Optional State Supplementation Program (OSS)

The OSS program is for individuals residing in approved, licensed Community Residential Care Facilities (CRCF) who meet Supplemental Security Income (SSI) eligibility requirements, except for income.  


A person who may qualify for the OSS program must:

  • Be at least 65 years old or blind or disabled
  • Be a resident of a facility that is enrolled with SCDHHS to participate in the OSS program
  • Be a resident of South Carolina
  • Be a U.S. citizen or Lawful Permanent Resident Alien
Income Limit: 

Income Limit: 

Monthly Net Income Limit may not exceed $1,456 per month. The individual’s resources must not exceed $2,000.


Individuals receive full Medicaid benefits. In addition, state-funded cash assistance payment is provided to the facility.

To Apply: 

Apply online or complete the following forms and submit them to your local county office

Application for Nursing Home, Residential or In-Home Care



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