SCAM ALERT

Healthy Connections Medicaid team members and managed care plans will never ask for money, gift cards or something else of monetary value via text, email or a phone call. If someone contacts you asking for something of monetary value to get or keep Medicaid coverage, please report it by contacting the Medicaid fraud hotline at (888) 364-3224 Monday through Friday from 8:30 a.m. to 5 p.m. or by sending an email to FraudRes@scdhhs.gov.

Menu
Open Search

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

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 CodeService DefinitionRate on or after July 1, 2024
90791Diagnostic AssessmentHO = $161.55
AH = $235.86
90832Individual Psychotherapy - 30 min.HO = $39.14
AH = $57.15
90834Individual Psychotherapy - 45 min.HO = $78.29
AH = $114.30
90837Individual Psychotherapy - 60 min.HO = $117.43
AH = $171.45
90846Family Psychotherapy w/o Patient - 50 min.HO = $112.32
AH = $163.99
90847Family Psychotherapy w/ Patient - 50 min.HO = $112.32
AH = $163.99
90853Group TherapyHO = $17.48
AH = $25.52
H0031Mental Health Comprehensive Assessment - Follow-UpHO = $80.78
HA = $117.94
H0032Mental Health Service Plan DevelopmentHO = $8.44
AH = $12.32
H2011Crisis InterventionHO = $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.

Print Version

All Communications