South Carolina implements nutritional counseling policy - WMBFNews.com, Myrtle Beach/Florence SC, Weather

South Carolina implements nutritional counseling policy

(Source: SCDHHS.gov webpage) (Source: SCDHHS.gov webpage)

MYRTLE BEACH, SC (WMBF) - The South Carolina Department of Health and Human Services has implemented a policy for nutritional counseling effective as of August 1st.

The policy specifically targets those individuals with a Body Mass Index (BMI) of 30 and greater who are currently not seeking gastric bypass surgery or related services.

According to the SCDHHS webpage, the nutritional counseling program will exclude the following categories of Healthy Connections members:

Pregnant women, members who have had bariatric surgery, gastric banding or other related procedures, members receiving active treatment with Gastric Bypass Surgery/Vertical-Banded Gastroplasty, members for whom medication use has significantly contributed to the member's obesity as determined by the treating physician.

Adult members who are committed to losing weight through diet and exercise and have a BMI of 30 or greater, will be eligible for this program.The program includes an initial screening, five additional face to face behavioral counseling visits/encounters with a physician, physician assistant, and/or a nurse practitioner, an initial dietitian visit for nutritional counseling and five follow up visits with a dietician. Obesity-management related treatment for children will continue to be covered as a part of the Medicaid Early Periodic Screening Diagnosis and Testing (EPSDT) Program.

Please note, for Healthy Connections Medicaid members also receiving Medicare benefits, SCDHHS will only pay as a secondary pay or to Medicare.

SCDHHS is currently enrolling Licensed Dietitians (LDs) and these providers will be able to provide nutritional counseling services for obesity.

A LD must meet the South Carolina licensure and educational requirements. LDs practicing within 25 miles of the South Carolina border in Georgia or North Carolina must meet the licensure and educational requirements of the State in which the LD practices.

Hospitals employing LDs will be reimbursed for nutritional counseling services for obesity by enrolling the LDs directly with SCDHHS and linking the LDs to the hospital's professional clinical groups. LDs may enroll utilizing the provider enrollment online application tool located at scdhhs.gov. 

To review the entire policy visit SCDHHS

For questions contact Obesity@scdhhs.gov or the Provider Service Center at (888) 289-0709. For MCO-related questions and concerns contact information is available at https://msp.scdhhs.gov/managedcare//resource/managed-care-health-plan-contact-information

Copyright 2015 WMBF News. All rights reserved.

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