Home and Community Based Waivers Rate Increases. Clarification of Change in Reimbursement for Adult Day Health Care Transportation


This Medicaid bulletin is being re-sent because the rate cited for adult day health care transportation was incorrectly stated in the original bulletin dated October 2nd. We have corrected this information below and we apologize for any inconvenience this may have caused.


Effective November 1, 2012, the South Carolina Department of Health and Human Services (SCDHHS) will increase reimbursement for Adult Day Health Care (ADHC) services in the Community Long Term Care and Disabilities and Special Needs waiver programs. 


The following table lists the current procedure code utilized for each waiver:


Procedure Code

Procedure Description

Current Rate

New Rate

Community Choices










Community Supports


Community Supports ADHC




Effective January 1, 2013, SCDHHS will also change the method for reimbursement of transportation in the Home and Community Based Waiver programs.  This change will include reimbursement for one-way transportation to or from the ADHC center for participants within 15 miles of the center. 


The change will include a reimbursement of $7.13 rate for one-way transportation and a $14.26 rate for round trip transportation.  The unit of service will be 1 unit for one-way and 2 units for round trip transportation.


If you have questions concerning the above information, please contact your program manager at (803) 898-2590. Thank you for your continued participation in the South Carolina Medicaid Program.

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