South Carolina Department of Health and Human Services
09/15/2025 | Press release | Distributed by Public on 09/15/2025 11:57
Updates to Adult Day Health Care Service Rates
The South Carolina Department of Health and Human Services (SCDHHS) will increase the reimbursement rate for the adult day health care (ADHC) service provided to certain South Carolina Healthy Connections Medicaid members who participate in home and community-based services (HCBS) waiver programs operated by SCDHHS and the South Carolina Department of Behavioral Health and Developmental Disabilities' Office of Intellectual and Developmental Disabilities.
Effective for dates of service on or after Oct. 1, 2025, the reimbursement rate for ADHC services billed using Healthcare Common Procedure Coding System (HCPCS) code S5102 will increase from $72 to $80 per day. The reimbursement rate will be updated in the HCBS Waiver Fee Schedule available on SCDHHS' website by Oct. 1, 2025.
The rate increase for HCPCS code S5102 is limited to services rendered to Healthy Connections Medicaid members who participate in the following waiver programs:
- Community Choices
- Community Supports
- Intellectual Disability/Related Disabilities
Providers should direct any questions related to this bulletin to the Provider Service Center at (888) 289-0709. The Provider Service Center's hours of operation are 7:30 a.m.-5 p.m. Monday-Thursday and 8:30 a.m.-5 p.m. Friday. You can also email [email protected].
South Carolina Department of Health and Human Services published this content on September 15, 2025, and is solely responsible for the information contained herein. Distributed via Public Technologies (PUBT), unedited and unaltered, on September 15, 2025 at 17:57 UTC. If you believe the information included in the content is inaccurate or outdated and requires editing or removal, please contact us at [email protected]