What types of policy changes does SC Medicaid - SCDHHS issue?

SC Medicaid - SCDHHS regularly publishes coverage updates including prior authorization requirement changes, billing code additions or deletions, plan-type coverage modifications, and clinical policy revisions. PolicyChanges.app monitors these notices and summarizes the impact for providers.

How often does SC Medicaid - SCDHHS update its policies?

SC Medicaid - SCDHHS typically releases policy bulletins on a rolling basis throughout the year. Our system checks for new updates daily and adds them to this feed as soon as they are identified.

How many SC Medicaid - SCDHHS policy changes are tracked here?

This page currently tracks 50 documented SC Medicaid - SCDHHS policy changes. New items are added as they are identified.

What should I do when SC Medicaid - SCDHHS changes a prior authorization policy?

Review each change's effective date and action-required notes. Update your billing and clinical workflows before the effective date to avoid claim denials. Each policy detail page on PolicyChanges.app includes a plain-English summary and action items.

SC Medicaid - SCDHHS Policy Changes 2026 | Prior Auth & Coverage Updates

SC Medicaid - SCDHHS Policy Changes & Prior Auth Updates

We track 50 documented policy changes from SC Medicaid - SCDHHS across SC. Each entry includes an AI-generated plain-English summary, effective date, affected billing codes, and a direct link to the original SC Medicaid - SCDHHS notice. Use the related links below to narrow results by specialty or state, or sign up for a free daily alert to receive new SC Medicaid - SCDHHS updates automatically.

High impact

Rehabilitative Behavioral Health and Substance Use Services Rate Increases

SC Medicaid - SCDHHS·Effective Dec 1, 2025

South Carolina Medicaid has implemented significant rate increases and billing unit changes for behavioral health and substance use services effective December 1, 2025. Key changes include converting H0002 from 15-minute units to encounters, H0032 from 15-minute to 30-minute encounters, correcting H0038 peer support rates to $14.48, and updating reimbursement rates across multiple procedure codes for RBHS providers, LIPs, and substance use services.

June-July 2025 Provider Payment Schedule and Provider Service Center Holiday Hours

Healthy Connections Medicaid Provider Training Opportunities July-September 2025

Home and Community-based Services Provider Manual Update

Medicaid Enrollment of Ordering, Referring and Prescribing (ORP) Providers and Collection of ORP Data

Updated Prior Authorization Expansion on Physician-administered Drugs

Sunsetting of the Palmetto Coordinated System of Care Waiver

Healthy Connections Medicaid Provider Training Opportunities August-October 2025

Graduate Medical Education Physician Residency Incentive Program

Physician Services Provider Manual Updates

Autism Spectrum Disorder Services Provider Manual Update

Graduate Medical Education Physician Residency Incentive Program Frequently Asked Questions

Healthy Connections Medicaid Provider Training Opportunities September-November 2025

Inpatient Hospital Services Payment Methodology - Changes to the APR-DRGs Classification System

Updated Billing Guidance for Hospital-based Crisis Stabilization Services

Update to Opioid Treatment Program Service Rates

Updates to Adult Day Health Care Service Rates

Stakeholder Meeting on Rural Health Transformation Program

Personal Needs Allowance Increase

Healthy Connections Medicaid Provider Training Opportunities October-December 2025

Healthy Connections Medicaid Provider Training Opportunities November 2025-January 2026

Residential Habilitation Service Rate Increases for the Intellectual Disability/Related Disabilities and Head and Spinal Cord Injury Waivers

Updated Prior Authorization Expansion on Physician-Administered Drugs

November 2025 Provider Payment Schedule and Provider Service Center Holiday Hours

Webinar on South Carolina’s Rural Health Transformation Application

340B Drug Program Billing Policy Changes

Rehabilitative Behavioral Health and Substance Use Services Rate Increases

Healthy Connections Medicaid Provider Training Opportunities December 2025-February 2026

December 2025–January 2026 Provider Payment Schedule and Provider Service Center Holiday Hours

Healthy Connections Medicaid Provider Training Opportunities January-March 2026

Audiology Services Policy Updates

Dental Services Policy Updates

Medication Assistant Training Program

Social Security and Supplemental Security Income Cost-of-living Adjustment Increases and Rebudgeting of Cases

Pre-admission Screening and Resident Review Updates

Healthy Connections Medicaid Provider Training Opportunities February-April 2026

340B Drug Program Billing Policy Changes

Updated Prior Authorization Expansion on Physician-administered Drugs

Healthy Connections Medicaid Provider Training Opportunities March-May 2026

Reminder-340B Drug Program Billing Policy Change

Stakeholder Meeting on Rural Health Transformation Program

SCDHHS Announces Rural Health Transformation Program Funding Opportunities

Healthy Connections Medicaid Provider Training Opportunities April-June 2026

Healthy Connections Medicaid Provider Training Opportunities May-July 2026

Updates to Rehabilitative Behavioral Health Services and Licensed Independent Practitioners Behavioral Health Services Provider Manuals

Reminder to Protect Medicaid Enrollment Information

SCDHHS Announces Rural Health Transformation Program FAQs

Updates to ASD Services Provider Manual

Medicaid Ordering, Referring and Prescribing (ORP) Providers Update

Healthy Connections Medicaid Provider Training Opportunities June August 2026

Credit Balance Report Submissions for Overpayments