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SC Medicaid - SCDHHSMedicaid · Administrative · Provider Communication · SC · GeriatricsMedium impact

Personal Needs Allowance Increase

Effective date
Oct 1, 2025
Identified
Jun 18, 2026

Summary

South Carolina Medicaid is increasing the personal needs allowance for members in skilled nursing facilities and ICF/IIDs from $30 to $60 monthly effective October 1, 2025. Facilities must complete Form MSC002 to update cost of care calculations for existing residents.

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What to do

Action · 3 steps
01Before October 1, 2025: Skilled nursing facilities must complete Form MSC002-PNA indicating current level of care and submit to BlueCross BlueShield.
02ICF/IID facilities must submit the same form to regional claims and collections staff at Office of Intellectual and Developmental Disabilities.
03Contact nursing home liaison at (877) 797-5409 or ICF/IID provider service center at (888) 289-0709 with questions.

Original notice

Personal Needs Allowance Increase
scdhhs.gov · Always check the source before changing claims.
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Related policy hubs

SC Medicaid - SCDHHS policiesSC policy changesGeriatrics

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