HIPAA compliant, BAA available

Measurement-Based Care for South Carolina Clinicians

For licensed independent practitioners, community mental health centres, primary care practices billing collaborative care and group practices from the Upstate to the Lowcountry. Clients complete validated screens by email or QR code, the result and its score are filed the moment they submit, and each client's measures line up over time. US customer data stays in Google Cloud US regions.

HIPAA compliant, BAA available
Data stays in the US
SOC 2 Type II
Scored on submit
100+
validated assessments
BAA
offered to HIPAA covered entities
US
Google Cloud regions storing US data
$25
per month

South Carolina Medicaid Rewrote Its Behavioural Health Rules in 2026

  • On 1 July 2026, the South Carolina Department of Health and Human Services (SCDHHS) put updated Licensed Independent Practitioner (LIP) and Rehabilitative Behavioral Health Services provider manuals into effect. SCDHHS training on the LIP manual says Behavioral Health Screening now reflects current best practice screening measures, with an emphasis on suicide risk and trauma screening, and is billed with H0002 as one encounter per day rather than in 15-minute units.

    The documentation rules changed with it. The completed screening tool and a written interpretation of the results must be filed in the member's clinical record within 10 working days, and the note must include the outcome of the screening and any referrals it led to. For crisis intervention, when a member is assessed as safe to return home, a completed safety plan must now be filed in the chart, along with a plan for follow-up.

    State law points the public system the same way. Act 3 of 2025, which created the Department of Behavioral Health and Developmental Disabilities, requires its director to procure collaboration technology that can track and store the outcome of services within a single client record. For a practice, HiBoop covers the screening part: a dated, scored screen with the full item responses, saved the moment the client submits, and the same scales repeated so outcomes can be shown. Interpretation and safety planning remain your clinical work.

  • Best Practice Screening

    Behavioral Health Screening updated in the LIP and RBHS manuals effective 1 July 2026, with suicide risk and trauma emphasized

  • Ten Working Days

    The deadline to file the completed screening tool and a written interpretation in the clinical record

  • Outcomes in One Client Record

    What Act 3 of 2025 requires the new department's collaboration technology to track

How HiBoop Supports South Carolina Practices

  • South Carolina's Medicaid behavioural health runs largely through Healthy Connections managed care plans, with community mental health centres under the new Department of Behavioral Health and Developmental Disabilities. HiBoop does the screening and tracking and leaves treatment decisions with your clinicians.

  • Screens Ready to File

    Send the PHQ-9, C-SSRS Screener or PC-PTSD-5 before the visit. The completed tool, every item response and the score are saved with a date, ready for your written interpretation and the clinical record well inside the ten-day window.

  • Suicide Risk and Trauma in the Same Library

    The 2026 manual update emphasizes suicide risk and trauma screening. The C-SSRS Screener, PC-PTSD-5, PCL-5 and ACEs questionnaire sit beside the depression and anxiety scales, so one link can carry the set you choose.

  • Measures That Show Change

    Repeat a scale across treatment and each score joins the client's chart. Your team can see whether symptoms are moving, and the numbers inform clinical judgement without replacing it.

  • A Registry for Collaborative Care

    Healthy Connections requires a registry for collaborative care. HiBoop lists enrolled clients with their latest scores and dates, so the care manager knows who needs attention before the psychiatric consultant's review.

  • One Account for Every Site

    Team and Network plans bring clinicians across your offices into a single account, with role-based permissions deciding who can open each client's results.

  • Screens for Young People

    South Carolina lets young people aged 16 and over consent to health services themselves. For adolescent clients, the PHQ-A, SCARED and CRAFFT-2.1 can be completed on a phone before an appointment.

Mental health in South Carolina

Research data

  • Each figure below links to the source it comes from.

  • 19.8%

    of South Carolina adults had any mental illness in the past year (model-based annual average, 2023-2024)

  • 15.0%

    of South Carolinians aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

  • 22.5%

    of South Carolina adults received mental health treatment in the past year (2024)

Research from South Carolina

  • Telehealth collaborative care in rural clinics

    A telehealth-enabled collaborative care pilot in four rural South Carolina primary care clinics received 296 referrals and enrolled 99 patients in its first eight months; the case study drew on surveys, focus groups, interviews and administrative data.

