wellcare of south carolina timely filing limit

For example, if any patient gets services on the 1st of any month then there is a time limit to submit his/her claim to the insurance company for reimbursement. As of April 1, 2021 Absolute Total Care, a Centene company, is now the health plan for South Carolina Medicaid members. First Choice can accept claim submissions via paper or electronically (EDI). You may request a State Fair Hearing at this address: South Carolina Department of Health P.O. Learn more about how were supporting members and providers. DOSApril 1, 2021 and after: Processed by Absolute Total Care. Please Explore the Site and Get To Know Us. You must file your appeal within 60 calendar days from the date on the NABD. A. To ask for hearing, call 1-800-763-9087 or write to: You also can make a request online using SCDHHS form at https://msp.scdhhs.gov/appeals/site-page/file-appeal. Claims will be processed according to timely filing provisions in the providers Absolute Total Care Participating Provider Agreement. You or your authorized representative can review the information we used to make our decision. Absolute Total Care will utilize credentialing cycles from WellCare and Absolute Total Care so that providers will only need to credential once every three years. It is called a "Notice of Adverse Benefit Determination" or "NABD." endstream endobj startxref By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Where should I submit claims for WellCare Medicaid members that transition to Absolute Total Care? WellCare of North Carolina will begin to release medical payments to providers beginning July 6, 2021. hbbd``b`$= $ Absolute Total Care Instructions on how to submit a corrected or voided claim. Authorizations already processed by WellCare for any services on or after April 1, 2021, will be moved to Absolute Total Care and there is no need for the provider or member to request these services again. Thanka kaa yoa Tufrbeau ingsnh ngetfu South Caralaita nouMa mpvd. DOS April 1, 2021 and after: Processed by Absolute Total Care. Box 100605 Columbia, SC 29260. Guides Filing Claims with WellCare. We will continue covering your medical services during your appeal request and State Fair Hearing if all of the following are meet. The annual flu vaccine helps prevent the flu.Protect yourself and those around you. Claims Department Box 31384 Know the facts about Coronavirus (COVID-19) Our call centers, including the nurse advice line, are currently experiencing high volume. As of April 1, 2021, all WellCare of South Carolina Medicaid members will become Absolute Total Care members. Examples: If Statement Range is March 14, 2021 through April 3, 2021, please send to WellCare. A. We encourage you to check the Medicaid Pre-Auth Check Tool in the For Providers section on the Absolute Total Care website at absolutetotalcare.com to ensure that you are accessing the most current Absolute Total Care authorization requirements for dates of service on or after 4/1/2021. A. We must have your written permission before someone can file a grievance for you. From Date Institutional Statement Dates prior to 4/1/2021 should be filed to WellCare of South Carolina. Providers are encouraged to visit the Provider Resources webpageformanuals, forms, clinical policies, payment policies, provider news and resources related to claims submission, eligibility, prior authorization and more. A. Transition/Continuity of Care is an extended period of time members are given when they join or transfer to another plan in order to receive services from out-of-network providers and/or pharmacies, until that specified period ends. We may apply a 14 day extension to your grievance resolution. Wellcare Health Plans, Inc., complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Professional and Institutional Fee-For-Service/Encounter EDI transactions should be submitted to Absolute Total Care Medicaid with Payer ID 68069 for Emdeon/WebMD/Payerpath or 4272 for Relay Health/McKesson. Providers are encouraged to visit the Provider Resources page at absolutetotalcare.com for manuals, forms and resources related to claims submission, eligibility, prior authorization and more. S< Additionally, WellCare will have a migration section on their provider page at publishing FAQs. For the latest COVID-19 news, visit the CDC. The participating provider agreement with WellCare will remain in-place after 4/1/2021. People of all ages can be infected. Keep yourself informed about Coronavirus (COVID-19.) Want to receive your payments faster to improve cash flow? Tampa, FL 33631-3372. You can file a grievance by calling or writing to us. You can also have a video visit with a doctor using your phone or computer. Utilize interactive health and wellness