South Carolina

The South Carolina Department of Health and Human Services (SCDHHS) plans to transition its pharmacy reimbursement methodology to include an average acquisition cost (AAC) component. Per SCDHHS, the goal of this transition is to ensure that pharmacy reimbursement rates are responsive to drug pricing fluctuations in the South Carolina market.  To support the development and maintenance of AAC rates, SCDHHS has contracted with Mercer Government Health Consulting to establish and maintain the AAC program. Starting September 2020, pharmacy providers will receive a survey requesting copies of pharmacy invoice records to be sent to SCDHHS. Per SCDHHS, this survey will allow the agency to measure the drug acquisition costs incurred by Healthy Connections Medicaid pharmacy providers. A pharmacy stakeholder information session to discuss the AAC survey process and project timeline will be held via webinar Tuesday, August 25, 2020, at 3 p.m. (EST). Providers and stakeholders can register for the webinar here.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-08-21T08:36:00-04:00August 21, 2020|South Carolina|

South Carolina

South Carolina Department of Health and Human Services (SCDHHS) is hosting two provider training sessions. This annual quality improvement training covers retroactive eligibility as it relates to prior authorization, service types, and submission guidelines for prior authorization and includes an overview of the Keystone Peer Review Organization (KEPRO) website and a provider portal. Learn more here.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-08-07T12:16:12-04:00August 7, 2020|South Carolina|

South Carolina

South Carolina Department of Health and Human Services (SCDHHS) issued guidance for Healthy Connections Medicaid providers on how to receive reimbursement through the new COVID19 Limited Benefit Program. Learn more in the Medicaid provider bulletin here.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-07-16T08:56:34-04:00July 16, 2020|South Carolina|

South Carolina

Effective July 15, 2020, South Carolina Department of Health and Human Services will update the standard basis of payment for the FFS pharmacy benefit to provide payment at the lowest of:

  • The actual acquisition cost (AAC) plus a professional dispensing fee (PDF) of $10.50;
  • The state’s maximum allowable cost plus a PDF of $10.50; or,
  • The usual and customary charges to the general public.

The AAC is defined as the National Average Drug Acquisition Cost (NADAC). In those instances where the NADAC does not exist, the AAC is defined as the wholesale acquisition cost. For more information, click here.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-07-09T22:57:07-04:00July 9, 2020|South Carolina|

South Carolina

South Carolina Department of Health and Human Services has announced a temporary, updated provider payment schedule for #HealthyConnections Medicaid claims submission and payments to accommodate the Independence Day holiday. Key dates are included in the full alert, which is available here.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-06-25T09:13:48-04:00June 25, 2020|South Carolina|

South Carolina

Gov. Henry McMaster (R) announced that renewal deadlines for several professional licenses administered through the SC Dept of Labor, Licensing and Regulation (LLR) will be extended until September 30, 2020.  This includes licenses and permits issued by the SC Board of Pharmacy and further extends the previous deadline extensions provided in the Board Order issued March 23rd. 

Also in South Carolina... NACDS participated in a South Carolina Department of Health and Human Services (SCDHHS) webinar which updated Healthy Connections Medicaid providers on the agency’s response to coronavirus disease 2019 (COVID-19). During the webinar, SCDHHS leadership provided a brief overview of actions the agency has already taken to provide additional flexibilities to providers and Healthy Connections Medicaid members and discussed additional ongoing and planned efforts as well as addressed questions submitted by providers. A copy of the presentation can be found here.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-04-16T09:16:46-04:00April 16, 2020|South Carolina|

South Carolina

The SC Board of Pharmacy and SC Board of Medical Examiners issued Joint Guidance regarding the prescribing and dispensing of Hydroxychloroquine, Chloroquine, and Azithromycin. Click here to view this order.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-04-02T09:25:51-04:00April 2, 2020|South Carolina|

South Carolina

COVID-19 Updates from the SC Board of Pharmacy. 

For previous Board of Pharmacy Orders related to COVID-19 and additional information, click here. 

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-03-26T09:20:56-04:00March 26, 2020|South Carolina|
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