reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 123 - DEPARTMENT OF NATURAL RESOURCES › Article 5.5 - REGULATION OF REAL PROPERTY OWNED AND LEASED BY THE DEPARTMENT › Section 123-209 - Term and Conditions for the Public's Use of State Lakes and Ponds Owned by the Department of Natural Resources

Current through Register Vol. 48, No. 6, June 28, 2024
A. Pursuant to the conditions provided in
			 1976 Code Section
			 50-11-2200
			 prohibiting certain acts and conduct on state lakes owned or leased by the
			 department, regulations defining the terms and conditions for public use of
			 state lakes owned by the Department are as follows:
a. Draper WMA State Lakes in York County
i. The lakes are open for fishing from
			 one-half hour before official sunrise to one-half hour after official sunset,
			 every day except Tuesday. The ponds are closed to fishing on
			 Tuesdays.
ii. Fishing is allowed
			 with only rod and reels or poles. The statewide limit on the number of these
			 devices applies.
iii. No minnows
			 allowed for bait.
iv. Combined
			 daily fish limits from all ponds are 3 largemouth bass, 15 bream to include
			 redbreast sunfish, and 3 catfish. Statewide limits apply for all other fish
			 species, except no size limit for crappie.
v. Trails are for walking or fishing access
			 only; no ATVs, motorized vehicles, or horses allowed on these trails.
vi. Pets must be on leashes or under the
			 control of their owner at all times.
vii. No boats are allowed in ponds.
viii. The possession or consumption of
			 alcoholic beverages is prohibited on department lake properties, except as by
			 special permit from the department.
South Carolina Code of Regulations › Chapter 123 - DEPARTMENT OF NATURAL RESOURCES › Article 5.5 - REGULATION OF REAL PROPERTY OWNED AND LEASED BY THE DEPARTMENT › Section 123-210 - Term and Conditions for the Public's Use of State Lakes and Ponds Leased by the Department of Natural Resources

Current through Register Vol. 48, No. 6, June 28, 2024
A. Pursuant to the conditions provided in
			 1976 Code Section
			 50-11-2200 prohibiting certain
			 acts and conduct on state lakes owned or leased by the department, regulations
			 defining the terms and conditions for public use of state lakes leased by the
			 Department are as follows:
a. Lake Ashwood in
			 Lee County
i. The lake is open for fishing
			 from one-half hour before official sunrise to one-half hour after official
			 sunset, every day except Tuesday. The lake is closed to fishing on
			 Tuesdays.
ii. Fishing is allowed
			 with only rod and reels or poles. The statewide limit on the number of these
			 devices applies.
iii. No minnows
			 allowed for bait.
iv. Daily fish
			 limits are 3 largemouth bass, 15 bream to include redbreast sunfish, and 5
			 catfish. Statewide limits apply for all other fish species, except no size
			 limit for crappie.
v. Trails are
			 for walking or fishing access only; no ATVs, motorized vehicles, or horses
			 allowed on these trails.
vi. Pets
			 must be on leashes or under the control of their owner at all times.
vii. Boats are allowed, but may only be
			 propelled by paddle, electric trolling motors, or outboard motors rated 10
			 horsepower of less.
viii. The
			 possession or consumption of alcoholic beverages is prohibited on department
			 lake properties, except as by special permit from the
			 department.
South Carolina Code of Regulations › Chapter 125 - WINTHROP UNIVERSITY › Section 125-1 - General Regulations

Current through Register Vol. 48, No. 6, June 28, 2024
The operation of motor vehicles on Winthrop College property is a privilege granted by the Winthrop College Administration. This privilege is extended to all faculty, staff, and students, and those visitors having business at the college. Those individuals who qualify for and who desire to exercise this privilege are expected to adhere to the laws of South Carolina governing the operation of motor vehicles and the regulations for motor vehicles for Winthrop College. Failure to comply with either the Laws of the State or the Regulations of the College will result in a warning, or a penalty that may include the loss of motor vehicle privileges.
These regulations apply to the drivers of all vehicles, whether public or private and are in force twenty-four (24) hours a day unless otherwise provided in these regulations. It is unlawful for any driver to violate any of the provisions of these regulations except as otherwise permitted by these regulations or by the Laws of the State of South Carolina.
The driver of any vehicle shall obey the lawful instruction of any College Security (Police) Officer and of any official traffic sign properly placed in accordance with the provisions of these regulations except when otherwise directed by a Security Officer.
The College shall assume no responsibility for the care and/or protection of any vehicle or bicycle or its contents at any time while it is operated or parked on the college property.
South Carolina Code of Regulations › Chapter 125 - WINTHROP UNIVERSITY › Section 125-2 - Vehicle Registration

