Investor Presentaiton

Budget Requests (cont.) Decision Package #3 - Service and Rate Changes - $36,787,500 General Funds • The agency is continuously evaluating provider rates across its provider network. Through this decision package, SCDHHS is planning to implement targeted provider rate increases. These changes are essential for maintaining healthy outcomes, as well as access to care, for Medicaid beneficiaries. Rate Increases for Home and Community Based Services (HCBS) Providers - Increase HCBS provider rates to support access to care for the approximately 36,450 members in the HCBS waiver programs $30,500,000 Pediatric Dental Services - Increase rates to improve access to quality and improve patient outcomes. This increase will bring South Carolina's Medicaid reimbursement rates closer to the current average of the American Dental Association's Usual, Customary and Reasonable rate and comparable to Georgia and North Carolina Medicaid rates. Autism Spectrum Disorder - Expand access to medically necessary services for Medicaid dependent children with autism by allowing existing services in a group setting $3,100,000 $1,400,000 $387,500 DAODAS - Increase to existing rates as well as addition of new medical related codes. Addition of new codes will allow County Authorities under DAODAS to provide care to their patients who are often medically compromised Community Residential Care Facility - Increase rates by $25 for Medicaid members who are in the Optional State Supplementation Program $900,000 Anesthesiology Services - Increase the Medicaid reimbursement rate closer to comparable states. South Carolina's rates are 6% lower than North Carolina, 1% lower than Georgia and 41% lower than PEBA $500,000 Total $36,787,500 SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES Healthy Connections MEDICAID 17

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