Proposed Action Regarding Psychiatric Residential Treatment Facility Services



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 payment rates for psychiatric residential treatment facility services (excluding state owned psychiatric residential treatment facilities) under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective for services provided on or after January 1, 2014, SCDHHS proposes to amend the South Carolina Title XIX reimbursement methodology for non-state owned psychiatric residential treatment facilities by increasing the current Medicaid reimbursement rates by five percent (5%).

SCDHHS is proposing the above change in order to provide an interim rate increase for the non-state owned psychiatric residential treatment facilities until a new Medicaid payment methodology is developed and implemented for these providers by SCDHHS.

As a result of the proposed action relating to the Medicaid reimbursement methodology outlined above effective for services provided on and after January 1, 2014, the weighted average rate is projected to be $306.04.  The weighted average December 31, 2013 rate was $291.47.  This represents a weighted average per diem increase of $14.57 per Medicaid patient day, or a 5.0% increase.

SCDHHS projects that based upon the proposed action, annual aggregate expenditures will increase by approximately $1,456,000.

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 proposed action is available upon request at the address cited below.

Written comments may be sent to the Division of Acute Care Reimbursements, South Carolina Department of Health and Human Services, Post Office Box 8206, Columbia, South Carolina 29202-8206.  Comments may also be submitted to  Written and e-mailed comments must be received by close of business December 11, 2013.

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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