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.
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 2026SCDHHS 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-CASIIDepartment of Behavioral Health and Developmental Disabilities
Act 3 of 2025Signed 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 sharingCollaborative Care in Healthy Connections
Since October 2024SCDHHS 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 99494G2214RegistryLicensing and Compacts
SC LLRCounsellors 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
Regions hereOther regionsLow CO₂ (Google)Local guides
Hosted in the United States
HiBoop runs on Google Cloud, and US customers' data is hosted in Google Cloud US regions. These are Google's regions in the United States. Google Cloud locations
Google Cloud regions
- Moncks Corner, South Carolina In this region
us-east1 - Council Bluffs, Iowa Low CO₂ · 88% carbon-free
us-central1 - Ashburn, Virginia
us-east4 - Columbus, Ohio
us-east5 - Dallas, Texas Low CO₂ · 83% carbon-free
us-south1 - The Dalles, Oregon Low CO₂ · 83% carbon-free
us-west1 - Los Angeles, California
us-west2 - Salt Lake City, Utah
us-west3 - Las Vegas, Nevada
us-west4
Low CO₂ is Google's label for a region that ran on carbon-free energy at least 75% of the time in 2025. Google's figures
- Moncks Corner, South Carolina In this region
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.
CareOne clinician, paid monthly$25USD/monthTeamEntry price, unlimited clinicians$200USD/monthNetworkFor organizations across several sitesCustomEnterprise 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.
- Tech eligible
SAMHSA — Substance Abuse and Mental Health Services Administration
Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants
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 - Tech eligible
SAMHSA
Mental Health Block Grant (MHBG)
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 - Tech eligible
SAMHSA
Primary and Behavioral Health Care Integration (PIPBHC)
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 - Tech eligible
HRSA — Health Resources and Services Administration
Rural Health Network Development Program
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 - Tech eligible
HRSA
Behavioral Health Workforce Development Program
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 - Tech eligible
CMS Innovation Center (CMMI)
ACCESS Model — Behavioral Health Track
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
Official bodies, clinical guidelines, and regulatory references. South Carolina.
- RBHS and LIP provider manuals published (Medicaid Bulletin, July 2026)
SCDHHS
The bulletin putting the updated behavioural health manuals into effect from 1 July 2026.
- LIP Provider Training (July 2026)
SCDHHS
What changed in the Licensed Independent Practitioner manual, including screening, documentation and crisis safety plans.
- Psychiatric Collaborative Care Model coverage (September 2024)
SCDHHS
Coverage from 1 October 2024, the registry requirement, frequency limits and base rates.
- Code of Laws Title 44, Chapter 12 (online unannotated version, not the official code)
South Carolina Legislature
The Department of Behavioral Health and Developmental Disabilities, including its collaboration technology duty.
- Code of Laws Title 63, Chapter 5, minor consent (online unannotated version, not the official code)
South Carolina Legislature
Sections 63-5-340 and 63-5-350 on minors' consent to health services.
- Community mental health centre directory
BHDD Office of Mental Health
The 16 centres and the counties each serves.
- Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, Addiction Counselors and Psycho-Educational Specialists
SC Department of Labor, Licensing and Regulation
Licensing for counsellors, marriage and family therapists and addiction counsellors.
- Gov. McMaster Signs Behavioral Health Restructuring Bill Into Law
Office of the Governor, news release (2025)
The ceremonial signing in June 2025 of S. 2, which merged the former Department of Mental Health and other agencies into the cabinet-level Department of Behavioral Health and Developmental Disabilities.
- Healthy Connections Medicaid Managed Care
SCDHHS
Most Healthy Connections Medicaid members are enrolled in a managed care plan.
- Code of Laws Title 44, Chapter 22, rights of mental health patients (online unannotated version, not the official code)
South Carolina Legislature
Section 44-22-100 on the confidentiality of records that identify a patient or former patient.
- Code of Laws Title 40, Chapter 55, psychologists and PSYPACT (online unannotated version, not the official code)
South Carolina Legislature
PSYPACT, enacted in South Carolina in 2022.
- 2023-2024 Bill 610: Professional Counseling Compact, ratified as Act No. 189 (2024)
South Carolina Legislature
The Counseling Compact, signed by the governor on 21 May 2024.
- Board of Social Work Examiners
SC Department of Labor, Licensing and Regulation
Licensing for social workers.
- Board of Examiners in Psychology
SC Department of Labor, Licensing and Regulation
Licensing for psychologists.
Latest in mental health in California
Recent news, research, and policy from trusted sources.
- ResearchEnhancing a Behavioral Intervention Using Rest-Activity Rhythm Monitoring via a Consumer Wearable in Older Dementia Caregivers and People With Dementia: Feasibility and Acceptability Study.
Stahl ST, Rodakowski J, Patira R — JMIR formative research
JMIR formative research
- ResearchChanges in social connection, physical activity, and positive psychological attributes associated with grief-related symptoms and depression among bereaved older women during COVID-19.
Goveas JS, Ray RM, Pai M — Death studies
Death studies
- ResearchTranslation Validation, Software Adaptation, and Usability Testing of a Spanish Contraception Decision Tool: Protocol for a Mixed Methods Pilot Study.
Kang MM, Perez A, Brooks-Greisen A — JMIR research protocols
JMIR research protocols
- ResearchSmartphone-Based Passive Sensing of Activity Levels and Behavioral Activation During Psychosocial Interventions for Older Adults With Depression: Longitudinal Observational Study.
Kim S, Bein O, Carter E — Journal of medical Internet research
Journal of medical Internet research
- ResearchPatient and Provider Perspective of Cranioelectrical Stimulation for the Management of Persistent Mild Traumatic Brain Injury Symptoms in Veterans and Service Members.
Skop KM, Kern M, Ingram A — Military medicine
Military medicine
- FundingRFK Jr. presents $700 million in mental health funding, but experts say grants aren’t new
RFK Jr. presents $700 million in mental health funding, but experts say grants aren’t new STAT
STAT
Crisis and urgent help lines
If someone is in immediate danger, call 911. HiBoop is not a crisis service.
Emergency
For a life-threatening emergency, call emergency services first.
Suicide & Crisis Lifeline (988)
24/7/365
Crisis Text Line
24/7
Veterans Crisis Line
24/7
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Measurement-based care
…starts with what we measure, and how long.
Send your first check-in today, with your own assessments and clients. For teams, we set up your assessments and schedules with you. Prefer a guided start? You can book a walkthrough on the next page.
Start- Everything in HiBoop, by workflow, and what shipped lately.Features
- 100+ validated measures, with scoring guides and sources.Assessments
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.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
- 2.CMS Physician Fee Schedule look-up · fee schedule
- 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
Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.