Rate Increase for Home Delivered Meals (S5170)
The South Carolina Department of Health and Human Services (SCDHHS) has increased the reimbursement rate for the home delivered meals (HDM) service provided to Healthy Connections Medicaid members participating in waiver programs operated by SCDHHS.
Effective for dates of service on or after March 1, 2022, the rate for HDM billed using the Healthcare Common Procedure Coding System (HCPCS) code S5170 increased to $6.40 per unit. HDM billed under HCPCS code S5170 for dates of service prior to March 1, 2022, will be reimbursed at $5.23 per unit. The rate increase is reflected in the Community Long Term Care (CLTC) fee schedule available on SCDHHS' website.
The rate increase for HCPCS code S5170 is limited to services rendered to Healthy Connections Medicaid members participating in the following waivers:
- Community Choices (CC)
- Mechanical Ventilator Dependent (Vent)
- Intellectual Disability/Related Disabilities (ID/RD) and Community Supports (CS): allowed temporarily during public health emergency for Adult Day Health Care (ADHC) recipients who are not able to access ADHC due to program shutdown or personal health.
Providers should direct any questions related to this bulletin to the Provider Service Center at (888) 289-0709. The Provider Service Center’s hours of operation are 7:30 a.m.-5 p.m. Monday-Thursday and 8:30 a.m.-5 p.m. Friday.
Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.