Supplemental Teaching Physician Payment Program



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 Payment Program under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Effective for services provided on or after July 1, 2014, SCDHHS proposes to amend the South Carolina Title XIX Supplemental Teaching Physician reimbursement methodology to become compliant with the Centers for Medicare and Medicaid Services (CMS) guidance.  SCDHHS proposes to make the following changes:

  • Remove the cap on the number of teaching physicians that can be used to establish the supplemental teaching physician payment.
  • Establish/define teaching physician qualification criteria.
  • Revise the supplemental teaching physician payment calculation methodology from 35% of billed charges to payment up to the average commercial rate.

SCDHHS is proposing the above changes in order to become compliant with CMS guidance relating to the calculation of the supplemental teaching physician payments.

SCDHHS projects that based upon the proposed actions, preliminary estimates of the changes in annual aggregate expenditures could result in payment reductions of approximately $20 million total dollars.

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.

Written comments may be sent to the Division of Acute Care Reimbursements, South Carolina Department of Health and Human Services, Post Office Box 8206, Columbia, South Carolina 29202-8206.  Comments may also be submitted to .  Written and e-mailed comments must be received by close of business April 2, 2014.

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.

Print Version

Report Fraud