State Regulations Deidra Manning HMGT 310 University of Maryland Professor Jerome Bozek November 29, 2015 Student Name: Deidra Manning Assignment #3 Title: Selection of a state regulation; The unannotated South Carolina Code of Regulations Agency Responsible: The South Carolina Legislative Council; The State Health and Human Services Finance Commission through the MEDICAID Incentives and Enforcement: The main enforcements are observed through ensuring that only the service providers enrolled in the program are the ones which provide the services, therefore enrollment is controlled and regulated Clients must be eligible for Medicaid to receive the services. The residents of South Carolina recipients of the services can be referred outside the South Carolina area, when this happens, they must have a prior approval from a state agency administering the Medicaid Program. Technical assistance for the personnel providing the services is contained in the South Carolina State Plan for Title XIX (Medicaid), provider manuals, Medicaid Bulletins, and federal directives. This gives directives on their usage serving as a guide to their usage. Key Aspect of the Regulation #1: This regulation: 126-304 Community Long Term Care Home and Community Based Services. It sets out clearly the requirements of the service receiver who should be a Medicaid eligible person, eighteen years of age or older, who has been determined by community long term care to require a skilled or intermediate level of care.this regulation has an effect on health care proffssional since they are required meet the said conditions. (2) Home delivered meals are the in home provision of at least one meal per day to persons unable to care for their nutritional needs. This has a financial implication to the provider institution and making transport arrangements on availing the meals to the homes of the recipients. (3) Medical day care is a group of services to restore, maintain and promote the health status through the provision of ambulatory health care and health related supportive services in a licensed medical day care center. This group of services requires that systems be put in place to receive alerts of emergence and a response team which shall be on standby to attend to the emergencies as and when they arise. Medical social services are supportive services provided by an individual with no less than a Masters Degree in social work. The legal of academical training is essential to the personnel providing this service, because it is specific to the academical requirement of the said personnel Personal care is the in home provision of the necessary services in support of activities of daily living, home support, medical monitoring, and client transportation services to restore, maintain and promote health status. This specifically affects the provider institution because special arrangements have to made to ensure adequate trained personnel to adequately manage the home provisio.

1. State Regulations
Deidra Manning
HMGT 310
University of Maryland
Professor Jerome Bozek
November 29, 2015
Student Name:
Deidra Manning
Assignment #3 Title:
Selection of a state regulation; The unannotated South Carolina
Code of Regulations
Agency Responsible:
The South Carolina Legislative Council; The State Health and
Human Services Finance Commission through the MEDICAID
Incentives and Enforcement:
The main enforcements are observed through ensuring that only
the service providers enrolled in the program are the ones which
provide the services, therefore enrollment is controlled and
regulated Clients must be eligible for Medicaid to receive the
services. The residents of South Carolina recipients of the
services can be referred outside the South Carolina area, when
this happens, they must have a prior approval from a state
agency administering the Medicaid Program.
Technical assistance for the personnel providing the services is
contained in the South Carolina State Plan for Title XIX
(Medicaid), provider manuals, Medicaid Bulletins, and federal
directives. This gives directives on their usage serving as a
guide to their usage.

2. Key Aspect of the Regulation #1:
This regulation: 126-304 Community Long Term Care Home
and Community Based Services.
It sets out clearly the requirements of the service receiver who
should be a Medicaid eligible person, eighteen years of age or
older, who has been determined by community long term care to
require a skilled or intermediate level of care.this regulation has
an effect on health care proffssional since they are required
meet the said conditions.
(2) Home delivered meals are the in home provision of at
least one meal per day to persons unable to care for their
nutritional needs. This has a financial implication to the
provider institution and making transport arrangements on
availing the meals to the homes of the recipients.
(3) Medical day care is a group of services to restore,
maintain and promote the health status through the provision of
ambulatory health care and health related supportive services in
a licensed medical day care center. This group of services
requires that systems be put in place to receive alerts of
emergence and a response team which shall be on standby to
attend to the emergencies as and when they arise.
Medical social services are supportive services provided by an
individual with no less than a Masters Degree in social work.
The legal of academical training is essential to the personnel
providing this service, because it is specific to the academical
requirement of the said personnel
Personal care is the in home provision of the necessary services
in support of activities of daily living, home support, medical
monitoring, and client transportation services to restore,
maintain and promote health status. This specifically affects the
provider institution because special arrangements have to made
to ensure adequate trained personnel to adequately manage the
home provision of services. In terms of the equipments required
they must be enough to serve nearly all served homes.
Residential care is the provision of temporary institutional care
for eligible clients living at home and cared for by their

3. families or other informal support persons. This service will
provide temporary relief for the primary care givers. The
families and informal support persons must be given a basic
training for service provision even if they are doing for a short
time.
Service management includes assessment and reassessment,
level of care of determination, service planning, service
coordination, and counseling. This enables the providing
institution to be efficient in service provision.
Key Aspect of the Regulation #2:
The regulation on 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 twentyone years and over. The
person providing this service must be trained dentist and
licensed, therefore the providing institution must acquire the
right personnel for the same. The insurance firms equally need
to provide such a cover.
Key Aspect of the Regulation #3:
In the regulation of Early and Periodic Screening, Diagnosis
and Treatment (EPSDT) Services.
Early and Periodic Screening, Diagnosis and Treatment
(EPSDT) Services are available to eligible Medicaid recipients
from birth through the month they turn twentyone 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. This cover has an age
limit from birth to the month they turn twenty one years,
therefore the clients in this category are the beneficiaries.
Key Aspect of the Regulation #4:
In the regulation on Hospital Services.
A. Inpatient hospital services provided by the Medicaid
Program are for the care and treatment of illness, injuries or

4. 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 is 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.
Key Aspect of the Regulation #5:
126-311 Laboratory and Xray Services/Tests.
Laboratory and xray 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.
Notated Copy of the Rules:
Attach the copy of the regulation that you have marked up.
Underline, highlight or note key sections. Mark them (1), (2),
(3), etc. You may use technology to mark up in PDF or print,
handwrite and scan the rules. Attach when you submit the
assignment.
Reference
South Carolina Legislature. South Carolina Code of
Regulations. Retrieved from
http://www.scstatehouse.gov/coderegs/statmast.php
Assignment #4. Roots of Organizational Policy
The Comprehensive Final Project (Assignment #4) has been

5. designed for the student to identify federal and state policy
roots in a specific health services organization. Each student
will select a specific management area for a specific
organization. The student will identify a health services setting
where they have access to the policy manual (or a sample policy
manual). The setting may include a single location or an
organization with many types of services and many service
delivery settings. Select one of the following spheres where you
will map out and describe a minimum of five (5) organizational
policies linked to federal or state legislative mandates. Note
some policies may be required for accreditation and also related
to public policy. This is the case with many NCQA standards.
Prepare a final PowerPoint presentation with no more than 10-
15 content slides. A cover and reference slide must be
provided. Draw on what you have learned throughout the class
including: a summary of each organizational policy and the
federal/state legislative roots for each policy (by name and
statute), any pending changes to the legislation, and your
metrics for the organization in terms of performance.
Health Management Areas (select one):
· laboratory services ( Mayo Clinic, Mayo Medical
Laboratories)