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SC Medicaid - SCDHHSMedicaid · Reimbursement · Claims & Billing · SC · PM&R (Physical Medicine & Rehab), NeurologyMedium impact

Residential Habilitation Service Rate Increases for the Intellectual Disability/Related Disabilities and Head and Spinal Cord Injury Waivers

Act
by Nov 1, 2025
Effective date
Nov 1, 2025
Identified
Jun 18, 2026

Summary

South Carolina DHHS is increasing reimbursement rates for residential habilitation services under Intellectual Disability/Related Disabilities and Head and Spinal Cord Injury waivers effective November 1, 2025. Rate increases range from $0.66 to $89.23 per service across various residential care tiers.

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What to do

by Nov 1, 2025 · 4 steps
01Billing team must update Therap billing system and internal fee schedules with new rates for T2016 (with modifiers U1-U8) and T2017 codes.
02Verify updated rates appear in Therap authorizations starting Nov 1.
03Continue using old rates on authorizations for dates of service prior to Nov 1.
04Contact MedicaidWaiver@scdhhs.gov with questions.

Codes mentioned

T2016T2017

Original notice

Residential Habilitation Service Rate Increases for the Intellectual Disability/Related Disabilities and Head and Spinal Cord Injury Waivers
scdhhs.gov · Always check the source before changing claims.
View original ↗

Related changes

See all SC Medicaid - SCDHHS changes →
Rate Updates for State Plan Services and Home and Community-based ServicesMediumEffective Dec 1, 2026 · Claims & BillingBrowse every SC Medicaid - SCDHHS change in the policy list

Related policy hubs

SC Medicaid - SCDHHS policiesSC policy changesPM&R (Physical Medicine & Rehab)NeurologyCode T2016Code T2017

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