Current through Register Vol. 48, No. 6, June 28, 2024
Motor vehicles must be registered by the end of the second day following the first day of the semester or within twenty-four (24) hours of arrival on campus, whichever is longer.
Motor vehicles may be registered at the College Security Office daily from 8:00 a.m. until 12 midnight.
Only vehicles qualified under Laws of South Carolina for operation on the roadways of South Carolina may be registered.
The registrant must present a valid driver's license, state vehicle registration certificate, and liability insurance policy or certificate to register a vehicle. If the state vehicle registration certificate is in the name of someone other than the prospective Winthrop registrant, written authorization from the legal state registrant must also be presented at the time of registration.
The Winthrop registration sticker must be clearly displayed on the left side of the rear bumper of an automobile for registration to be complete. For vehicles other than automobiles, the location will be specified at the time of registration.
Only one Winthrop registration sticker is to be displayed on a vehicle.
The Winthrop registrant of a vehicle is responsible for parking violations of the vehicle for which he or she is the registrant.
South Carolina Code of Regulations › Chapter 125 - WINTHROP UNIVERSITY › Section 125-3 - Visitor Registration

Current through Register Vol. 48, No. 6, June 28, 2024
Visitors to Winthrop College desiring to park on college property during the period 7:00 a.m. until 4:00 p.m. Monday thru Friday may obtain limited time visitor parking permits from the College Security Office or from Department offices in each classroom building.
Visitors who are remaining on campus overnight must register with the College Security Office.
Individuals attending conferences or short courses must obtain Guest Parking Permits which will be available at the conference registration area, as well as at the Security Office.
South Carolina Code of Regulations › Chapter 125 - WINTHROP UNIVERSITY › Section 125-4 - Registration Fees

Current through Register Vol. 48, No. 6, June 28, 2024
Regular registration is for one academic year beginning with the first day of registration of the fall semester and ending with the first day of registration of the ensuing fall semester. The full registration fee applies until the first of March at which time the fee is reduced one half.
$4.00 fee for the first registration for students and employees.
$1.00 fee for each additional permit with the understanding that only one of these vehicles will be on campus at one time.
Visitor registration for less than one day is free of charge.
Visitor registration for more than one day is $1.00 per week.
South Carolina Code of Regulations › Chapter 125 - WINTHROP UNIVERSITY › Section 125-5 - Registration Sticker Codes

Current through Register Vol. 48, No. 6, June 28, 2024
Registration stickers are coded for purposes of vehicle identification regarding parking privileges. The code is as follows:
E--Employees. All faculty and employees of the College.
S--Resident Students. All students residing in campus housing.
D--Day Students. All students not residing in campus housing.
South Carolina Code of Regulations › Chapter 125 - WINTHROP UNIVERSITY › Section 125-6 - Parking Areas

Current through Register Vol. 48, No. 6, June 28, 2024
Vehicles are to be parked only in areas designated by signs as parking areas.
Vehicles bearing Winthrop registration stickers are prohibited from parking in areas marked Visitor Parking.
Areas marked by signs E Parking Only are for vehicles bearing E--Employee stickers.
Areas marked by signs S Parking Only are for vehicles bearing S--Resident Student stickers.
Areas marked by signs D Parking Only are for vehicles bearing D--Day Student stickers.
Areas marked by signs Open Parking are for vehicles bearing a valid Winthrop registration sticker.
Areas marked by E, S, or D Parking Only signs are open parking areas during the period from 4:00 p.m. until 7:00 a.m. Monday night through Thursday night, and from 4:00 p.m. Friday to 7:00 a.m. Monday.
Vehicles are not to be parked in areas marked with yellow curbs or lines.
Vehicles are not to be parked blocking access to dumpsters at any time.
Where parking spaces are indicated by white lines, vehicles must be parked within the spaces so indicated.
Vehicles are not to be parked across areas marked as crosswalk.
Vehicles are not to be parked left of the centerline, where there is two-way traffic.
South Carolina Code of Regulations › Chapter 125 - WINTHROP UNIVERSITY › Section 125-7 - Vehicles in Motion

Current through Register Vol. 48, No. 6, June 28, 2024
The maximum legal speed on college property is 20 miles per hour.
Vehicles are to be stopped for pedestrians at marked crosswalks.
Passing of moving vehicles going in the same direction is prohibited.
Driving on grassed areas or walkways is prohibited.
"U" turns are prohibited anywhere on campus.
South Carolina State Highway regulations apply on college property at all times.
South Carolina Code of Regulations › Chapter 125 - WINTHROP UNIVERSITY › Section 125-8 - Vehicle Towing and Impounding

