Rehabilitative Behavioral Health and Substance Use Services Rate Increases
Effective date
Dec 1, 2025
Identified
Jun 18, 2026
Summary
Effective for dates of service on or after Dec. 1, 2025, South Carolina Medicaid updated the reimbursement methodology and rates for Medicaid State Plan services rendered by rehabilitative behavioral health (RBHS) providers, Office of Substance Use Services-affiliated organizations and licensed independent practitioners (LIPs). The Department of Alcohol and Other Drug Abuse Services Fee Schedule will be renamed to align with the Office of Substance Use Services. The December 17, 2025 update also changed H0032 from a 15-minute timed unit to a 30-minute encounter for RBHS providers, changed H0002 from a timed unit to an untimed encounter, and corrected the H0038 peer support rate to $14.48 per unit.
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021, 2025: Check the updated rates on the SCDHHS website fee schedules for RBHS services, substance use services and LIP services, which the source says reflect the new rates for dates of service on or after Dec.
031, 2025.
04H0032 is a 30-minute encounter for RBHS providers, with a coverage limitation of six encounters per rolling 12 months per patient.
05H0002 is an untimed encounter, with a coverage limitation of one encounter per day per patient.
06H0038 individual peer support is paid at $14.48 per unit.
07For members enrolled in a South Carolina Medicaid managed care organization (MCO), the MCO is responsible for authorizations, coverage and reimbursement.
08Direct questions to MedicaidStatePlan@scdhhs.gov or the Provider Service Center at (888) 289-0709.
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