Public Notice of Final Action for Pediatric Inpatient Rehabilitation

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following actions regarding pediatric inpatient rehabilitation services under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective on or after July 1, 2023, SCDHHS will amend the South Carolina Title XIX State Plan to revise the reimbursement methodology for the facility/technical component of the pediatric inpatient rehabilitation services to “a per-diem payment.” Professional services will continue to be reimbursed based on the respective provider services’ reimbursement methodology approved in the State Plan under the respective sections.

These changes ensure that comprehensive, individually tailored care plans that meet the physical, developmental, social, psychological, and educational needs are available and accessible to the patient and the patient’s family.

Based on the actions above, SCDHHS anticipates a budget impact of approximately $294,000 (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 SCDHHS, Bureau of Policy, 1801 Main Street, Columbia, South Carolina, Monday through Friday between the hours of 9 a.m. and 5 p.m.