Proposed ICF-ID Rates


The South Carolina Department of Health and Human Services (Department), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following proposed actions 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 for services provided on or after May 1, 2014, the Department proposes to amend the South Carolina (SC) Title XIX State Plan by updating the Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Medicaid prospective payment rates using the most recent cost report data available (i.e. July 1, 2010 through June 30, 2011) and updated CMS SNF PPS Market Basket rates.

As a result of the above actions, the May 1, 2014 aggregate (i.e. institutional and community residences) weighted average rate is projected to be $328.37. The aggregate weighted average April 30, 2014 rate was $319.26. This represents an aggregate weighted average per diem increase of $9.11 per Medicaid patient day, or a 2.85% increase.

The Department estimates that the proposed actions will increase annual aggregate Medicaid expenditures by approximately $4.36 million (total dollars).

Copies of this notice are available for public review at each County Department of Health and Human Services Office and at for public review. Additional information regarding these actions is available upon request at the address cited below.

Written comments may be sent to the Bureau of Reimbursement Methodology and Policy, Department of Health and Human Services, Post Office Box 8206, Columbia, South Carolina 29202-8206. Written comments must be received by close of business April 23, 2014.

Any written comments submitted may be reviewed by the public at the Department of Health and Human Services, Bureau of Reimbursement Methodology and Policy, 1801 Main Street, Room 1209, Columbia, South Carolina, Monday through Friday between the hours of 9:00 A.M. and 5:00 P.M.

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