tools to help you manage conditions, improve your health and save money. Q. Learn how you can help keep yourself and others healthy. We have licensed clinicians available to speak with you and to connect you to the support you need to feel better. If you dont, we will have to deny your request. From Date Institutional Statement Dates on or after 4/1/2021 should be filed to Absolute Total Care. Q. If you need claim filing assistance, please contact your provider advocate. A. Explains how to receive, load and send 834 EDI files for member information. Claims for services on or after April 1, 2021 should be filed to Absolute Total Care for processing. South Carolina Department of Health and Human Services Division of Appeals and Hearings P.O. Members who are dealing with stress or anxiety can call our 24-Hour Behavioral Health Crisis Line at 1-833-207-4240 to speak with a trained professional. We are committed to improving the quality of life of our millions of members, who often include some of our nations most vulnerable populations. Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions. We expect this process to be seamless for our valued members, and there will be no break in their coverage. UnitedHealthcare Dual Complete Special Needs Plan UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. You can file an appeal if you do not agree with our decision. Synagis (RSV) - Medical Benefit or Retail Pharmacy, 17P or Makena - Medical Benefit or Retail Pharmacy, Special Supplemental Benefits for Chronically Ill (SSBCI), Screening, Brief Intervention, and Referral to Treatment (SBIRT), Patient Centered Medical Home Model (PCMH), Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), National Committee for Quality Assurance (NCQA), Hurricane Florence: What You Need to Know, Absolute Total Care Payment Policy and Edit Updates Effective 5/1/21, Notice About a New Payment Integrity Audit Program, Absolute Total Care Updated Guidance for Medicaid BabyNet Therapy Providers, Wellcare By Allwell Changing Peer-to-Peer Review Request and Elective Inpatient Prior Authorization Requirements for Medicare Advantage Plans, NEW Attestation Process for Special Supplemental Benefits for Chronically Ill (SSBCI), Medicare Prior Authorization Change Summary - Effective 1/1/2023, Shortened Notification of Pregnancy (NOP) Provider Form (PDF), Notification of Pregnancy (NOP) Provider Form (PDF), Pregnancy Incentive Reimbursement Form (PDF), SCDHHS Form 1716 - Request for Medicaid ID Number - Infant (PDF), Member Appointment of Authorized Representative Form (PDF), SCDHHS Hospice Election/Enrollment Forms (PDF), Inpatient Prior Authorization Fax Form (PDF), Outpatient Prior Authorization Fax Form (PDF), SCDHHS Certificate of Medical Necessity (CMN) for Oxygen (PDF), Sick and Well Visit Reimbursement Letter (PDF), Claim Adjustments, Reconsiderations, and Disputes Provider Education (PDF), Obstetrical (OB) Incentive Programs (PDF), Provider Portal Enhancements: Claim Reconsideration and Denial Explanations (PDF), Outpatient Prior Authorization Form (PDF), Medicare Prescription Drug Coverage Determination Form (PDF), Authorization to Use and/or Disclose Health Information (PDF), Revocation of Authorization to Use and/or Disclose Health Information (PDF), Behavioral Health Psychological or Neuropsychological Testing Authorization Request Form (PDF), Electroconvulsive Therapy (ECT) Authorization Request Form (PDF), Behavioral Health Outpatient Treatment Request Form (PDF), Transitional Care Management Services Fact Sheet (PDF), Expedited Prior Authorization Request FAQ (PDF), Balance Billing Quick Reference Guide (PDF), 2021 Prior Authorization List Part B Appendix A (PDF), Bi-Annual Prior Authorization Update (PDF), 2021 Bi-Annual Prior Authorization Update Effective 8/1/21 (PDF), 2021 List of Covered Drugs (Formulary) Changes (PDF), New Century Health Implementation Notification (PDF), 2022 Wellcare by Allwell Provider Manual (PDF), Provider Reconsideration/Dispute Form (PDF), Behavioral Health Neuropsychological Testing Authorization Request Form (PDF), Behavioral Health Outpatient Treatement Request Form (PDF), Behavioral Health Electroconvulsive Therapy (ECT) Authorization Request Form (PDF), Electronic Funds Transfer (ETF) Features (PDF), 2021 List of Covered Drugs (Formulary) DSNP Changes (PDF), 2021 List of Covered Drugs (Formulary) HMO Changes (PDF). Additionally, WellCare will have a migration section on their provider webpage publishing FAQs. Call us to get this form. $8v + Yu @bAD`K@8m.