Blue Choice

South Carolina Healthy Connections

Behavioral Health Benefits

Outpatient Mental Health Services and Rehabilitative Behavioral Health Services to be Managed by BlueChoice HealthPlan Medicaid

This information is effective immediately and will be reflected in the next provider manual update.

Summary

Beginning July 1, 2016, BlueChoice HealthPlan Medicaid will begin management of outpatient mental health services and rehabilitative behavioral health services (RBHS) previously administered by the South Carolina Department of Health and Human Services (SCDHHS). Coordinated care benefits include community integration services and therapeutic child care centers.

What This Means to You

There will be some changes to the prior authorization process and claims filing process. For dates of service on or after July 1, 2016, providers will need to verify eligibility and for some services receive prior authorization from BlueChoice HealthPlan Medicaid. This bulletin seeks to clarify that there are no copays for members receiving RBHS.

Frequently Asked Questions

Resources You May Need

Behavioral Health CM Appt Follow up Form