    Kruis et al., BMC Primary Care, 2025 PMID 40394493

  • Suicide risk screening in pediatric primary care

    In 28 South Carolina primary care practices supported by QTIP, a quality improvement collaborative housed at SCDHHS, suicide risk screening adherence rose from 62.3% in the first month to 87.4% at 18 months (2020-2021); 3.2% of 3,691 screened patients screened positive.

    Hobbs et al., Academic Pediatrics, 2026 PMID 41314382

  • PHQ-9 enrolment in a depression trial

    In a trial of 649 adults with PHQ-9 scores of 10 or more from 22 South Carolina primary care clinics, both groups using a digital behavioural activation program improved more on the BDI-II over 12 weeks than usual care.

    Dahne et al., JAMA Internal Medicine, 2025 PMID 40227715

  • Perinatal psychiatry access by telehealth

    In its first 12 months, the Moms IMPACTT perinatal psychiatry access program served people from 45 of South Carolina's 46 counties and provided treatment to 881 perinatal patients, 51.8% of them insured by Medicaid.

    King et al., BMC Women's Health, 2025 PMID 39838366

The South Carolina Landscape for Measurement

  • HiBoop is separate from every program below and does not link to SCDHHS, BHDD or plan systems. These are the rules and bodies your audits and contracts will draw on.

  • LIP and RBHS Manuals

    Effective July 2026

    SCDHHS published the updated Licensed Independent Practitioner and Rehabilitative Behavioral Health Services manuals in July 2026 after releasing drafts in May. The LIP update organizes screening and assessment as Behavioral Health Screening, Diagnostic Assessment and follow-up, and CALOCUS-CASII, and expands the telehealth section.

    H0002 screeningSafety plansCALOCUS-CASII
  • Department of Behavioral Health and Developmental Disabilities

    Act 3 of 2025

    Signed on 28 April 2025, Act 3 brought the former Department of Mental Health and other agencies into one cabinet-level department with offices for mental health, substance use services and intellectual and developmental disabilities. Its director must procure collaboration technology to track service outcomes in a single client record and require data sharing to the fullest extent the law allows.

    Cabinet agencyOutcome trackingData sharing
  • Collaborative Care in Healthy Connections

    Since October 2024

    SCDHHS added psychiatric collaborative care for full-benefit Medicaid members from 1 October 2024, with a registry required for reimbursement. The base rates are $111.16 for 99492, $102.16 for 99493, $43.21 for 99494 (up to four a month) and $37.96 for G2214. For MCO members, the plan handles authorization, coverage and payment.

    99492 to 99494G2214Registry
  • Licensing and Compacts

    SC LLR

    Counsellors and marriage and family therapists are licensed by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, Addiction Counselors and Psycho-Educational Specialists, social workers by the Board of Social Work Examiners, and psychologists by the Board of Examiners in Psychology. South Carolina enacted PSYPACT in 2022 and the Counseling Compact in 2024.

    LPC and LMFTLISWPSYPACT

Serving South Carolina's Regions

  • HiBoop works in any browser, so a Columbia practice and a client on a Sea Island use the same check-ins. The state's community mental health system runs through 16 centres; each line names the centre and the counties it serves.

  • Greenville and the Upstate

    Greater Greenville Mental Health Center serves Greenville County, and Anderson-Oconee-Pickens Mental Health Center the three counties in its name.

  • Spartanburg and Rock Hill

    Spartanburg Area Mental Health Center serves Spartanburg, Union and Cherokee, and Catawba Community Mental Health Center serves York, Chester and Lancaster.

  • Columbia and the Midlands

    Columbia Area Mental Health Center serves Richland and Fairfield, and Lexington County Community Mental Health Center serves Lexington.

  • The Pee Dee

    Pee Dee Mental Health Center serves Florence, Darlington and Marion, and Tri-County Community Mental Health Center serves Chesterfield, Marlboro and Dillon.

  • Myrtle Beach and the Grand Strand

    Waccamaw Center for Mental Health serves Georgetown, Horry and Williamsburg counties.

  • Charleston

    Charleston Dorchester Mental Health Center serves Charleston and Dorchester counties.

  • Beaufort and the Southern Lowcountry

    Coastal Empire Community Mental Health Center serves Allendale, Beaufort, Colleton, Jasper and Hampton, a stretch where check-ins between visits save clients long drives.

  • Greenwood and the Western Piedmont

    Beckman Center for Mental Health Services covers seven counties: Abbeville, Edgefield, Greenwood, Laurens, McCormick, Newberry and Saluda.