`:DPeV @l If you ask for a fast appeal and we decide that one is not needed, we will: You or your authorized representative can give us more information if you think itll help your appeal (regular or fast). In South Carolina, WellCare and Absolute Total Care are joining to better serve you. Timely Filing Limit: Timely Filing Limit is the time frame set by insurance companies and provider has to submit health care claims to respective insurance company within the set time frame for reimbursement of the claims. The current transaction means that WellCare of South Carolina Medicaid members are transitioning to Absolute Total Care and will become Absolute Total Care members, effective April 1, 2021. Claims for services on or after April 1, 2021 should be filed to Absolute Total Care for processing. Q. We will give you information to help you get the most from your benefits and the services we provide. Exceptions to the one-year time limit: a) Medicare Cost Sharing Claims . Q. For general questions about claims submissions, call Provider Claims Services at 1-800-575-0418. How will credentialing/recredentialing be handled by Absolute Total Care if a provider was recently credentialed/recredentialed by WellCare? As of April 1, 2021, all WellCare of South Carolina Medicaid members will transfer to Absolute Total Care. Q. Outpatient Prior Authorization Form (PDF) Inpatient Prior Authorization Form (PDF) From time to time, Wellcare Health Plans reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS), and nationally recognized health and medical societies. State Health Plan State Claims P.O. Members can continue to receive services from their current WellCare provider as long as they remain covered under WellCare. Beginning. Welcome to Wellcare By Allwell, a Medicare Advantage plan. WellCare offers participating providers EFT and ERA services at no charge through PaySpan Health. South Carolina | Wellcare SOUTH CAROLINA Healthcare done well. Example of how to properly split claim that span the cutover date of April 1, 2021: Q. However, there will be no members accessing/assigned to the Medicaid portion of the agreement. Q. If Statement Range is March 14, 2021 through April 3, 2021, please send to WellCare. Obstetrician care provided by an out of network Obstetrician will be covered for pregnant members inclusive of post-partum care. The onlineProvider Manual represents the most up-to-date information on Absolute Total Cares Medicaid Plan, programs, policies, and procedures. To do this: The timely filing limit is the time duration from service rendered to patients and submitting claims to the insurance companies. Claim Filing AmeriHealth Caritas North Carolina, hereafter referred to as the Plan (where appropriate), is required by the North Carolina and federal regulations to capture specific data regarding services rendered to its members. Initial Claims: 120 Days from the Date of Service. Members will receive a 90-day transition of care period if the member is receiving ongoing care and treatment. 941w*)bF iLK\c;nF mhk} Providers can help facilitate timely claim payment by having an understanding of our processes and requirements. The member will be encouraged to establish care with a new in network PCP/specialist prior to the end of the transition/continuity of care period to review present treatment plan and coordinate the member's medical care. March 14-March 31, 2021, please send to WellCare. Contact Wellcare Prime Provider Service at 1-855-735-4398 if you have questions. Pregnant members receiving care from an out of network Obstetrician can continue to see their current Obstetrician until after the baby is born. You or your provider must call or fax us to ask for a fast appeal. All transitioning Medicaid members will receive a welcome packet and new ID card from Absolute Total Care in March 2021 and will use the Absolute Total Care ID card to get prescriptions and access healthcare services starting April 1, 2021. Box 8206 Columbia, SC 29202-8206 Or call 1-800-763-9087. Member Appeals (Medical, Behavioral Health, and Pharmacy): Copyright 2023 Wellcare Health Plans, Inc. As of April 1, 2021, all WellCare of South Carolina Medicaid members will become Absolute Total Care members. WellCare and Absolute Total Care Medicare plans will continue to operate under current brands, product names and provider contracts, until further notice. 