Public Notice of Final Action for the Supplemental Teaching Physician (STP) Payment Methodology Update

PUBLIC NOTICE: 
SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN 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 action regarding its methods and standards for setting payments for the Supplemental Teaching Physician (STP) Payment Program under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective for payments on or after April 1, 2018, the SCDHHS will compute payments under the Centers for Medicare and Medicaid Services (CMS) approved STP Payment Program using calendar year 2017 teaching physicians of qualifying STP providers, Medicaid fee for service claims data, and commercial payer rates. The Medicaid fee for service claims data will be adjusted by an incurred but not reported (IBNR) factor to account for any incurred calendar year 2017 claims that may pay during the course of calendar year 2018.

SCDHHS is making the change in order to update the STP payments using more current claim and commercial payer data as well as updated teaching physicians lists of qualifying STP providers. 

SCDHHS projects that based upon the action, annual aggregate Medicaid fee for service expenditures will increase by approximately one (1) million total dollars. 

Copies of this notice are available at each county SCDHHS 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, Reimbursement Methodology and Policy Department, Room 1219, 1801 Main Street, Columbia, South Carolina, Monday through Friday between 9 a.m.-5 p.m.

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