Public Notice of Proposed 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 proposed 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, 2020, SCDHHS proposes to compute payments under the Centers for Medicare and Medicaid Services (CMS) approved STP Payment Program using calendar year (CY) 2019 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 2019 claims that may pay during CY 2020.

SCDHHS is making the proposed 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 proposed action, annual aggregate Medicaid fee-for-service expenditures will increase by approximately four million ($4,000,000) total dollars.

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

Written comments may be sent to the Reimbursement Methodology and Policy Department, SCDHHS, PO Box 8206, Columbia, SC 29202-8206. Comments may also be emailed to comments@scdhhs.gov. All comments must be received by March 29, 2020.

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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