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Sunsetting of the Palmetto Coordinated System of Care Waiver
Act
by Jul 31, 2025
Effective date
Jul 31, 2025
Identified
Jun 18, 2026
Summary
The Palmetto Coordinated System of Care (PCSC) waiver for youth mental health services will be discontinued effective July 31, 2025. Medicaid members will transition to receiving behavioral health services through their managed care organizations or fee-for-service Medicaid, with case management services continuing through different providers.
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What to do
by Jul 31, 2025 · 3 steps
01Billing team must stop using the SCDHHS Phoenix System for PCSC waiver service referrals.
02For Medicaid members not enrolled in MCOs requiring case management assessments, use the Medicaid Targeted Case Management provider directory for referrals.
03Update referral processes to direct members to appropriate MCOs or fee-for-service providers for behavioral health services.
Original notice
Sunsetting of the Palmetto Coordinated System of Care Waiver
scdhhs.gov · Always check the source before changing claims.