Home and Community-Based Services (HCBS) Rule: South Carolina Statewide Transition Plan Submission to CMS


South Carolina Statewide Transition Plan

The South Carolina Department of Health and Human Services (SCDHHS) gives notice that the Statewide Transition Plan, required per Centers for Medicare and Medicaid Services (CMS) Home and Community-Based Services (HCBS) Rule (42 CFR 441.301(c)(6)), has been submitted to CMS for review. It will be effective upon CMS approval.

The following is a summary of the actions identified in the Statewide Transition Plan:

Communication and Outreach

  • Provided several methods of communication with the public regarding general information on the HCBS Rule and Statewide Transition Plan
  • Provided public notice and comment on the Statewide Transition Plan

Assessment of system-wide regulations, policies, procedures, licensing standards and other regulations

  • Compiled a catalogue of regulations, policies, procedures, licensing standards and other regulations that directly impact Home and Community-Based (HCB) settings.
  • Read and reviewed the catalogue to determine which applicable laws, regulations, etc. are not a barrier to the settings standards outlined in the HCBS Rule.
  • Pursue changes as appropriate for the regulations, policies, etc. that did not meet the HCBS settings requirements outlined in the Code of Federal Regulations (CFR).

Assessment of Settings

  • Identification of all HCB settings
  • Identification of any HCB settings that might be subject to the heightened scrutiny process
  • Distribution of self-assessment tool to providers for completion
  • SCDHHS will conduct site visits of HCB settings concurrently with self-assessments
  • SCDHHS will review individual self-assessments and site visit results and provide individualized responses to providers on each setting
  • Providers will develop action plans to be approved by SCDHHS to ensure compliance with the HCBS rule

The public comment summary is attached to the Statewide Transition Plan as Appendix A.

A copy of this notice and the South Carolina HCBS Statewide Transition Plan is available at SCDHHS Offices and online at scdhhs.gov/public-notices or msp.scdhhs.gov/hcbs/site-page/statewide-transition-plan.

South Carolina HCBS Statewide Transition Plan

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