South Carolina Nursing Home Medicaid
Nursing-facility Medicaid uses a CLTC level-of-care review and a $60 monthly personal-needs allowance.
Nursing-facility care is a Healthy Connections Medicaid service
SCDHHS describes nursing facilities as providers of 24-hour licensed nursing care for people who require skilled or intermediate care. Nursing-facility Medicaid is administered through Healthy Connections Medicaid and the SCDHHS long-term-living structure. The setting decision, level-of-care decision, and Medicaid financial decision each have to support payment (SCDHHS Nursing Facilities; SCDHHS Long-Term Living).
South Carolina says Community Long Term Care nurse consultants conduct nursing-facility level-of-care reviews. The agency identifies the possible outcome as skilled or intermediate level of care. A medical need for help at home or a hospital recommendation is important evidence, but the Medicaid level-of-care result is the state clinical review that governs this program pathway (SCDHHS Nursing Facilities).
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