Current through Register Vol. 48, No. 6, June 28, 2024
The Winthrop Security Department shall have the power to have a vehicle impounded and towed at the owner's expense and risk under the following conditions:
A. If the motor vehicle is parked in such a way as to block a driveway, to block a service entrance, or to create a hazard to safety.
B. If the motor vehicle is not properly registered.
C. If three or more unpaid traffic violations have been issued against said vehicle.
South Carolina Code of Regulations › Chapter 125 - WINTHROP UNIVERSITY › Section 125-11 - Violations, Penalties, and Bonds

Current through Register Vol. 48, No. 6, June 28, 2024
The driver and/or owner or person in whose name a vehicle is registered shall be responsible for all violations incurred by the vehicle.
Penalties and/or bonds are payable in person or by mail at the Winthrop College Security Office between 8:00 a.m. and 12 midnight.
Schedule of Penalties and Bonds for Moving Vehicle Violations:
1st violation
$ 5.00
2nd violation
10.00
3rd violation
15.00 and loss of motor vehicle privileges for up to one year.
Schedule of Penalties and Bonds for Parked Vehicle Violations:
1st violation
$ 2.00
2nd violation
5.00
3rd violation
7.50
4th violation
10.00 and loss of motor vehicle privileges for up to one year.
Any combination of four (4) moving and parking violations carries a penalty of loss of motor vehicle privileges for up to one year.
The penalty for failing to register a vehicle: $10.00
The penalty for operating a vehicle on campus when motor vehicle privileges have been revoked: $15.00
For delinquent violations not paid after the third day from date of issue, the bond will be doubled, exclusive of Saturdays and Sundays.
Funds received from vehicle registration and penalties are deposited in a special account to be used for surfacing parking areas.
South Carolina Code of Regulations › Chapter 125 - WINTHROP UNIVERSITY › Section 125-12 - Appeals

Current through Register Vol. 48, No. 6, June 28, 2024
All individuals receiving citations for violations of these regulations have the right to appeal to the Winthrop College Traffic Committee provided they have paid the bond for the violation and submit the appeal within three (3) days, exclusive of Saturdays and Sundays following the issuance of the citation.
All appeals must be made on Appeal of Motor Vehicle Violation forms obtainable from the College Security Office.
All appeals must be sent to the Chairman of the Traffic Committee whose address will be indicated on the form.
Only appeals made within the prescribed time and on official forms will be considered by the Traffic Committee. Although traffic cases are generally heard only on written appeal, in unusual cases the Traffic Committee may request an appealing party to appear before it.
Action on appeals by the Traffic Committee may be one of the following:
A. Reject the appeal and uphold the citation.
B. Uphold the appeal, erase the violation and refund the amount of the bond.
Decisions of the Traffic Committee are final and binding.
No traffic citation will be voided except as prescribed by these regulations.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 1 - ADMINISTRATION › Subarticle 2 - NONDISCRIMINATORY PRACTICES › Section 126-125 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The State Health and Human Services Finance Commission shall
				  administer its programs in accordance with Title VI of the Civil Rights Act of
				  1964, Section 504 of the Rehabilitation Act of 1973, and the Age Discrimination
				  Act of 1975, as amended, to the end that no person shall be excluded from
				  participation in, be denied the benefits of, or be otherwise subjected to
				  discrimination on the basis of race, color, national origin, handicap or age,
				  either directly or through contractual or other arrangement. Any individual who
				  feels he has been subjected to such discrimination may, within one hundred
				  eighty (180) days of the alleged discriminatory act, file a signed written
				  complaint with:
State Health & Human Services Finance Commission
Post Office Box 8206
Columbia, South Carolina 29202
-OR-
S. C. Department of Social Services
Post Office Box 1520
Columbia, South Carolina 29202
-OR-
Local County Department of Social Services
Such complaint will be investigated in accordance with state
				  and federal laws and regulations.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 1 - ADMINISTRATION › Subarticle 3 - APPEALS AND HEARINGS › Section 126-150 - Definitions