1096 0 obj <>stream Please use WellCare Payor ID 14163. The current transaction means that WellCare of South Carolina Medicaid members are transitioning to Absolute Total Care and will become Absolute Total Care members, effective April 1, 2021. You can file the grievance yourself. Wfu neebybfgnh bgWfulnybfgC South Carolina Medicaid Provider Resource Guide Thank you for being a star member of our provider team. Forgot Your Password? Within five business days of getting your grievance, we will mail you a letter. You will need Adobe Reader to open PDFs on this site. Transition/continuity of care is an extended period of time members are given when they join or transfer to another plan in order to receive services from out-of-network providers and/or pharmacies, until that specified period ends. It is 30 days to 1 year and more and depends on . With the completion of this transaction, we have created a premier healthcare enterprise focused on government-sponsored healthcare programs. Payments mailed to providers are subject to USPS mailing timeframes. All Paper Claim Submissions can be mailed to: WellCare Health Plans Member Appeals (Medical, Behavioral Health, and Pharmacy): You will need Adobe Reader to open PDFs on this site. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. How are WellCare Medicaid member authorizations being handled after April 1, 2021? Will Absolute Total Care continue to offer Medicare and Marketplace products? Section 1: General Information. Earliest From Dates prior to 4/1/2021 should be filed to WellCare of South Carolina. A. You can file your appeal by calling or writing to us. WellCare claims will be processed according to timely filing provisions in the providers WellCare Participating Provider Agreement. All transitioning Medicaid members will receive a welcome packet and new ID card from Absolute Total Care in March 2021 and will use the Absolute Total Care ID card to get prescriptions and access health care services starting April 1, 2021. Providers can begin requesting prior authorization from Absolute Total Care for dates of service on or after 4/1/2021 from Absolute Total Care on, Providers can begin requesting prior authorization for pharmacy services from Absolute Total Care for dates of service on or after 4/1/2021 from Absolute Total Care on. Date of Occurrence/DOSprior toApril 1, 2021: Processed by WellCare. The way your providers or others act or treat you. pst/!+ Y^Ynwb7tw,eI^ The provider needs to contact Absolute Total Care to arrange continuing care. A. 837 Institutional Encounter 5010v Guide You can ask in writing for a State Fair Hearing (hearing, for short). Reminder: It is important that providers check eligibility prior to providing services as members can potentially change plans prior to April 1, 2021 if they are in the annual choice period. Members will need to talk to their provider right away if they want to keep seeing him/her. You and the person you choose to represent you must sign the AOR form. Please be sure to use the correct line of business prior authorization form for prior authorization requests. Absolute Total Care will honor those authorizations. Awagandakami The materials located on our website are for dates of service prior to April 1, 2021. Molina Healthcare of Michigan, 100 W. Big Beaver Road, Suite 600 Attn: Claims, Troy, MI 48084-5209 Or Fax to: (248) 925-1768. April 1-April 3, 2021, please send to Absolute Total Care. For current information, visit the Absolute Total Care website. From Date Institutional Statement Dates prior to April 1, 2021 should be filed to WellCare of South Carolina. APPEALS, GRIEVANCES AND PROVIDER DISPUTES. WellCare Medicare members are not affected by this change. They are called: State law allows you to make a grievance if you have any problems with us. For additional information, questions or concerns, please contact your local Provider Network Management Representative. Q: What is Absolute Total Cares Transition/Continuity of Care Policy? Wellcare uses cookies. Claims Submission, Correspondence and Contact Resources will stay the same for the Medicare line of business. Do I need to do anything additional to provide services on or after 4/1/2021 if I am in network with both WellCare and Absolute Total Care? Q. All dates of service prior to 4/1/2021 should be filed to WellCare of South Carolina. Providers will continue to work directly with WellCare to address any claims for dates of service prior to the membership transfer of April 1, 2021. Prior authorizations issued by WellCare for dates of service on or after 4/1/2021 will transfer with the members eligibility to Absolute Total Care. %%EOF Instructions on how to submit a corrected or voided claim. If Statement Range is April 2, 2021 through April 10, 2021, please send to Absolute Total Care. Providers will continue to work directly with WellCare to address any claims for dates of service prior to the membership transfer of April 1, 2021. Providers interested in joining the Absolute Total Care Provider Network should submit a request to Network Development and Contracting via email at atc_contracting@centene.com. A. On June 19, 2018, the Family and Social Services Administration's ("FSSA") Indiana Health Coverage Programs ("IHCP") released provider bulletin BT201829 regarding revising the timely filing limit for Medicaid fee-for-service claims. Claim Filing Manual - First Choice by Select Health of South Carolina Q. Pregnant members receiving care from an out-of-network Obstetrician can continue to see their current obstetrician until after the baby is born. z4M0(th`1Lf`M18c BIcJ[%4l JU2 _ s You do not appeal within 10 calendar days from when the Plan mails an adverse Notice of Action, or you do not request a hearing within 10 calendar days from when the Plan mails an adverse Notice of Appeals Resolution whichever is later. Register now at https://www.payspanhealth.comor contact PaySpan at providersupport@payspanhealth.com, or 877-331-7154. 