Proposed Action for the Home-Based Private Duty Nursing Services Program

The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following proposed action regarding its methods and standards for setting payments for the Home-Based Private Duty Nursing Services Program under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective for services provided on or after Jan. 1, 2020, SCDHHS proposes to increase the home-based private duty nursing service regular registered nurse (RN) and licensed practical nurse (LPN) service rates by 5 percent. The RN enhanced and LPN advanced nursing rates will also increase due to the regular RN and LPN services rate increase noted above.

SCDHHS projects that based upon the proposed action, annual aggregate Medicaid fee-for-service expenditures will increase by approximately $1.2 million (total dollars). Additional changes will be made to waiver services not included in this state plan action.

Copies of this notice are available at each South Carolina Healthy Connections Medicaid county office and at www.scdhhs.govfor public review. Additional information regarding this proposed action is available upon request at the address cited below.

Written comments may be sent to the Reimbursement Methodology and Policy Department, SCDHHS, Post Office Box 8206, Columbia, South Carolina 29202-8206. Comments may also be submitted to comments@scdhhs.gov. All comments must be received by Dec. 27, 2019.

Any written comments submitted may be reviewed by the public at the SCDHHS, Reimbursement Methodology and Policy Department, Room 1219, 1801 Main Street, Columbia, South Carolina, Monday through Friday between 9 a.m.-5 p.m.