Current through Register Vol. 48, No. 6, June 28, 2024
A. Agency--The
				Department of Health and Human Services and its employees.
B. Appeal--The formal process of review and
				adjudication of Agency determinations, which shall be afforded to any person
				possessing a right to appeal pursuant to statutory, regulatory and/or
				contractual law; Provided, that to the extent that an appellant's appellate
				rights are in any way limited by contract with the Agency or assigned to the
				Agency, said contractual provision shall control.
C. Hearing Officer--Any Agency employee
				appointed by the Director to make Decisions either affirming or reversing
				Agency program determinations by setting forth findings of fact and conclusions
				of law in appeals arising under this regulation.
D. Person--An individual, partnership,
				corporation, association, governmental subdivision, or public or private agency
				or organization.
E. Provider--A
				person who provides services to individuals under programs administered by the
				Agency.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 1 - ADMINISTRATION › Subarticle 3 - APPEALS AND HEARINGS › Section 126-152 - Appeal Procedure

Current through Register Vol. 48, No. 6, June 28, 2024
A. An
				appeal shall be initiated by the filing of a notice of appeal within thirty
				(30) days of written notice of the Agency action or decision which forms the
				basis of the appeal. The failure to file the requisite notice of appeal within
				the thirty (30) day period specified above shall render the Agency action or
				decision final; provided, that should the written notice specify some period to
				appeal other than thirty (30) days, that period shall apply; provided, that the
				requirement that written notice be given by the Agency shall not be applicable
				to situations where applicants for Medicaid benefits acquire the right to
				appeal when the Agency fails to act on the application within the time period
				specified by federal regulation.
B.
				The notice of appeal shall be in writing and shall be directed to Appeals and
				Hearings, Department of Health and Human Services, Post Office Box 8206,
				Columbia, South Carolina 29202-8206. In appeals by providers, the notice of
				appeal shall state with specificity the adjustment(s) or disallowance(s) in
				question, the nature of the Issue(s) in contest, the jurisdictional basis of
				the appeal and the legal authority upon which the appellant relies.
C. If a notice of appeal does not satisfy the
				requirements of paragraph (B) above, the Hearing Officer, upon his own motion
				or by motion by an adverse party, may require a more definite and certain
				statement.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 1 - ADMINISTRATION › Subarticle 3 - APPEALS AND HEARINGS › Section 126-154 - Hearing Officer

Current through Register Vol. 48, No. 6, June 28, 2024
A Hearing Officer has the authority, among other things to:
				  direct all procedures; issue interlocutory orders; schedule hearings and
				  conferences; preside at formal proceedings; rule on procedural and evidentiary
				  issues; require the submission of briefs and/or proposed findings of fact and
				  conclusions of law; call witnesses and cross-examine any witnesses; recess,
				  continue, and conclude any proceedings; dismiss any appeal for failure to
				  comply with requirements under this Subarticle.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 1 - ADMINISTRATION › Subarticle 3 - APPEALS AND HEARINGS › Section 126-156 - Prehearing Conferences

Current through Register Vol. 48, No. 6, June 28, 2024
The Hearing Officer, within his discretion, may direct the
				  parties in any appeal to meet prior to a formal hearing for the purpose of
				  narrowing the issues and exploring the possibilities of settlement of matters
				  in contest.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 1 - ADMINISTRATION › Subarticle 3 - APPEALS AND HEARINGS › Section 126-158 - Hearing Procedures

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				parties to an appeal shall have the right to be represented by counsel, call
				witnesses, submit documentary evidence, cross-examine the witnesses of an
				adverse party, and make opening and closing statements.
B. Representation in Proceedings. A business
				entity, an agency, or an organization may elect to be represented by a
				non-attorney in an administrative hearing with the approval of the presiding
				hearing officer; non-lawyer persons including Certified Public Accountants, an
				officer of a corporation, or an owner of an interest in the business entity
				must present proof of unanimous consent of the owners or officers of the
				business entity before being allowed to proceed as representatives. Attorneys
				licensed in other jurisdictions must obtain a Limited Certificate of Admission,
				or such other leave as required by the South Carolina Supreme Court, before
				being allowed to proceed as representatives. This regulation in no way limits a
				person's right to self-representation, or to be represented by an attorney, or
				to be represented by a non-attorney of his or her own choosing, when such
				non-attorney representation is allowed by law.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 1 - ADMINISTRATION › Subarticle 4 - SAFEGUARDING OF CLIENT INFORMATION › Section 126-170 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. Disclosure of
				Commission held client information is limited to purposes directly connected to
				the administration of the Commission's programs and grants.
B. This Subarticle applies to Commission held
				client information from all programs and grants administered by the Commission
				and applies to all requests for client information received from outside the
				agency.
C. In addition to the
				safeguards provided by this Subarticle the following may apply:
1. Records maintained in connection with any
				federally assisted alcohol or drug abuse program are subject to special
				confidentiality standards contained in the Public Health Service Act. The
				intent is that those Sections (currently, 42 USC Sections 290dd-3 &
				290ee-3), however amended or recodified are referenced here as long as they
				apply.
2. Information received by
				the Commission from another agency may continue to be protected by the
				confidentiality statutes or regulations of that agency. In each instance, the
				receiver of the information should understand what statutes and regulations
				apply.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 1 - ADMINISTRATION › Subarticle 4 - SAFEGUARDING OF CLIENT INFORMATION › Section 126-171 - Protected Information

