Division of Community and Facility Services

The Division of Community and Facility Services is responsible for oversight for the following Medicaid programs: home health, hospice,nurse aide training and testing, nursing facilities, preadmission screening and resident review (PASARR) and swing bed hospitals.

For more information regarding the services listed below, please contact your program representative.

Eligibility Guidelines and Application for Medicaid Nursing Facility Services:


Services Defined:

Home Health:
Provides intermittent skilled nursing services, physical therapy, speech therapy, occupational therapy, home health aide and medical supplies to eligible recipients. Services must be ordered by a physician, rendered in accordance with a written plan and must be delivered in the patient's residence.

Available to individuals who choose to elect the benefit and who have been certified by a physician as having a terminal illness with a life expectancy of six (6) months or less if the illness runs its normal course.

Nursing Facilities:
Provides nursing, therapy, and personal care services to individuals who do not require acute hospital care, but whose mental or physical condition requires services that are above the level of room and board and can be made available through licensed, certified and contracted institutional facilities.

Paid Feeding Assistants:
Federal regulations for long-term care facilities were updated on September 26, 2003 to permit the use of paid feeding assistants (PFAs) to supplement the services of certified nursing assistants under certain conditions.

Nurse Aide Testing and Training:

Nurses Aid FAQs

Per federal regulations, direct care staff employed in a Medicaid certified nursing facility, must be listed on the State's Nurse Aide Registry as a Certified Nurse Aide, (CNA). The primary purpose of the certification program is to ensure that only those nurse aides who have demonstrated competency based upon standardized training and/or testing are employed.

Preadmission Screening and Resident Review (PASARR) :
A federally required process that prohibits a Medicaid certified nursing facility from admitting any new resident who has a serious mental illness (MI) or is mentally retarded (MR), unless it has been determined whether the individual requires a level of service provided by the nursing facility and the individual is in need of specialized services for the MI or MR.

Swing Beds:
A hospital that also provides nursing facility skilled, intermediate and subacute levels of care. Swing bed hospitals must be located in a rural area, have fewer than 100 inpatient beds, exclusive of newborn and intensive care type beds and must meet both Federal and State requirements.

Third Party Liability:
See the TPL Supplement in the Nursing Facility Services Provider manual

Ombudsman :
An independent advocate (supporter) for nursing home and assisted living facility residents who works to solve problems between residents and the nursing home or assisted living facilities.

Skilled Nursing Facility (SNF):
A nursing facility with the staff and equipment to give skilled nursing care and/or skilled rehabilitation services and other related health services 24 hours a day.

To learn more about other non-Medicaid aging services call: 803-734-9900 or toll free 1-800-868-9095 or see the Lt. Governor's Office Division on Aging website .

To compare nursing homes call: 1-800-633-4227 or log on to: www.Medicare.gov

To compare Home Health agencies log on to: www.Medicare.gov

To determine whether a nursing facility or community residential care facility is licensed call: 1-803-545-4370 or log on to: www.SCDHEC.net .

To discuss Medicaid services that are available for persons who meet medical criteria for institutional care but choose to reside in their homes: visit Waiver Management / Field Management

To learn more about Medicare call: 1-800-633-4227 or log on to: www.Medicare.gov .

To learn more about other non-Medicaid aging services call: 803-734-9900 or toll free 1-800-868-9095.

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