Home and Community-Based Services (HCBS) Final Rule Heightened Study; SCDHHS Seeks Community Input on Residential and Day Programs


Home and Community-Based Settings Quality Review

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of an open comment period on changes to the Medicaid Home and Community-Based Services (HCBS)/waiver programs. Specifically, the agency seeks input as to whether the residential and day programs, funded by SCDHHS, provide opportunities for people receiving HCBS/waiver services to be part of the community. This agency will use this input to compile a list of programs throughout the state to review.

Starting Nov. 2, 2015, SCDHHS will seek public input on the home and community-based (HCB) settings qualities of the following:

Residential settings

These include Community Training Home II's, Supported Living Program I's, Supervised Living Program II's, and Community Residential Care Facilities.

Non-residential settings

These include day programs (Adult Activity Centers and Work Activity Centers) and Adult Day Health Care centers.

SCDHHS seeks input on any HCB/waiver setting (a day program, adult day care, or a residence) that may fit into one of these categories:

  1. Any setting that is located in a building that is a publicly or privately operated facility that provides inpatient treatment; OR
  2. Any setting that is located in a building on the grounds of, or immediately next to, a public institution*; OR
  3. Any setting that has the effect of isolating individuals receiving Medicaid HCBS from the broader community of individuals not receiving Medicaid HCBS.  That could mean all or almost all of the people at the setting have a disability, or that the setting is physically isolated from most of the community.

*A public institution is defined as an inpatient facility that is financed and operated by a county, state, municipality, or other unit of government.

You can find more information about the HCB Setting Quality Review process at www.scdhhs.gov/hcbs

If you wish to submit information, please provide:

  1. Your name and contact information
  2. Name/type of setting you are submitting
  3. Address of setting
  4. Name of Provider
  5. Description of why the setting might like one (or more) of the three categories listed above.

You can submit a setting for review by SCDHHS staff the following ways:

South Carolina Department of Health and Human Services
ATTN: Kelly Eifert, PhD
1801 Main Street
P.O. Box 8206
Columbia, SC 29202-8206
The deadline to submit information is December 31, 2015.
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