State Plan Amendment (SPA)

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 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 psychiatri

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 Home-Based Private Duty Nursing 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 actions regarding the reintroduction of podiatry benefits for adult Medicaid beneficiaries under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective on or after Jan. 1, 2020, SCDHHS proposes to amend the South Carolina Title XIX State Plan to allow coverage of podiatry services for Medicaid eligible adults over age 21.

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 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).

The South Carolina Department of Health and Human Services (SCDHHS) gives notice that the revised South Carolina Home and Community-Based Services (HCBS) Statewide Transition Plan, required per Centers for Medicare and Medicaid Services (CMS) HCBS Rule (42 CFR 441.301(c)(6)), was submitted to CMS for review. It will become effective upon CMS approval.

Revisions
The following is a summary of the revisions, by section, made in the South Carolina HCBS Statewide Transition Plan (initially approved by CMS Nov. 3, 2016):

Section 1: Introduction

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following action regarding the SUPPORT for Patients and Communities (SUPPORT) Act 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 action regarding autism spectrum disorder (ASD) services 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 regarding the inclusion of benefits for inpatient psychiatric care for children delivered in institutions for mental diseases (IMDs) and for services provided in opioid treatment program (OTP) clinics to capitated managed care, pursuant to 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 action regarding professional service fee schedules 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, 2019, SCDHHS will amend the South Carolina Title XIX State Plan to update the fee schedule for providers indicated below. 

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 paying providers under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).