Carolina Department of Health and Human Services (SCDHHS) will continue to provide additional guidance as needed and will publish fee schedules as they are available for expanded telehealth services during this emergency response period. I%$IJ[ V>\t\y~|WopBQWBfUmLmh}V\^*l.{z5gwLecWT17r E}Lmh}V\UYDoBbb5)P\I)IKRI)IKRI)IOI%$IJI$RtkM]mtH X! Organizations enrolling in SCDHHS Medicaid program are required to submit their Employer Identification Number (EIN). Does this take that place or does it go in the second block? If they do receive a suspicious call, they should contact local law enforcement immediately. Answer:No. Answer:SCDHHS will require an attestation from the provider that it will not lay off staff and will maintain wages at existing levels to receive retainer payments. Q. 6 0 obj %PDF-1.5 % Providers are responsible for maintaining service planning, service notes and any necessary documentation requirements as listed in the provider manual. These are the only services that were approved for retainer payments by the Centers for Medicare and Medicaid Services (CMS). 5 0 obj The Home Again program is designed to assist eligible individuals who live in a skilled nursing facility or a hospital to move back into their homes and communities. Q. Answer: No. Will licensed independent practitioners (LIPs) with associate-level licenses be able to provide and be reimbursed for telehealth services? We are happy to announce the availability of the South Carolina Medicaid Web Portal. We would like to show you a description here but the site won't allow us. 1-888- 549-0820 (: 1-888-842-3620). This typically includes services offered under a waiver program. The Medically Complex Children (MCC) waiver serves children who meet the nursing facility level of care and have a chronic physical/health condition that is expected to last longer than 12 months and meet medical criteria defined by the state, including dependency upon comprehensive medical, nursing, and health supervision or intervention. Llame al 1-888-549-0820(TTY: 1-888-842-3620). The most updated results for the Scdhhs Phoenix Portal page are listed below, along with, Verifying Eligibility for Enrolled Members, Https://providers.phoenix.scdhhs.gov/login. Providers should continue to send their feedback and questions related to SCDHHS response to the COVID-19 pandemic to covid@scdhhs.gov. Web host: Clemson University: Registrar: Registrant: Updated: January 01, 1970: Expires: January 01 . South Carolina Birth Outcomes Initiative is an effort by (SCDHHS) & partners to improve health of newborns in the Medicaid program. si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. endstream endobj startxref For code H0004, providers should bill with the GT modifier in the first modifier field. Gi s 1-888-549-0820 (TTY:1-888-842-3620). SCDHHShighly values the safety of beneficiaries personal information anddoes not call beneficiaries asking for personal information such as their social security number. Medical documentation must be signed by the author of the documentation except when otherwise specified in the provider manual. Visit Full . <> A. If you are receiving revenue under the LTC10 procedure code, please contact the Provider Oversight, Support and Education Team via email at: waiverclaims@scdhhs.gov . Llame al 1-888-549-0820(TTY: 1-888-842-3620). Se fala portugus, encontram-se disponveis servios lingusticos, grtis. Box 8809 0 -- An Atypical Individual provider is a person enrolled directly who provides non-health related services to health care members. Proof must be maintained by the provider in case of an audit or review. Click here to learn more: https://msp.scdhhs.gov/pace/. hb```M ea0edVm= jw0 Q. Nursing Facility Services | LTL - SC DHHS Phone: (888) 289-0709. In an effort to capture all providers who order services and/or refer Medicaid beneficiaries for services and who do not submit claims to SCDHHS for payment, ordering/referring providers are required to enroll. For third parties assisting multiple individuals, a separate secure email must be sent for each applicant or beneficiary. enrolled with a unique combination of an Employer Identification Number (EIN) and an NPI may add a location to a previously existing enrollment. Answer: Each service will be evaluated individually for retainer payment eligibility and amounts. Call 1-888-549-0820 (TTY 1-888-842-3620). -- An individual provider is a person enrolled directly who provides health services to health care members. Click to learn more aboutHealthy Connections Prime. In addition to the waivers and programs listed above, and in partnership with the Department of Disabilities and Special Needs (DDSN), three additional waivers are administered for members with other needs.