Actions Regarding Provider Preventable Conditions (PPCs)

PUBLIC NOTICE: 
SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following actions regarding Provider Preventable Conditions (PPCs) to include Hospital Acquired Conditions (HACs), Never Events (NEs), and Other Provider Preventable Conditions (OPPCs) under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective on or after July 1, 2014, SCDHHS will amend the South Carolina Title XIX State Plan to add the following eight Other Provider Preventable Conditions (OPPCs) to the non-payment policy for provider preventable conditions (PPCs) in the current State Plan:

  • Post-operative death in normal healthy patient
  • Death/disability associated with use of contaminated drugs, devices or biologics
  • Death/disability associated with use of device other than intended
  • Death/disability associated to medication error
  • Maternal death/disability with low-risk delivery
  • Death/disability associated with hypoglycemia
  • Death/disability associated with hyperbilirubinemia in neonates
  • Death/disability due to wrong oxygen or gas

SCDHHS will make this change to better align the plan with the desired health outcomes of the Medicaid population. The OPPCs being added are more specific to the Medicaid population, which will ultimately improve the quality of care for these individuals in South Carolina.

While the SCDHHS expects that there may be savings from the implementation of the above policy change, SCDHHS is unable to generate a savings estimate at this time due to the unavailability of relevant data.

Copies of this notice are available at each County Department of Health and Human Services 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, Office of Health Services Jefferson Square Building, 1801 Main Street, Columbia, South Carolina, Monday through Friday between the hours of 9:00 A.M. and 5:00 P.M.

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