South Carolina Sfaa Sfaa #5400019941

South Carolina Seeks Administrative Support Services for Medicaid Children's Personal Care and Incontinence Supplies Programs

This opportunity seeks contractors to provide administrative support services for South Carolina's Children's Personal Care (CPC) and Incontinence Supplies (IS) Medicaid programs. - Government Buyer: - South Carolina Department of Health and Human Services (SCDHHS), including the Division of Community Long Term Care and Division of Community and Facility Services - Scope of Services: - Administrative case management, monitoring, and assessment for: - Children's Personal Care (CPC) program (for Medicaid-eligible children under 21) - Incontinence Supplies (IS) program (for Medicaid-eligible individuals age 4 and older) - Services include intake, assessment, service planning, authorization, quarterly participant contacts, annual in-home re-evaluations, provider coordination, and complaint response - Use of the SCDHHS Phoenix system for documentation and service authorization is required - Quantities and Rates: - Estimated annual quantities across 12 regions: - 7,400 Incontinence Supplies Monitoring - 5,700 CPC Monitoring - 500 CPC Assessment - Maximum allowable monthly rates per person: - $12 for IS Monitoring - $15 for CPC Monitoring - $80 for CPC Assessment - Products (for reference in program administration): - Diapers/briefs, incontinence pads, under pads, and wipes (quantities and eligibility based on medical necessity) - Notable Requirements: - Face-to-face assessments (with exceptions during public health emergencies) - Timely response to referrals and complaints - Quarterly participant contact and annual reassessment - Compliance with HIPAA and information security standards - Providers must obtain participant choice and physician orders before authorizing supplies - No specific OEMs or commercial vendors are named; the opportunity is open to qualified administrative service providers.

Description

This solicitation is for administrative services related to Children's Personal Care (CPC) and Incontinence Supplies (IS) provided by the South Carolina Department of Health and Human Services. The scope includes case management, monitoring, assessments, and coordination of services for Medicaid-eligible participants under the age of 21 for CPC and individuals age 4 and older for IS. The contractor will use the SCDHHS Phoenix system for documentation and service authorization. The solicitation includes multiple regions within South Carolina and requires bidders to submit rates for various service categories.

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