Final Public Notice for Supplemental Teaching Physician (STP) Payment Program Primary tabs

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 action regarding its methods and standards for setting payments for the Supplemental Teaching Physician (STP) Payment Program under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective for payments beginning on or after April 1, 2017, the SCDHHS will compute payments under the CMS approved STP Payment Program using calendar year 2016 Medicaid fee for service claims data and commercial payer rates. The Medicaid fee for service claims data will be adjusted by an incurred but not reported (IBNR) factor to account for any incurred calendar year 2016 claims that may pay during the course of calendar year 2017.

SCDHHS is making the change in order to update the STP payments using more current claim and commercial payer data.

SCDHHS projects that based upon the action, annual aggregate Medicaid fee for service expenditures will increase by approximately $1.65 million total dollars.

Copies of this notice are available at each county SCDHHS office and at www.scdhhs.gov 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, Reimbursement Methodology and Policy Department, Room 1226, 1801 Main Street, Columbia, South Carolina, Monday through Friday between 9 a.m.-5 p.m.