ADHC Service Rate Increase

 

Effective for services provided on or after July 1, 2013, The South Carolina Department of Health and Human Services (SCDHHS) will increase reimbursement for Adult Day Health Care Services. 

The following table lists the waiver program, current procedure codes,and rate utilized for each waiver:

 

Waiver

Program

Procedure Code

Procedure Description

Current

rate

New Rate

(effective 7/1/2013)

Community Choices

 

ID/RD

 

Community Supports

LTC10

 

 

X6987

 

X6987

CLTC Adult Day Care

 

 

ID/RD Adult Day Care

 

Community Supports Adult Day Care

 

43.75

 

 

 

43.75

 

 

43.75

 

48.13

 

 

 

48.13

 

 

48.13

 

All Adult Day Health Care provided for Medicaid beneficiaries should be billed directly to Medicaid.  The Adult Day Health Care benefit is currently not covered through managed care organizations.  Thank you for your continued support of the South Carolina Medicaid Program.

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