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Home and Community-Based Services should take place in an integrated setting.

Home and Community-Based Services should give people access to their community.

Home and Community-Based Services should focus on individuals’ goals.

Home and Community-Based Services should provide people with choices.

The South Carolina Department of Health and Human Services (SCDHHS) is working with providers to fulfill the promise of the home and community-based services (HCBS) rule. SCDHHS will review and possibly update some waiver programs. This is an opportunity to serve people better and we want Healthy Connections providers to be part of that process.


HCBS Deadline Extension - July 2020 Update

NEW: CMS issued an extension of the HCBS deadline for the settings criteria until March 2023.  This extension only applies to HCBS settings as they were the only part of the regulation that had a transition period.  All other requirements (person-centered planning and conflict-free case management) were (and still are) to be in place effective March 17, 2014.

Click here to read the CMS State Medicaid Director Letter and Revised Frequently Asked Questions.

SCDHHS and SCDDSN are working on revised deadlines for general setting remediation and the HCB Quality Review Process. The revised deadlines will be shared once finalized.


HCBS Requirements and Guidance

Click Here to see some of the requirements for providers of home and community-based services.

CMS has provided states with additional guidance, exploratory questions, and question and answer documents to aid states with the transition time period.

  • Click here to read the exploratory questions on residential settings.
  • Click here to read the exploratory questions on non-residential settings.
  • Click here to read general Questions and Answers on the HCBS rule.
  • Click here to read specific Questions and Answers on HCB settings.


HCBS Settings Assessment Data Webinar

This webinar reviewed the HCBS settings assessment data conducted by PCG on DDSN-contracted provider settings. We reviewed some of the global findings, discussed compliance action plans and their requirements, what provider resources are available, and looked ahead at the heightened scrutiny process.


  • Kelly Eifert, Ph.D., Project Manager, Long Term Care and Behavioral Health, SCDHHS
  • Susan Beck, Ed.S., L.P.E.S., N.C.S.P., Associate State Director - Policy, SCDDSN
  • Ann Dalton, MHA, CQA, CPM, Director, Quality Management Division, SCDDSN

Access the slides here

South Carolina HCBS Statewide Transition Plan

The first part of the process is creating a South Carolina Transition Plan for the waiver programs. The South Carolina Statewide Transition Plan is available for reading in the "Resources" section of this website. This plan received Initial Approval from Centers for Medicare and Medicaid Services (CMS) on November 3, 2016.  The plan received Final Approval from CMS on February 4, 2020. The Statewide Transition Plan is available under the "Resources" section of this website. From the dropdown menu, click on "Statewide Transition Plan."

If you would like to ask any questions, leave a comment, or provide feedback, you can do that here.

South Carolina is focused on the quality of the experience of people receiving home and community-based services.

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