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Public Notice of Final Action for Clinic Services: Mandatory “Four Walls” Exceptions

Public Notice of Final Action for Clinic Services: Mandatory “Four Walls” Exceptions

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following action regarding clinic services mandatory "four walls" exceptions under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective on or after Jan. 1, 2025, SCDHHS will amend the South Carolina Title XIX State Plan to attest to the state's compliance with the Centers for Medicare and Medicaid Services (CMS) final rule amending 42 CFR 440.90, authorizing a mandatory exception to the Medicaid clinic services "four walls" requirement for Indian Health Services (IHS) and Tribal clinics. This action will assure coverage for clinic services outside of the "four walls" of the IHS and Tribal clinics.

Based on the action above, SCDHHS does not anticipate a budget impact.

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

Any written comments submitted may be reviewed by the public at the SCDHHS, Bureau of Policy, 1801 Main Street, Columbia, South Carolina, Monday through Friday between the hours of 9 a.m. and 5 p.m.

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