Regarding Payment Rates For 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 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 will 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 will implement 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 this 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 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.

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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