State Plan Amendment (SPA) Notices

Final Action for Autism Spectrum Disorder (ASD) Rate Setting Methodology

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following action regarding autism spectrum disorder (ASD) services under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Final Action for the Incorporation of Institutions for Mental Diseases and Opioid Treatment Program Clinics in the Coordinated Care Benefit

The South Carolina Department of Health and Human Services (SCDHHS) gives notice regarding the inclusion of benefits for inpatient psychiatric care for children delivered in institutions for mental diseases (IMDs) and for services provided in opioid treatment program (OTP) clinics to capitated managed care, pursuant to the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Final Action for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)

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

Final Action for Professional Service Fee Schedules

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following action regarding professional service fee schedules under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).


Effective for dates of service on and after July 1, 2019, SCDHHS will amend the South Carolina Title XIX State Plan to update the fee schedule for providers indicated below. 

Proposed Action for Autism Spectrum Disorder (ASD) Rate Setting Methodology

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following proposed action regarding autism spectrum disorder (ASD) services under the state plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Proposed Action for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)

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

Final Action for the Supplemental Teaching Physician (STP) 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 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).

Public Notice of Proposed Action for the Supplemental Teaching Physician (STP) 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 (STP) Payment Program under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Public Notice of Proposed Action for the FFY 2019 DSH Payments and Swing Bed and Administrative Day Rate Changes

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 actions regarding its methods and standards for establishing Medicaid Disproportionate Share Hospital (DSH) payments to qualifying DSH hospitals, adjusting the SC Medicaid DSH Audit Redistribution Policy, and for updating the swing bed hospital and adminis

Public Notice of Proposed Action for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID

The South Carolina Department of Health and Human Services (Department), pursuant to the requirements of Section 1902(a)(13)(A) of the Social Security Act, gives notice of the following proposed actions regarding its methods and standards for paying providers under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Public Notice of Proposed Action for the Coverage of Opioid Treatment Program (OTP) Services

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following proposed action regarding the coverage of opioid treatment program (OTP) services under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Public Notice of Final Action for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)

The South Carolina Department of Health and Human Services (Department), 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 paying providers under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Public Notice of Final Action for Setting Payment Rates for Long Term Care Facility Services (Excluding State Owned Nursing Facilities)

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 actions regarding its methods and standards for setting payment rates for long term care facility services (excluding state owned nursing facilities) under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Public Notice of Proposed Action for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)

The South Carolina Department of Health and Human Services (Department), 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 paying providers under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Public Notice of Proposed Action for Non-Emergency Medical Transportation (NEMT) Nursing Facility Add-On

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 payment rates for long term care facility services under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Proposed Action for Setting Payment Rates for Long Term Care Facility Services (Excluding State Owned Nursing Facilities)

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 actions regarding its methods and standards for setting payment rates and Essential Public Safety Net payments for long term care facility services (excluding state owned nursing facilities) under the State Plan under Title XIX of the Social Security Act M

Public Notice of Final Action for Third Party Liability (TPL) Health Recovery CyclePublic Notice of Final Action for Third Party Liability (TPL) Health Recovery Cycle

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following actions regarding the TPL Health Recovery Cycle under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid). 

Public Notice of Final Action for the Recovery Audit Contractor (RAC)

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following actions regarding an exception to 42 CFR § 455.502(b), which requires SCDHHS to contract with a Medicaid Recovery Audit Contractor (RAC) under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Public Notice of Final Action for the Psychiatric Residential Treatment Facility (PRTF) Rate Increase

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 Psychiatric Residential Treatment Facilities (PRTFs) under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Public Notice of Proposed Action for Third Party Liability (TPL) Health Recovery Cycle

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following proposed actions regarding the TPL Health Recovery Cycle under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

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