1044 0 obj <> endobj A. Explains how to receive, load and send 834 EDI files for member information. There is a lot of insurance that follows different time frames for claim submission. From time to time, WellCare Health Plans reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS), and nationally recognized health and medical societies. For requests involving dates of service on April 1, 2021 and beyond, Absolute Total Care will follow Medicaid contract requirements allowing a 90-day transition of care period. It will let you know we received your appeal. The hearing officer will decide whether our decision was right or wrong. Absolute Total Care will honor those authorizations. Prior authorizations issued by WellCare for dates of service on or after April 1, 2021 will transfer with the members eligibility to Absolute Total Care. All transitioning Medicaid members will receive a welcome packet and new ID card from Absolute Total Care in March 2021 and will use the Absolute Total Care ID card to get prescriptions and access health care services starting April 1, 2021. Wellcare uses cookies. To do so by phone, call Member Services at 1-888-588-9842 (TTY1-877-247-6272). The provider needs to contact Absolute Total Care to arrange continuing care. Explains rules and state, line of business and CMS-specific regulations regarding 837I EDI transactions. You may file your second level grievance review within 30 days of receiving your grievance decision letter. Search for primary care providers, hospitals, pharmacies, and more! Providers can begin requesting prior authorization from Absolute Total Care for dates of service on or after 4/1/2021 from Absolute Total Care on March 15, 2021. Q. To continue providing transition of care services, providers that are not part of the Absolute Total Care Network must agree to work with Absolute Total Care and accept Absolute Total Cares payment rates. A. WellCare Medicaid members migrating to Absolute Total Care will be assigned to their assigned WellCare Primary Care Physician (PCP) as if the PCP is in network with Absolute Total Care. Shop or Enroll in a Plan Frequently Asked Questions Find a Doctor Download Digital ID Card Welcome Allwell Members! If you wish to use a representative, then he or she must complete an Appointment of Representative (AOR) statement. No, Absolute Total Care will continue to operate under the Absolute Total Care name. Copyright 2023 WellCare Health Plans, Inc. WellCare Non-Emergency Medical Transportation (NEMT) Update, Provider Self-Service Quick Reference Guide (PDF), Provider Masters Level Proposed Rates (PDF), Member Advisory Committee (MAC) Member Flyer (PDF), Member Advisory Committee (MAC) - LTSS Member Flyer (PDF), Managed Care PHP Member PCP Change Request Form (PDF), Provider Referral Form: LTSS Request for PCS Assessment (PDF). Date of Occurrence/DOSApril 1, 2021 and after: Processed by Absolute Total Care. Learn how you can help keep yourself and others healthy. However, there will be no members accessing/assigned to the Medicaid portion of the agreement. P.O. Please see list of services that will require authorization during this time. The participating provider agreement with WellCare will remain in-place after 4/1/2021. Providers are encouraged to visit the Provider Resources webpagefor manuals, forms, and resources related to claims submission, eligibility, prior authorization, and more. Will my existing WellCare patients be assigned to my Absolute Total Care Panel? Will WellCare continue to offer current products or Medicare only? Refer to your particular provider type program chapter for clarification. Claims Department UHC Community TFL - Timely filing Limit: 120 Days: Unitedhealthcare TFL - Timely filing Limit: Participating Providers: 90 days Non Participating Providers: 180 Days If its secondary payer: 90 days from date of Primary Explanation of Benefits Unitedhealthcare timely filing limit for appeals: 12 months from original claim determination We will call you with our decision if we decide you need a fast appeal. Beginning, March 14 March 31, 2021, please send to WellCare, April 1 April 3, 2021, please send to Absolute Total