Current through Register Vol. 48, No. 6, June 28, 2024
Protected information is of two (2) general types which
				  include but are not limited to the following:
A. Information regarding the financial
				eligibility determination and authorization of payment or benefits:
1. Names and addresses;
2. Social and economic conditions or
				circumstances;
3. Commission
				evaluation of personal information such as financial status, citizenship,
				residence, age, and other demographic characteristics;
4. Information received for verifying income,
				eligibility, and amount of benefits; and
5. Information received in connection with
				the identification of a liable third party resource.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 1 - ADMINISTRATION › Subarticle 4 - SAFEGUARDING OF CLIENT INFORMATION › Section 126-172 - Purposes Directly Connected to the Administration of the Programs and Grants

Current through Register Vol. 48, No. 6, June 28, 2024
Purposes directly connected to the administration of programs
				  and grants include, but are not limited to:
A. Establishing eligibility;
B. Determining the amount of payments or
				other benefits;
C. Providing or
				arranging for services;
D.
				Confirming eligibility for billing purposes;
E. Conducting or assisting in investigations,
				prosecutions or criminal or civil proceedings related to the administration of
				programs or grants; and
F.
				Conducting research used in program planning and evaluation, provided that the
				researcher agrees to be bound by the provisions of this Subarticle and any
				Research Protocol adopted by the Commission.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 1 - ADMINISTRATION › Subarticle 4 - SAFEGUARDING OF CLIENT INFORMATION › Section 126-174 - Distribution of Materials to Recipients and Providers

Current through Register Vol. 48, No. 6, June 28, 2024
A. The agency may not distribute any
				materials to recipients or providers unless the material has no political
				implications, provides no commercial advantage to any entity, and is directly
				related to the administration of programs.
B. The agency may distribute materials that
				are directly related to the health, welfare and safety of recipients and
				providers such as announcements of free medical examinations, availability of
				surplus food, and consumer protection information.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 1 - ADMINISTRATION › Subarticle 4 - SAFEGUARDING OF CLIENT INFORMATION › Section 126-175 - Penalties

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Commission
				may impose sanctions for violations of the provisions of this Subarticle
				through its progressive disciplinary procedures for Commission
				personnel.
B. The intent is that
				violations of this Subarticle may also be subject to penalty provisions in the
				Commission's statutes.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-300 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. Clients eligible
				for Medicaid may obtain medically necessary services from providers enrolled in
				the program.
B. Medicaid recipients
				who are residents of South Carolina and referred for medical services outside
				"South Carolina Medicaid Services Area" must receive prior approval for these
				services from the state agency administering the Medicaid Program. "South
				Carolina Medicaid Services Area" is South Carolina and adjacent areas within
				twenty-five (25) miles of its borders.
C. Co-payment may be required for services as
				specified in the South Carolina State Plan for Title XIX (Medicaid).
D. Services are subject to limits and
				procedural requirements described in the South Carolina State Plan for Title
				XIX (Medicaid), provider manuals, Medicaid Bulletins, and federal
				directives.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-301 - Services Covered by the Medicaid Program

Current through Register Vol. 48, No. 6, June 28, 2024
A. Categorically eligible:
(1) Audiology services
(2) Certified nurse midwifery
				services
(3) Community long term
				care services
(4) Dental
				Services
(5) Durable medical
				equipment
(6) Early and Periodic
				Screening, Diagnosis and Treatment (EPSDT) Services
(7) End stage renal disease
				services
(8) Family planning
				services
(9) Hospital
				service
(10) Laboratory and x-ray
				services
(11) Medical
				transportation services
(12) Mental
				health clinic services
(13) Nursing
				facility services
(14) Physician
				services
(15) Podiatry
				services
(16) Prescribed
				drugs
(17) Psychiatric facility
				services
(18) Rehabilitative
				services
(19) Rural health clinic
				services
(20) Speech
				pathology
(21) Tubercular facility
				services
(22) Vision care
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-302 - Audiology Services

Current through Register Vol. 48, No. 6, June 28, 2024
Audiology services are hearing evaluations and hearing aids
				  for recipients through the month they turn twenty-one years of
				  age.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-303 - Certified Nurse Midwifery Services

