Public Notice of Final Action for Updating the Intermediate Care Facilities for Individuals with Intellectual Disabilities and South Carolina Department of Disabilities and Special Needs Early Intervention Medicaid Prospective Payment Rates
The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following actions regarding its methods and standards for paying providers under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Effective for services provided on or after July 1, 2022, SCDHHS will amend the South Carolina Title XIX State Plan by updating the Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Medicaid prospective payment rates and the South Carolina Department of Disabilities and Special Needs (SCDDSN) Early Intervention Medicaid prospective payment rate based upon the 3% cost of living adjustment and employee bonuses authorized by the South Carolina General Assembly for state fiscal year July 1, 2022 through June 30, 2023. Additionally, a rate adjustment to account for the increase in fringe benefit costs, including health insurance and retirement costs, will also be factored into the July 1, 2022 Medicaid reimbursement rates.
As a result of the above actions, the July 1, 2022, aggregate (i.e., institutional and community residences) anticipated weighted average ICF/IID rate is projected to be $437.86. The aggregate weighted average Jan. 1, 2022, rate was $428.26. This represents an aggregate weighted average per diem increase of $9.60 per Medicaid patient day, or a 2.24% increase. In regard to the SCDDSN Early Intervention rate, the rate is projected to increase from $25.54 to $26.04 effective July 1, 2022 and reflects a 1.96% increase. The cost impact relating to the employee bonuses and increased fringe benefit costs are not reflected in the above estimates at this time but will be completed upon receipt of provider payroll data.
SCDHHS estimates that these actions will increase annual aggregate Medicaid expenditures, at a minimum, by approximately $4.45 million (total dollars).
Copies of this notice are available for public review at each South Carolina Healthy Connections Medicaid county office and at www.scdhhs.gov for public review. Additional information regarding these actions described above is available upon request at the address cited below.
Any written comments submitted may be reviewed by the public at SCDHHS, Bureau of Reimbursement Methodology and Policy, 1801 Main Street, Room 400-52 Columbia, South Carolina, Monday through Friday between the hours of 9 a.m. and 5 p.m.