State Plan Amendment (SPA)

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following action regarding reimbursement methodologies and rates for certain services provided under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective for dates of service on and after July 1, 2020, SCDHHS will amend the South Carolina Title XIX State Plan toupdate the fee schedule for providers indicated below.

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following action to allow coverage for a 12-month supply of systemic contraceptives through Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective on or after July 1, 2020, SCDHHS will amend the South Carolina Title XIX State Plan to allow, with prescriber’s indication, coverage of up to a 12-month supply of systemic contraceptives.

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 Early Intervention/Family Training Services Program under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following proposed action to allow coverage for a 12-month supply of systemic contraceptives through Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective on or after July 1, 2020, SCDHHS proposes to amend the South Carolina Title XIX State Plan to allow, with prescriber’s indication, coverage of up to a 12-month supply of systemic contraceptives.

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following action regarding the introduction of a therapeutic foster care (TFC) benefit for child Medicaid beneficiaries under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective on or after July 1, 2020, SCDHHS will amend the South Carolina Title XIX State Plan to allow coverage of TFC services for Medicaid-eligible children aged birth to 21-years-old. 

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following actions regarding reimbursement methodology for covered outpatient drugs (COD) purchased through the pharmacy program under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective on or after June 1, 2020, SCDHHS will amend the South Carolina Medicaid State Plan to adopt the following policy changes for CODs purchased through the pharmacy program, as described in attachment 4.19-B of the State Plan.

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).

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 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).

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 actions regarding its methods and standards for establishing Medicaid Disproportionate Share Hospital (DSH) payments to qualifying DSH hospitals, for potentially increasing inpatient hospital per discharge rates and outpatient hospital multipliers, for updating the swing bed hospital and administrative day rates and for updating the South Carolina Department of Mental Health (SCDMH) long-term psychiatric hospita

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 Essential Public Safety Net (EPSN) Nursing Facility Payment Program under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).