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

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 beginning on or after April 1, 2021, SCDHHS will compute payments under the Centers for Medicare and Medicaid Services (CMS) approved STP Payment Program using calendar year (CY) 2020 Medicaid fee-for-service claims data, commercial payer rates, and updated teaching physician listings. The Medicaid fee-for-service claims data will be adjusted by an incurred but not reported (IBNR) factor to account for any incurred CY 2020 claims that may pay during CY 2021.

SCDHHS is making this change in order to update the STP payments using more current claim and commercial payer data as well as updated teaching physician listings.

SCDHHS projects that based upon the STP payment action, annual aggregate Medicaid fee-for-service expenditures will decrease by approximately two million ($2,000,000) total dollars. This reduction in expenditures can be attributed to a reduction in claims volume that occurred as a result of the issuance of the national health emergency declaration.

Copies of this notice are available at each South Carolina Healthy Connections Medicaid county office and at www.scdhhs.gov for public review. Additional information regarding this action is available upon request at the address cited in this public notice.

Any submitted written comments may be reviewed by the public Monday through Friday between 9 a.m.-5 p.m. at the Reimbursement Methodology and Policy Department, SCDHHS, Room 1219, 1801 Main Street, Columbia, SC.

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