Optional State Supplementation (OSS) Rate Increases
The South Carolina Department of Health and Human Services is increasing the reimbursement rates for OSS providers effective for dates of service beginning July 1, 2022. Through the rate increase, all OSS providers will receive a $100 rate increase per resident. The net income limit (NIL) will increase by $100 from $1,526 to $1,626.
The new daily rate per resident amounts that are being used to calculate payments for July 2022 through December 2022 dates of service are as follows:
| Date of Service Daily | Rate per Resident |
|---|---|
| July 2022 | $52.45 |
| August 2022 | $52.45 |
| September 2022 | $54.20 |
| October 2022 | $52.45 |
| November 2022 | $54.20 |
| December 2022 | $52.45 |
The OSS payments made on behalf of residents to CRCFs are considered payment in full. Any differences caused by rounding in the payment system cannot be billed to the resident or deducted from the resident’s personal needs allowance. For additional information, please refer to the Optional State Supplementation Services Provider Manual.
Providers with questions about the rate increases announced in this bulletin should email Provider-Distribution@scdhhs.gov .
Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.