The South Carolina Department of Health and Human Services (SCDHHS) gives notice it intends to file waiver renewals with the Centers for Medicare and Medicaid Services (CMS) for the Community Choices (CC) (SC.0405), and HIV/AIDS (SC.0186) home and community-based services (HCBS) waivers operated by SCDHHS. 

The proposed effective date for these waivers is July 1, 2026. The following is a summary of changes included in the proposed waiver renewals:

1. Evaluate service definitions and utilization to ensure service array meets the needs of waiver populations.
2. Updates to the level of care section.
3. Updates to participant access and eligibility sections.
4. Revise waiver performance measures and the quality improvement strategy.
5. Update financial accountability/rates, billing and claims sections.
6. Update cost neutrality demonstration.

Communication  

These changes to the waivers were shared during the monthly Indian Health Service conference call Jan. 28, 2026. Proposed changes were also presented Feb. 9 and Feb. 10, 2026 to the SCDHHS Beneficiary Advisory Committee (BAC) and the SCDHHS Medical Advisory Committee (MAC). 

In addition, information regarding the proposed changes in the amendments will be shared with the public during the following webinars: 

Webinars:         CC and HIV/AIDS Waiver Amendments  

Tuesday, March 10, 2026, 10-11 a.m . 

Registration Link: https://events.gcc.teams.microsoft.com/event/7f7a5429-0640-420a-8f67-7b4554219280@45843448-87c2-4911-a7e2-1079f0f4aac3 

CC and HIV/AIDS Waiver Amendments 

Friday, March 20, 2026, 2:30-3:30 p.m . 

Registration Link: https://events.gcc.teams.microsoft.com/event/46fe5b2e-eead-4832-ab7e-dde7c89720e1@45843448-87c2-4911-a7e2-1079f0f4aac3 

A copy of this notice and the CC and HIV/AIDS waiver applications are available at the following locations: 

1. Electronic Access: https://www.scdhhs.gov   (under “Public Notice” and “Waiver” sections) 
2. Hardcopies: 

a. SCDHHS Central Office Lobby: 1801 Main Street, Columbia, SC, 29201 
b. SCDHHS Community Long Term Care Regional Offices: 

Aiken CLTC
2361 S. Centennial Avenue
Building 2, Suite B
Aiken, South Carolina 29803

Anderson CLTC
3215 Martin Luther King Jr. Boulevard
Suite H
Anderson, South Carolina 29625

Charleston CLTC
4130 Faber Place Drive, Suite 303
North Charleston, South Carolina 29405

Columbia CLTC
300 Arbor Lake Drive, Suite 900
Columbia, South Carolina 29223

Conway CLTC
1201 Creel Street
Conway, South Carolina 29527

Florence CLTC
2701 Alex Lee Boulevard, Suite 200
Florence, South Carolina 29506

Greenwood CLTC
617 South Main Street
Greenwood, South Carolina 29646

Orangeburg CLTC
191 Regional Parkway
Building A
Orangeburg, South Carolina 29118

Ridgeland CLTC
10175 South Jacob Smart Boulevard
Ridgeland, South Carolina 29936

Rock Hill CLTC
454 South Anderson Road, Suite 11
Rock Hill, South Carolina 29730

Spartanburg CLTC
101 North Pine Street, Suite 405
Spartanburg, South Carolina 29302

Sumter CLTC
30 Wesmark Court
Sumter, South Carolina 29150

Greenville CLTC 
620 North Main Street, Suite 301 
Greenville, South Carolina 29601 
 

Public Comments and Responses  

If you have a question or comment, please send it to the following mail or email address prior to Friday, March 27, 2026 : 

Email: comments@scdhhs.gov 
Mail: Attention: Tarycia Murdaugh
Bureau of Policy
South Carolina Department of Health and Human 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 Monday-Friday, 8:30 a.m.-5 p.m.

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