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  Head and Spinal Cord Injured Waiver 



The Head and Spinal Cord Injured (HASCI) waiver serves individuals with severe physical impairments involving head and/or spinal cord injuries, where there is some indication that the impairment will continue indefinitely. Persons enrolled in this waiver must meet nursing facility (NF) or intermediate care facility for the mentally retarded (ICF/MR) level of care criteria.

The HASCI waiver is operated and overseen on a day-to-day basis by the South Carolina Department of Disabilities and Special Needs (SCDDSN). SCDDSN service coordination staffs arrange and authorize waiver services.

HASCI waiver services include physical therapy, occupational therapy, prescribed drugs, psychological services, health education, peer support, private nursing services, habilitation support services, respite care, personal emergency response systems (PERS), attendant care services, specialized supplies and adaptations (including home and vehicle modifications), and communication services.

The Department of Health and Human Services (DHHS) serves as an administrative oversight and monitoring entity to ensure health, safety and welfare of waiver recipients. DHHS is responsible for ensuring that a formal system is in place to periodically review client services and to insure that services in place are consistent with the identified needs of the HASCI waiver client. The agency also assures financial accountability for funds expended and appropriate documentation of services under the waiver. To learn more about the HASCI waiver and DDSN services please visit www.state.sc.us/ddsn/.

  • HASCI Waiver
  • HASCI Waiver Approval Letter