The purpose of this SPA is to update the Program of All-Inclusive Care for the Elderly (PACE) rate methodology in the South Carolina State Plan.

This plan amendment implements community mental health center and substance use disorder agency inflationary rate increases appropriated by the state legislature during the 2021 legislative session

Allows Physician Assistants to bill independently for service, and further includes physician assistants within the payment rate of the other providers affiliated within the University of Utah Medical Group

updates the current total amount of the Small Rural Disproportionate Share Hospital (SRDSH) “payment pool” through which SRDSH payments are made

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to cover hospital swing bed services in cases where a nursing home bed is not available.

Updated the fee schedule effective dates for several Medicaid programs and services.

Extends the supplemental payments for qualifying, private hospitals and nursing facilities, for an additional state fiscal year.

Termination of Health Home program; removal of references in State Plan pages.