Habilitative and Rehabilitative Services

Habilitative and Rehabilitative Services

5/24/2017

BlueCross BlueShield of South Carolina and BlueChoice HealthPlan now apply separate and distinct benefit limits for habilitative and rehabilitative services for dates of service on and after Jan. 1, 2017. This change is in compliance with the Notice of Benefit and Payment Parameters for 2016 rule issued in accordance with Affordable Care Act (ACA). This means that beginning with dates of service on and after Jan. 1, 2017, we will no longer have a combined visit limit for habilitative and rehabilitative services. Each of these services will now be counted separately. For example, previously a patient may have had 60 visits allowed in their benefit plan. After the first of the year, they now have 15 habilitative services and 15 rehabilitative services available under their ACA-compliant health plan.
 
For additional information, review the frequently asked questions here.
 
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