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[DOC File]32 - SC DHHS
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State/Territory: South Carolina Citation 4.5 Medicaid Agency Fraud Detection and Investigation. 42 CFR 455.12 Program. AT-78-90. 48 FR 3742 The Medicaid agency has established and will maintain. 52 FR 48817 methods, criteria, and procedures that meet all. requirements of …
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[DOCX File]service coordination employment online training module
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Every provider, including service coordinators, direct service providers, MCOs, and others, must ensure that participants experience continuity of care. This means no interruption in service. To prepare for and handle things going wrong, plans must be in place at the SC, provider, and participant levels.
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[DOC File]CHAPTER IV CONTRACTUAL REQUIREMENTS
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COLUMBIA, SOUTH CAROLINA 29211. February 23, 2001 Re:UCN. Dear Jane Doe, According to Act 516 of the South Carolina General Assembly, all Medicaid recipients have by law assigned all rights to any health insurance they may have to the Department of Health and Human Services as administrator of the Medicaid program.
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[DOC File]Chapter 11: Service Coordination in EarlySteps
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If a parent requests a change of provider, and there is no provider available, the FSC will continue to search for a provider that will assist the child with meeting outcomes. The FSC should search the Service Matrix at least one time per week to find a provider, and, contact a Regional Coordinator if assistance is needed with locating a provider.
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[DOC File]DEPARTMENT OF PUBLIC WELFARE
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Additionally, since March 1, 2004, HCSIS has been used in provider claim processing. When a provider submits a claim to PROMISe (DPW’s Medicaid Management System) the claim is verified in HCSIS. By giving SC Providers direct access to HCSIS, they will be able to increase claims processing accuracy. How to Use this Guidebook
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[DOCX File]105 – Tools - SC DHHS
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Complete a probate search only if the applicant indicates an inheritance within the past 5 years. DHHS Form 1255 ME. ... In South Carolina, Medicaid and Social Security use the same agency to make disability decisions. ... Provider is making a request for specific case information about an individual such as if an application has been filed or ...
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[DOC File]2003-2004 Bill 3768: S.C. Health and Human Services ...
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(c) the alcohol and treatment facilities of the South Carolina State Agency of Vocational Rehabilitation upon the Joint Legislative Oversight Committee on Medicaid and Health Care approving a plan pursuant to Section 1 30 330, which must be submitted by the South Carolina State Agency of Vocational Rehabilitation before November 1, 2003.
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[DOC File]Medicare State Operations Manual
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The MDS system deployed to each State was specifically engineered and purchased to fulfill the MDS requirements of 42 CFR 483.20(f) and 483.315(h), additional CMS provider assessment processes as they become effective, and operational support of Medicare and Medicaid survey and certification pursuant to §1864 of the Social Security Act.
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[DOCX File]Section A. Examination Requests (U.S. Department of ...
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In any case involving SC for hearing loss or tinnitus where an etiology opinion is required, follow the medical opinion procedures outlined in M21-1, Part III, Subpart iv, 3.A.7.b.. Exception : If tinnitus is not claimed, but reported during the conduct of the exam, examiners will provide this etiology opinion even when not solicited.
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[DOCX File]104 - Appendix - SC DHHS
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SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. MEDICAID POLICY AND PROCEDURES MANUAL. CHAPTER 104 – Appendix. Page . 82. 09-01-02. Medicaid Provider Manual. 09-01-02. Medicaid Provider Manual. SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. MEDICAID POLICY AND PROCEDURES MANUAL. CHAPTER 104 – Appendix. Page . …
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Sc medicaid provider search