Current through Register Vol. 48, No. 6, June 28, 2024
Midwifery services are covered when furnished by a certified
				  nurse midwife (CNM) in a clinical practice meeting the education and training
				  requirements set forth in the laws governing nursing in South Carolina
				  pertaining to CNM's.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-304 - Community Long Term Care Home and Community Based Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. Home and community based services may be
				provided to Medicaid eligible persons eighteen years of age or older, who have
				been determined by community long term care to require a skilled or
				intermediate level of care.
B.
				Types of services:
(1) Expanded therapies
				include physiotherapy, occupational therapy and speech therapy provided at
				home.
(2) Home delivered meals is
				the in home provision of at least one meal per day to persons unable to care
				for their nutritional needs.
(3)
				Medical day care is a group of services to restore, maintain and promote health
				status through the provision of ambulatory health care and health related
				supportive services in a licensed medical day care center.
(4) Medical social services are supportive
				services provided by an individual with no less than a Masters Degree in social
				work.
(5) Personal care is the in
				home provision of the necessary services of support of activities of daily
				living, home support, medical monitoring, and client transportation services to
				restore, maintain and promote health status.
(6) Respite care is the provision of
				temporary institutional care for eligible clients living at home and cared for
				by their families or other informal support persons. This service will provide
				temporary relief for the primary care givers.
(7) Service management includes assessment
				and reassessment, level of care of determination, service planning, service
				coordination, and counseling.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-305 - Dental Care

Current through Register Vol. 48, No. 6, June 28, 2024
Dental Care consists of any covered preventive, surgical,
				  therapeutic and emergency dental service provided by a licensed dentist. Only
				  emergency dental services are available for recipients age twenty-one years and
				  over.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-306 - Durable Medical Equipment

Current through Register Vol. 48, No. 6, June 28, 2024
Durable medical equipment consists of orthotic and prosthetic
				  devices, supplies and durable medical equipment when medically
				  necessary.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-307 - Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services

Current through Register Vol. 48, No. 6, June 28, 2024
Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
				  Services are available to eligible Medicaid recipients from birth through the
				  month they turn twenty-one years of age. This program covers initial screening,
				  periodic screening, diagnosis, and treatment. All services included in the
				  Title XIX State Plan are available to those eligible.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-308 - End Stage Renal Disease Services

Current through Register Vol. 48, No. 6, June 28, 2024
End stage renal disease services are available in or out of a
				  hospital or clinic.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-309 - Family Planning Services

Current through Register Vol. 48, No. 6, June 28, 2024
Family planning services are furnished for purposes of
				  enabling such individuals to freely determine the number and spacing of their
				  children. Services are available to minors who are considered to be sexually
				  active.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-310 - Hospital Services

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Inpatient hospital services provided by the Medicaid Program are for the care
				and treatment of illness, injuries or disabilities certified medically
				necessary by a physician and reviewed for appropriateness of admission, length
				of stay and ancillary services, by the utilization review mechanism established
				by the State Health and Human Services Finance Commission.
B. Outpatient hospital services sponsored by
				the Medicaid Program are ambulatory visits for the care and treatment of
				illness, injuries and disabilities certified as medically necessary by a
				physician. This does not include routine dental services. Therapy may be
				provided on an ambulatory basis as a continuing part of an inpatient
				stay.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-311 - Laboratory and X-ray Services/Tests

Current through Register Vol. 48, No. 6, June 28, 2024
Laboratory and x-ray services/tests must be ordered by a
				  professional practitioner within the scope of his/her practice with the
				  expectation of making a reasonable medical determination.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-312 - Medical Transportation Services

Current through Register Vol. 48, No. 6, June 28, 2024
Medically necessary transportation services by ambulance,
				  contracted transportation providers and volunteer drivers are available to
				  recipients receiving covered Medicaid service.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-313 - Mental Health Clinic Services

Current through Register Vol. 48, No. 6, June 28, 2024
Mental health clinic services are those services that are
				  provided on an outpatient basis within a community setting meeting the
				  standards as set forth by the South Carolina Department of Mental
				  Health
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-314 - Nursing Facility Services

Current through Register Vol. 48, No. 6, June 28, 2024
Medicaid sponsors skilled, intermediate, and
				  intermediate/persons with intellectual disability nursing care services in
				  accordance with the level of care determination established by the utilization
				  review mechanism.
These nursing facility services shall be provided in a
				  facility which contracts with the Medicaid (Title XIX) state agency. Such
				  services shall be provided according to a written plan of care under the
				  direction of a licensed attending physician. The physician shall certify the
				  need for continued nursing facility services consistent with federal
				  requirements.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-315 - Physicians' Services