Data sovereignty

Why South Carolina clinics choose HiBoop

  • Why South Carolina Providers Use HiBoop

    • US clinic data kept in Google Cloud US regions, encrypted both in transit and at rest
    • HIPAA compliant with a BAA for covered entities, and SOC 2 Type II certified
    • Each view or export of client data recorded, with access controlled by role
    • Care costs $25/month for one clinician, cancel any month, and starting needs no credit card
    • Clients fill in scales on their own phone, from an email link or a QR code on the front desk
  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, paid monthly
    $25
    USD/month
    Team
    Entry price, unlimited clinicians
    $200
    USD/month
    Network
    For organizations across several sites
    Custom
    Enterprise pricing

100+ validated scales for South Carolina clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Depression and Anxiety

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
  • Suicide Risk and Trauma

    • C-SSRS Screener (Suicide Risk)
    • PC-PTSD-5 (PTSD Screen)
    • PCL-5 (PTSD)
    • ACEs (Adverse Childhood Experiences)
  • Substance Use and Young People

    • TAPS (Tobacco, Alcohol and Other Substances)
    • PHQ-A (Adolescent Depression)
    • CRAFFT-2.1 (Youth Substance Use)

South Carolina Confidentiality and Minor Consent

  • HIPAA is the floor. South Carolina adds its own confidentiality rule for records identifying people treated under its mental health and substance use laws, and general health services statutes that let many minors consent for themselves. None of them certifies software; your organization meets them, and HiBoop supplies safeguards that make that easier.

  • What South Carolina law asks

    • Keep certificates, applications, records and reports made under the state's mental health and substance use laws that identify a patient or former patient confidential, disclosing them only in the situations S.C. Code 44-22-100 lists
    • Accept that a minor aged 16 or older may consent to any health services from a person authorized to provide them, without anyone else's consent, except for operations (S.C. Code 63-5-340)
    • Note that health services may be given to a minor of any age without parental consent when the provider judges them necessary, again except for operations (S.C. Code 63-5-350)
    • Keep HIPAA's safeguards and breach notification duties, with a business associate agreement in place for each vendor holding protected health information
  • What HiBoop supplies

    • A business associate agreement for HIPAA covered entities
    • US clinic data in Google Cloud US regions, encrypted in transit and at rest
    • A record of each view and export, and access set by role
    • SOC 2 Type II certification; the controls are described on our trust page
  • Preparing a vendor review?

    Our trust page covers hosting, encryption, access controls and SOC 2 Type II. Write to us for a BAA or help completing your security questionnaire.

Grants & funding for South Carolina mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more
  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more
  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more
  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more
  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more
  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more

Resources for South Carolina practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • Collaborative careCollaborative Care for Primary Care

    The care manager, the registry and the measures that drive collaborative care

  • Suicide riskC-SSRS Screener Guide

    The screener's questions, its risk levels and what follows a positive screen

  • TraumaPC-PTSD-5 Guide

    A five-item primary care PTSD screen and its cut-off

  • LibraryAssessment Library

    All the scales we cover, each with validation sources

South Carolina Policy, Billing and Legal Sources

Latest in mental health in California

Crisis and urgent help lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does South Carolina require standardized screening?

    For Medicaid behavioural health services billed under the 2026 manuals, the Behavioral Health Screening service is built around a completed screening tool, filed with a written interpretation within 10 working days. The manual training does not name a single required scale, so check the manual itself and your plan contract. We found no South Carolina law requiring every outpatient clinician to use symptom scales.

  • Does HiBoop send results to SCDHHS, BHDD or our MCO?

    No. HiBoop has no link to state or plan systems. It sends and scores scales, keeps each client's history and lets you export it as CSV or PDF, so your team decides what to file and where.

  • Can a 16-year-old in South Carolina consent to counselling without a parent?

    Under S.C. Code 63-5-340, a minor aged 16 or older may consent to any health services from a person authorized to provide them, apart from operations, and 63-5-350 allows services to younger minors without parental consent when the provider judges them necessary. These are general health services rules, so confirm with your counsel how they apply to your services and to sharing a young client's scores. HiBoop's role-based access limits who can see them.

  • Is HiBoop HIPAA compliant for South Carolina practices?

    Yes. HiBoop is HIPAA compliant and signs a business associate agreement with covered entities. South Carolina's own confidentiality rules, such as section 44-22-100 for records identifying mental health and substance use patients, are duties of your organization; ask your counsel about any particular disclosure.

Official sources for South Carolina

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.