Public Notice of Final Action for Rehabilitative Behavioral Health Services (RBHS) Rate Increases for Services Provided by Master’s Level Practitioners and Licensed Psychologists in Private Organizations
Effective on or after July 1, 2024, SCDHHS will increase rates for core RBHS provided by private master's level practitioners and licensed psychologists. The services impacted by this rate increase are denoted with an HO (master's level) or AH (licensed psychologist) modifier depending on provider type, include the following:
Service Code | Service Definition | Rate on or after July 1, 2024 |
90791 | Diagnostic Assessment | HO = $161.55 |
AH = $235.86 | ||
90832 | Individual Psychotherapy - 30 min. | HO = $39.14 |
AH = $57.15 | ||
90834 | Individual Psychotherapy - 45 min. | HO = $78.29 |
AH = $114.30 | ||
90837 | Individual Psychotherapy - 60 min. | HO = $117.43 |
AH = $171.45 | ||
90846 | Family Psychotherapy w/o Patient - 50 min. | HO = $112.32 |
AH = $163.99 | ||
90847 | Family Psychotherapy w/ Patient - 50 min. | HO = $112.32 |
AH = $163.99 | ||
90853 | Group Therapy | HO = $17.48 |
AH = $25.52 | ||
H0031 | Mental Health Comprehensive Assessment - Follow-Up | HO = $80.78 |
HA = $117.94 | ||
H0032 | Mental Health Service Plan Development | HO = $8.44 |
AH = $12.32 | ||
H2011 | Crisis Intervention | HO = $20.35 |
AH = $29.70 |
SCDHHS is making these changes to support access to behavioral health services, enhance the state's provider network, and ensure services are delivered effectively.
Based on the actions above, SCDHHS projects a budget impact of approximately $299,000 (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.