Current through Register Vol. 48, No. 6, June 28, 2024
Physicians' services must be medically necessary and
				  furnished by or under the direct supervision of an individual licensed under
				  state law to practice medicine or osteopathy and within the scope of practice
				  of these disciplines.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-316 - Podiatry Services

Current through Register Vol. 48, No. 6, June 28, 2024
Podiatry services are those services that are necessary for
				  the diagnosis and treatment of foot conditions not associated with routine foot
				  care.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-317 - Prescribed Drugs

Current through Register Vol. 48, No. 6, June 28, 2024
Prescribed drugs are drugs prescribed by a licensed
				  practitioner and dispensed by a licensed pharmacist or practitioner according
				  to limitations set forth in the Title XIX State Plan and in provider
				  manuals.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-318 - Psychiatric Facility Services

Current through Register Vol. 48, No. 6, June 28, 2024
Inpatient psychiatric facility services are available for
				  individuals younger than twenty-two years of age and sixty-five years of age
				  and older.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-319 - Rehabilitative Services

Current through Register Vol. 48, No. 6, June 28, 2024
Rehabilitative services are limited to outpatient mental
				  health rehabilitative services meeting standards as determined by the State
				  Health and Human Services Finance Commission and the South Carolina Department
				  of Mental Health.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-320 - Rural Health Clinic Services

Current through Register Vol. 48, No. 6, June 28, 2024
Rural health clinic services are medically necessary services
				  provided by a facility which participates in the Medicare Program and contracts
				  with the Health and Human Services Finance Commission.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-321 - Speech Pathology

Current through Register Vol. 48, No. 6, June 28, 2024
Speech evaluations are provided by authorized providers for
				  Medicaid recipients through the month they turn twenty-one years of
				  age.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-322 - Tubercular Facility Services

Current through Register Vol. 48, No. 6, June 28, 2024
Tubercular facility services are limited to individuals age
				  sixty-five or older in institutions for the treatment of tuberculosis and
				  include only inpatient hospital services.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-323 - Vision Care

Current through Register Vol. 48, No. 6, June 28, 2024
Vision care consists of vision examination and corrective
				  eye-wear to include contact lenses when medically necessary. Only post surgical
				  lenses are available for recipients age twenty-one years and
				  over.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 1 - SCOPE OF THE PROGRAM › Section 126-335 - Hospital Reimbursement

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Reimbursement for covered inpatient hospital services shall be by a prospective
				payment system.
B. Providers may
				seek a correction to the statistical calculation which establishes the maximum
				allowable payment rate by requesting in writing a reconsideration of such rate
				to: Bureau of Health Services, Hospital Reimbursement, State Health and Human
				Services Finance Commission, Post Office Box 8206, Columbia, South Carolina
				29202-8206. If the provider disagrees with the decision of the Department of
				Hospital Rate Setting, he may appeal the decision in accordance with
				R.126-150 et
				seq.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 2 - ELIGIBILITY FOR THE MEDICAL ASSISTANCE (MEDICAID) PROGRAM › Section 126-350 - Definitions

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medicaid is the
				common name for Title XIX of the Social Security Act.
B. Medicare is the common name for Title
				XVIII of the Social Security Act.
C. Supplemental Security Income (SSI) is the
				common name for Title XVI of the Social Security Act. It is administered by the
				Social Security Administration (SSA).
D. Medical Assistance Only (MAO) is the
				common name for those programs that provide medical assistance and services to
				eligible recipients, but which do not provide any cash assistance.
E. Medicaid Cap is the gross monthly income
				limitation which is established by the South Carolina General Assembly. An
				individual whose monthly income, before deductions, exceeds this limitation
				shall not be eligible for MAO.
F. A
				medical institution is a licensed institution, organized and authorized under
				State law to provide medical, nursing and convalescent care.
G. Community Long Term Care (CLTC) performs
				certification of medical necessity and level of long term care for Medicaid
				applicants and recipients.
H.
				Recurring Income, also known as patient liability, is the individual's gross
				income, less certain exclusions as defined by federal regulation, that the
				individual must apply to the cost of care.
I. Personal Needs Allowance is the amount
				that is set aside from the individual's income for his personal needs, such as
				clothing, toiletries and incidentals. The allowance, set by the Title XIX State
				agency for persons in certified medical facilities, varies according to the
				category of assistance for which the person qualifies. The appropriate personal
				needs allowance for each category of assistance is found in the Title XIX State
				Plan.
J. Vendor Payment is the net
				payment made by the agency to a medical facility for an individual's cost of
				care after deducting the individual's recurring income, if any, from the South
				Carolina Medicaid rate of payment.
K. Categorically Needy means aged, blind, or
				disabled individual or families and children who are otherwise eligible for
				Medicaid and who meet the financial eligibility requirements for Aid to
				Families with Dependent Children (AFDC), SSI, or an optional State supplement,
				or are considered under section 1619(b) of the Social Security Act to be SSI
				recipients; or whose categorical eligibility is protected by statute.
L. Federal poverty level means the non-farm
				poverty level for the appropriate family size as published by the federal
				Office of Management and Budget (OMB) and revised yearly.
M. Deleted.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 2 - ELIGIBILITY FOR THE MEDICAL ASSISTANCE (MEDICAID) PROGRAM › Section 126-355 - Application Procedures

