Optional State Supplementation (OSS) Rate Increases
The South Carolina Department of Health and Human Services (SCDHHS) has increased the reimbursement rates for OSS providers effective for dates of service beginning July 1, 2023. Through the rate increase, all OSS providers will receive a $25 rate increase per resident, per month. The maximum payment allowed to a facility will increase from $1,620 to $1,645. The net income limit will increase from $1,699 to $1,724. The increase in the monthly amount will be reflected in the regularly scheduled check for July 2023 services issued Sept. 1, 2023.
As a reminder, facilities are responsible for ensuring residents receive their personal needs allowance (PNA). The PNA for OSS recipients who receive recurring income only through supplemental security income (SSI) will remain $79 per month. The PNA for OSS recipients who have income other than SSI will remain $99 per month.
The new daily rate per resident amounts used to calculate payments for July - December 2023 dates of service are below.
| Date of Service | Daily Rate per Resident |
|---|---|
| July 2023 | $55.61 |
| August 2023 | $55.61 |
| September 2023 | $57.47 |
| October 2023 | $55.61 |
| November 2023 | $57.47 |
| December 2023 | $55.61 |
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 residents’ PNA. For additional information, refer to the Optional State Supplementation Services provider manual.
Providers with questions about the rate increases announced in this bulletin should email OSS-Policy@scdhhs.gov.
Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.