Public Notice of Proposed 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 proposed 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, SCDHHSproposes to 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 anticipated three percent cost of living adjustment to be authorized by the South Carolina General Assembly for state fiscal year July 1, 2022 through June 30, 2023.
As a result of the above action, the July 1, 2022, aggregate (i.e., institutional and community residences) 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 expected to increase from $25.54 to $26.04 effective July 1, 2022 and reflects a 1.96% increase.
SCDHHS estimates that these proposed actions will increase annual aggregate Medicaid expenditures 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 the proposed actions described above is available upon request at the address cited below.
Written comments may be sent to the attention of Reimbursement Methodology and Policy, SCDHHS, Post Office Box 8206, Columbia, South Carolina 29202-8206. All comments must be received by June 18, 2022. 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.