Current through Register Vol. 48, No. 6, June 28, 2024
A. Any
				individual or family who is determined eligible for financial assistance under
				the Aid to Families with Dependent Children, Optional State Supplementation,
				Refugee Assistance, or Supplemental Security Income programs is eligible for
				Medicaid without filing a separate application.
B. If an individual who has been determined
				eligible for financial assistance dies before receiving an actual assistance
				payment, the date of application for financial assistance shall serve as the
				application for Medicaid. Medicaid coverage is available to the individual for
				the period of time for which he was determined eligible.
C. All other individuals must file an
				application for Medicaid benefits with the Department of Social
				Services.
D. The following time
				standards shall be used for determinations of eligibility:
(1) Sixty (60) days for applicants who apply
				for Medicaid on the basis of disability and forty-five (45) days for all other
				applicants.
(2) These time
				standards do not apply if unusual circumstances exist (e.g., the agency cannot
				reach a decision because the applicant or an examining physician delays or
				fails to take required action) or if there is an administrative or other
				emergency beyond the agency's control and a determination of eligibility cannot
				be made within these time standards.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 2 - ELIGIBILITY FOR THE MEDICAL ASSISTANCE (MEDICAID) PROGRAM › Section 126-360 - General Requirements

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medical
				assistance is available to residents of this State who meet the eligibility
				requirements of this chapter and who are United States citizens or who are
				aliens lawfully admitted for permanent residence or otherwise permanently
				residing in the United States under color of law. Residence is determined in
				accordance with Title XIX of the Social Security Act and the federal
				regulations promulgated in accordance therewith:
B. Initial Date of Entitlement for Medicaid.
(1) The initial date of entitlement for
				Medicaid benefits may be as early as the first day of the month in which the
				individual filed an application for financial or medical assistance, provided
				all eligibility requirements are met in the month of application. For initial
				date of entitlement by category reference is made to Title XIX State
				Plan.
(2) If an individual meets
				the requirements of 126-360(C)below for retroactive Medicaid, the date of
				entitlement may be as early as the first day of the third month preceding the
				month of application.
(3) As SSI
				recipient who moves into this State from another state shall be eligible for
				Medicaid beginning with the first day of the month in which he moves into the
				State.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 2 - ELIGIBILITY FOR THE MEDICAL ASSISTANCE (MEDICAID) PROGRAM › Section 126-365 - Categorically Needy Eligible Groups

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medicaid eligible persons through the Aid
				to Families With Dependent Children (AFDC) program are:
(1) All persons in the AFDC budget
				group.
(2) All children for whom
				the State makes an adoption assistance or foster care maintenance payment under
				Title IV E of the Social Security Act.
(3) Families terminated from AFDC because of
				increased earnings or hours of employment as provided for and limited by Title
				XIX of the Social Security Act and the federal regulations promulgated in
				accordance therewith.
(4)
				Individuals who are denied a cash payment solely because the amount of the AFDC
				payment would be less than $10.
(5)
				Pregnant women who would be eligible for an AFDC cash payment if the child had
				been born and was living with her in the month of payment and the pregnancy has
				been medically verified. Income shall be measured against the AFDC total
				requirements standard for one person.
(6) Individuals who are ineligible for AFDC
				because of requirements that do not apply under Title XIX of the Social
				Security Act. These individuals are identified in the Title XIX State Plan for
				Medical Assistance.
South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 3 - MEDICAID › Subarticle 2 - ELIGIBILITY FOR THE MEDICAL ASSISTANCE (MEDICAID) PROGRAM › Section 126-370 - Redetermination of Categorically Needy Eligibility

Current through Register Vol. 48, No. 6, June 28, 2024
Eligibility for continued benefits shall be redetermined at
				  least every 12 months.