09/13/2023 | Press release | Distributed by Public on 09/13/2023 15:13
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 and updating swing bed hospital and administrative day rates.
Pending new federal legislation, implementation of the DSH Patient Protection and Affordable Care Act (ACA) reductions will begin with fiscal year (FY) 2024 and end with FY 2027. The DSH reductions will amount to $8 billion federal dollars each year over a four-year period.
Proposed DSH Changes Effective for the Oct. 1, 2023 Thru Sept. 30, 2024 DSH Payment Period
Proposed Inpatient Hospital Reimbursement Changes Effective Oct. 1, 2023
For DSH changes, SCDHHS proposes to implement bullets one through three to calculate the FFY 2024 DSH payments based on the use of the most recent cost reporting period data available (hospital fiscal year 2022) and updated DSH allotment amounts.
For inpatient hospital changes, SCDHHS proposes to update the swing bed and administrative day rates effective Oct. 1, 2023, based upon the redetermination of nursing facility payment rates effective Oct. 1, 2023.
As a result of the proposed actions listed above, the annual projected cost increases are as follows (in total dollars) - DSH - unable to project since FFY 2024 DSH allotments have not been published by CMS as of the date of this notice; Swing Bed/Administrative Day Rates - immaterial less than $10,000.
Copies of this notice are available at each South Carolina Healthy Connections Medicaid county office and at www.scdhhs.gov for public review. Additional information concerning the proposed actions above are available upon request at the address cited below.
Written comments may be sent to SCDHHS, Division of Acute Care/Ancillary Reimbursements, P.O. Box 8206, Columbia, S.C. 29202-8206. Comments may also be submitted to [email protected]. All comments must be received by 5 p.m. Sept. 27, 2023.
Any written comments submitted may be reviewed by the public at SCDHHS, Division of Acute Care/Ancillary Reimbursements, Room 400-52, 1801 Main Street, Columbia, S.C., Monday through Friday between 9 a.m. and 5 p.m.