The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following actions regarding reimbursement methodology for Pediatric HIV Clinics (PHC) under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective on or after July 1, 2025, SCDHHS will amend the South Carolina Title XIX State Plan to update the reimbursement methodology for services delivered in PHCs, previously known as Outpatient Pediatric AIDS Clinics. Reimbursement is set at a fixed rate based on providers' cost reports as follows:

• T1015 = $99
• T1025 = $1,031

SCDHHS is making this change to support access to PHC services, standardize reimbursement and improve Medicaid members' health outcomes.

Based on the actions above, SCDHHS anticipates a budget impact of $14,970 total dollars per year.

Copies of this notice are available at South Carolina Healthy Connections Medicaid county offices 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, Office of Health Programs, 1801 Main Street, Columbia, South Carolina, Monday through Friday between the hours of 9 a.m. and 5 p.m.

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