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Public Notice of Proposed Amendment of the Intellectual Disability/Related Disabilities Home and Community-Based Services Waiver Program

Proposed Amendment of the Intellectual Disability/Related Disabilities Home and Community-Based Services Waiver Program

The South Carolina Department of Health and Human Services (SCDHHS) gives notice that it intends to file a waiver amendment with the Centers for Medicare and Medicaid Services (CMS) for the Intellectual Disability/Related Disabilities (ID/RD) Home and Community-Based Services (HCBS) waiver operated through the South Carolina Department of Disabilities and Special Needs (SCDDSN). The proposed effective date of this amendment is July 1, 2022.

The following is a summary of changes included in the proposed waiver amendment:

  • SCDHHS is seeking to amend this waiver to raise payment rates for the following services:  Personal Care I/II and Nursing.  
  • SCDHHS is seeking to make permanent the rate increases for Respite and Adult Day Health Care (ADHC) previously implemented through a temporary  Appendix K authority. 
  • Section 9817 of ARPA provides states with a temporary 10% increase to the federal medical assistance percentage (FMAP) for Medicaid HCBS. This funding is intended to enhance, strengthen, and improve HCBS beyond what was available April 1, 2021. SCDHHS is amending the waiver to update the rate methodology to reflect that HCBS provider pay increases may be funded through the temporary 10% increased FMAP.
  • SCDHHS is transitioning the ADHC transportation service to its Non-Emergency Medical Transportation (NEMT) broker.
  • Quality Assurance updates.


Information regarding the proposed changes in the renewals will be shared with the public during the following webinar:

Webinar:  ID/RD Waiver Amendment Webinar

  • Tuesday, June 7, 2022, 3 p.m.

Registration link:

A copy of this notice and copies of the proposed waiver renewal document are available for public review at the following locations and websites:

  1. Electronic access: “Public Notice” and “Waiver” sections)
  2. SCDDSN website,
  3. Family Connection of South Carolina website,
  4. South Carolina Developmental Disabilities Council website,
  5. Hardcopies:
  6. SCDHHS central office lobby: 1801 Main Street, Columbia, SC, 29201
  7. SCDHHS Community Long Term Care (CLTC) regional offices
Greenville CLTC
620 North Main St, Suite 300
Greenville, SC 29601
Florence CLTC
2701 Alex Lee Blvd, Suite 200 
Florence, SC 29506
Spartanburg CLTC
101 North Pine St, Suite 405
Spartanburg, SC 29302
Conway CLTC
1201 Creel St
Conway, SC 29527
Greenwood CLTC
617 South Main St
Greenwood, SC 29646
Charleston CLTC
4130 Faber Place Dr, Suite 303
North Charleston, SC 29405
Rock Hill CLTC
454 South Anderson Rd, Suite 11
Rock Hill, SC 29730
Anderson CLTC
3215 Martin Luther King Jr. Blvd,
Suite H
Anderson, SC 29625
Columbia CLTC
300 Arbor Lake Dr, Suite 900
Columbia, SC 29223
Aiken CLTC
2361 S. Centennial Ave
Building 2, Suite B
Aiken, SC 29803
Orangeburg CLTC
191 Regional Pkwy, Building A
Orangeburg, SC 29118
Ridgeland CLTC
10175 South Jacob Smart Blvd
Ridgeland, SC 29936
Sumter CLTC
30 Wesmark Ct
Sumter, SC 29150

Public Comments and Responses:

If you have a question or comment, please send it to the following email or mailing address prior to 5 p.m. June 27, 2022:


Mail:      Attention: Michelle Abney

              Office of Waiver and Facility Services


              Post Office Box 8206

              Columbia, SC 29202-8206

Any written comments submitted may be reviewed by the public at SCDHHS, Office of Waiver and Facility Services, 1801 Main Street, Columbia, SC 29201 from Monday-Friday, 8:30 a.m.-5:00 p.m.

Click here to download a copy of the proposed amendment. 

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