Care, DOS prior to 4/1/2021- Processed by WellCare, DOS 4/1/2021 and after- Processed by Absolute Total Care, Date of Occurrence/DOS prior to 4/1/2021- Processed by WellCare, Date of Occurrence/DOS 4/1/2021 and after- Processed by Absolute Total Care. We are proud to announce that WellCare is now part of the Centene Family. From time to time, WellCare Health Plans reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS), and nationally recognized health and medical societies. Will Absolute Total Care change its name to WellCare? Medicaid Claims Payment Policies 8h} \x p`03 1z`@+`~70 G ~Ws5Puick79,4 ,O5@?O-Gr'|5Oj:v6/` An appeal may be filed within 60 calendar days from the date on the Adverse Benefit Determination Notice. We will review it and send you a decision letter within 30 calendar days from receiving your appeal. Our call centers, including the nurse advice line, are currently experiencing high volume. A grievance is when you tell us about a concern you have with our plan. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. Providers can begin requesting prior authorization for pharmacy services from Absolute Total Care for dates of service on or after April 1, 2021 from Absolute Total Care on April 1, 2021. WellCare claims will be processed according to timely filing provisions in the providers WellCare Participating Provider Agreement. However, there will be no members accessing/assigned to the Medicaid portion of the agreement. Download the free version of Adobe Reader. B^E{h#XYQv;[ny3Hha1yx4v.sBy jWacQzyL.kHhwtQ~35!Rh#)p+sj31LcC)4*Z:IWIG@WTD- )n,! A. Our health insurance programs are committed to transforming the health of the community one individual at a time. Forms. Resources Can I continue to see my current WellCare members? Please note - a representative may file for a member who: If the members request for appeal is submitted after 60 calendar days from the date on the NABD, then good cause must be shown in order for WellCare to accept the late request. You will get a letter from us when any of these actions occur. Ambetter Timely Filing Limit of : 1) Initial Claims. These grievances may be about: The state of South Carolina allows members to file a grievance at anytime from the event that caused the dissatisfaction. For dates of service on or after April 1, 2021: Absolute Total Care 1071 0 obj <>/Filter/FlateDecode/ID[<87133B316ADA4BDD8B85BA48A489D34F>]/Index[1044 53]/Info 1043 0 R/Length 117/Prev 692690/Root 1045 0 R/Size 1097/Type/XRef/W[1 2 1]>>stream Earliest From Dates prior to April 1, 2021 should be filed to WellCare of South Carolina. This manual sets forth the policies and procedures that providers participating in the Wellcare Prime network are required to follow. We welcome Brokers who share our commitment to compliance and member satisfaction. You can make three types of grievances. Please use the From Date Institutional Statement Date. Here you will find the tools and resources you need to help manage your submission of claims and receipt of payments. ?-}++lz;.0U(_I]:3O'~3-~%-JM P.O. For dates of service on or after 4/1/2021: Professional and Institutional Fee-For-Service/Encounter EDI transactions should be submitted to Absolute Total Care Medicaid with Payer ID <68069> for Emdeon/WebMD/Payerpath or <4272> for Relay Health/McKesson. Check out the Interoperability Page to learn more. Continuation of Benefits During the Appeals Process We will continue covering your medical services during your appeal request and State Fair Hearing if all of the following are meet. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Members can continue to receive services from their current WellCare provider as long as they remain covered under WellCare. Timely filing is when you file a claim within a payer-determined time limit. Get an annual flu shot today. Only you or your authorizedrepresentative can ask for a State Fair Hearing. Authorizations already processed by WellCare for any services on or after April 1, 2021, will be moved to Absolute Total Care and there is no need for the provider or member to request these services again. You can do this at any time during your appeal. WellCare Health Plans, Inc. (NYSE: WCG) is now offering a $120 credit per family, per year towards over-the-counter (OTC) items as part of its Medicaid program benefits in South Carolina. The second level review will follow the same process and procedure outlined for the initial review. R 1/70.3/Determining End Date of Timely Filing Period -- Receipt Date R 1/70.4/Determination of Untimely Filing and Resulting Actions R 1/70.5/Application to Special Claim Types R 1/70.6/Filing Claim Where General Time Limit Has Expired R 1/70.7/Exceptions Allowing Extension of Time Limit R 1/70.7.1/Administrative Error