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Intellectual Disability/Related Disabilities (ID/RD) Waiver Amendment

The South Carolina Department of Health and Human Services (SCDHHS) intends to submit a 1915(c) home and community-based waiver amendment to the Centers for Medicare and Medicaid Services (CMS). The purpose of the amendment is to add the caregiver coaching service to the Intellectual Disability/Related Disabilities (ID/RD) (SC.0237) waiver program. The new service will provide training and support to family caregivers of waiver participants with an assessed need for behavior supports. Behavior supports are those services which use current empirically validated practices to identify functions of target behaviors, prevent the occurrence of problem behavior, teach appropriate, functionally equivalent replacement behavior, and react to problematic behavior. The target date for implementation of this new service is on or after Oct. 1, 2024. Implementation is subject to approval by CMS.

Current waiver participants will not be adversely impacted.

The ID/RD waiver program is operated by the South Carolina Department of Disabilities and Special Needs (DDSN) with administrative oversight by SCDHHS.


The intent to amend the ID/RD waiver with the proposed service array addition was discussed on Dec. 13, 2023, and Feb. 28, 2024, during the monthly Indian Health Services conference call. The proposed change was also presented to the SCDHHS Medical Care Advisory Committee meeting May 14, 2024, at 10 a.m., 1801 Main Street, Columbia, South Carolina 29201.

Information regarding the proposed waiver amendment including requirements, service limits and components of the service will be shared during the following webinars:


Intellectual Disability and Related Disabilities Waiver Amendment - Webinar #1

Monday, June 10, 2024, 9 a.m.

Intellectual Disability and Related Disabilities Waiver Amendment - Webinar #2

Wednesday, June 12, 2024, 2:30 p.m.

Copies of this notice and the Intellectual Disability/Related Disabilities waiver application are available for review at the following locations:

  1. Electronic Access: (under "Communications" and "Waivers" sections)
  2. DDSN-operated waivers
    1. DDSN website:
    2. Family Connection of South Carolina website:
    3. South Carolina Developmental Disabilities Council website:
  3. Hard Copies:
    1. SCDHHS Central Office Lobby: 1801 Main Street, Columbia, SC, 29201
    2. SCDHHS community long term care (CLTC) regional offices:

Greenville Florence

620 North Main Street, Suite 300 2701 Alex Lee Boulevard, Suite 200

Greenville, South Carolina 29601 Florence, South Carolina 29506

Spartanburg Conway

101 North Pine Street, Suite 405 1201 Creel Street

Spartanburg, South Carolina 29302 Conway, South Carolina 29527

Greenwood Charleston

617 South Main Street 4130 Faber Place Drive, Suite 303

Greenwood, South Carolina 29646 North Charleston, South Carolina 29405

Rock Hill Anderson

454 South Anderson Road, Suite 11 3215 Martin Luther King Jr. Blvd, Suite H

Rock Hill, South Carolina 29730 Anderson, South Carolina 29625

Columbia Ridgeland

300 Arbor Lake Drive, Suite 900 10175 South Jacob Smart Boulevard

Columbia, South Carolina 29223 Ridgeland, South Carolina 29936

Orangeburg Aiken

191 Regional Parkway, Building A 2361 S. Centennial Ave, Building 2, Ste. B

Orangeburg, South Carolina 29118 Aiken, South Carolina 29803


30 Wesmark Court

Sumter, South Carolina 29150

Comments and Responses:

If you have a question or comment regarding the proposed amendment, please send it to the following mail or email address prior to June 24, 2024.



SC Department of Health and Human Services

Attention: Michelle Abney

Office of Waivers and Facility Services

Post Office Box 8206

Columbia, SC 29202-8206

Any written comments submitted may be reviewed by the public at SCDHHS, Bureau of Policy, 1801 Main Street, Columbia, SC 29201 from 8:30 a.m. to 5 p.m. Monday thru Friday

Please direct questions regarding this Medicaid bulletin to

Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.

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