Final Public Notice for SCDMH Rate Effective 12/1/15

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).
Effective on or after December 1, 2015, the SCDHHS will amend the South Carolina (SC) Title XIX state plan to allow for the rebasing of the Bryan Psychiatric Hospital's Medicaid per diem rate due to the relocation of the William S Hall beds to the Bryan Psychiatric Hospital campus. Additionally, the SCDHHS will allow for retrospective cost settlement payments beginning with services provided on or after December 1, 2015 and ending September 30, 2017. Effective October 1, 2017, the SCDHHS will revert back to a prospective per diem rate for Bryan Psychiatric Hospital.  
The agency will implement the above actions in order to provide adequate Medicaid reimbursement to the one remaining SCDMH hospital when the two individual long term care psychiatric hospitals are combined into one licensed long term care psychiatric hospital.
The SCDHHS projects that based upon the actions noted above, annual aggregate Medicaid fee for service inpatient hospital expenditures will decrease by approximately $5.0 million (total dollars). 
Copies of this notice are available at each County Department of Health and Human Services Office and at for public review.  Additional information concerning the above actions is available upon request at the address cited below. 
Any written comments submitted may be reviewed by the public at the SCDHHS, Division of Acute Care Reimbursements, Room 1209, 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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