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Public Notice of Final Action for Home-Based Private Duty Nursing Rate Increase

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following actions regarding rates for home-based private duty nursing under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective for services on or after Jul. 1, 2024, SCDHHS will amend the South Carolina Title XIX State Plan to increase rates for the following services:

DescriptionCodeCurrent RateNew Rate
Enhanced home-based private duty nursingT1002$45/hr.$50/hr.
Home-based private duty nursingS9123$42/hr.$47/hr.

SCDHHS is updating rates to support the provider network and ensure access to care for these services.

Based on the action above, SCDHHS anticipates a budget impact of approximately $2.8 million (total dollars) per year.

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 these actions 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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