SC-14-016

This plan amendment updates the outpatient hospital multiplier. Specifically, the following changes are being made: (1) caps the October 1, 2013 hospital specific outpatient multiplier at the 75th percentile for all South Carolina (SC) general acute care hospitals, SC long term acute care hospitals, and the qualifying out of state border general acute care hospitals, and with the exception of Direct Medical Education; (2) qualifying hospitals whose hospital specific outpatient multiplier falls below the 10th percentile will be reimbursed at the 10th percentile; (3) hospitals eligible to receive retrospective cost reimbursement and fall under the 10th percentile will be eligible to receive Medicaid outpatient hospital reimbursement in excess of cost excluding any teaching hospitals.