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Public Notice of Final Actions for Autism Spectrum Disorder (ASD)

The South Carolina Department of Health and Human Services gives notice of the following action regarding Autism Spectrum Disorder (ASD) Services under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective on or after July 1, 2017, SCDHHS will amend the South Carolina Title XIX State Plan to include coverable services for ASD. These services are intended to provide medically necessary treatment to individuals with a confirmed diagnosis of ASD. These services may be provided in the beneficiary's home, in a clinic, and in their community setting. ASD services would be available to medically eligible beneficiaries ages 0-21 and ASD services must be provided consistent with approved AMA CPT and HCSPCs code sets.

SCDHHS projects that based upon the actions, annual aggregate Medicaid expenditures will increase by approximately $39.6 million (total dollars) in the initial year.

Copies of this notice are available at each County Department of Health and Human Services Office and at for public review. Additional information regarding this action is available upon request at the address cited below.

Any written comments submitted may be reviewed by the public at the SCDHHS, Division of Behavioral Health, Jefferson Square Building, 1801 Main Street, Columbia, South Carolina, Monday through Friday between the hours of 9:00 A.M. and 5:00 P.M.

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