Provider Rate Increases for Home and Community Based Waiver Services
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This bulletin announces increased reimbursement rates for specific Home and Community-Based Services (HCBS) delivered through multiple South Carolina Medicaid waiver programs and informs affected waiver service providers of the new rates effective January 1, 2023.
Multiple HCBS waiver service reimbursement rates were increased with new per-unit amounts effective Jan. 1, 2023.
Waiver Service Rate Updates
Waiver service rate updates
New reimbursement rates by service and waiver:
Affected HCBS Waiver Service Codes & Representative Rates
| G9012 | Case Management, CLTC Waivers |
| S9124 | Medicaid Nursing - LPN (CLTC and ID/RD & HASCI waivers) |
| S5130 | Personal Care I |
| T1019 | Personal Care II |
| S9123 | Medicaid Nursing - RN |
| T1003 | Enhanced Nursing Services - LPN |
| S5150 | Respite In Home |
| S5151 | Respite In Home (daily) |
| S5125 | Adult Attendant Care / Attendant Care |
| S5135 | Adult Companion Services |
Fee Schedule Update and Provider Contact
Fee schedule update and contact
The CLTC Fee Schedule will be updated to reflect the new reimbursement rates by Jan. 1, 2023. Providers with questions about this bulletin should contact SCDHHS program staff at MedicaidWaiver@scdhhs.gov.
HCBS Waiver Programs
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