Public Notice of Final Action for Updates to Selective Contracting under a 1932 State Plan Option
The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following actions regarding selective contracting of managed care organizations (MCOs) under a 1932 State Plan Option under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Effective on or after Oct. 1, 2024, SCDHHS will amend the South Carolina Title XIX State Plan to enhance SCDHHS' process for contracting with MCOs. These enhancements will lead to a well-defined process for the selection of MCOs and will set a minimum and maximum number of contracted plans. Through this process SCDHHS believes these enhancements will significantly increase the overall effectiveness of its managed care program, ultimately benefiting Healthy Connections Medicaid members and the state's provider community.
Based on the actions above, SCDHHS does not anticipate a budget impact.
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, Office of Health Programs, 1801 Main Street, Columbia, South Carolina, Monday through Friday between the hours of 9 a.m. and 5 p.m.