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Rate Updates for Home and Community-based Services and State Plan Services


Effective for dates of service on and after July 1, 2024, the South Carolina Department of Health and Human Services (SCDHHS) is increasing reimbursement rates for private duty nursing services and the home and community-based services (HCBS) provided through the state's 1915(c) waiver programs that are listed in this bulletin. The reimbursement rates, procedure codes and any billing modifiers will be updated in the HCBS Waiver Fee Schedule available on SCDHHS' website by July 1, 2024.

Rate Increases for State Plan Services

Updated reimbursement rates for services rendered to Healthy Connections Medicaid members covered by the State Plan are listed in the table below.

DescriptionProcedure CodeCurrent RateNew Rate
Enhanced Nursing Services*T1002$45/hour$50/hour
Nursing ServicesS9123$42/hour$47/hour

*Enhanced Nursing (for children with complex medical conditions)

Rate Increases for HCBS Waiver Services

Updated reimbursement rates for services rendered to Healthy Connections Medicaid members enrolled in the listed 1915(c) waivers are listed in the table below.

DescriptionAffected Waivers*Procedure CodeCurrent RateNew Rate
Adult Day Health CareCC, CS, ID/RDS5102$64/day$72/day
Home-delivered MealsCC, HIV/AIDS, VENTS5170$6.40/unit$7.40/unit
Nursing (In-home)ID/RD, HASCI, HIV/AIDS, VENTS9123$42/hour$47/hour
Nutritional SupplementsCC, HIV/AIDSX1939$33/unit, $45/unit - diabetic$41.25/unit, $56.25/unit - diabetic
Nutritional SupplementsVENTX9202$33/unit, $45/unit - diabetic$41.25/unit, $56.25/unit - diabetic
Pest ControlCC, HIV/AIDS, VENTS5121$42.75/ treatment$66.50/ treatment
Pest ControlID/RD, HASCIS5121$45/ treatment$66.50/ treatment
Residential HabilitationID/RD, HASCIT2016 - U8$472.52/day$514.97/day
Residential HabilitationID/RD, HASCIT2016 - U7$402.36/day$439.06/day
Residential HabilitationID/RD, HASCIT2016 - U6$340.49/day$370.82/day
Residential HabilitationID/RD, HASCIT2016 - U5$291.02/day$316.23/day
Residential HabilitationID/RD, HASCIT2016 - U4$246.85/day$267.49/day
Residential HabilitationID/RD, HASCIT2016 - U3$101.42/day$104.46/day

*Waiver acronyms: Acquired Immunodeficiency Syndrome/Human Immunodeficiency Virus (HIV/AIDS); Community Choices (CC); Community Supports (CS); Head and Spinal Cord Injury (HASCI); Intellectual Disability/Related Disabilities (ID/RD); Mechanical Ventilator Dependent (VENT)

The new rates, including procedure codes and modifiers, will be reflected on the HCBS fee schedule by July 1, 2024. Providers should direct any questions related to this bulletin to SCDHHS program staff at

Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.

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