Home and Community-Based Services (HCBS) Rule: South Carolina Waiver Specific Transition Plans for the Community Choices (CC) and Mechanical Ventilator Dependent (Vent) Waivers


The South Carolina Department of Health and Human Services (SCDHHS) gives notice that the waiver-specific transition plans, required per Centers for Medicare and Medicaid Services (CMS) Home and Community-Based Services (HCBS) Rule (42 CFR Part 430, 431 et al), 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 waiver-specific plans:

 Communication and Outreach:

  • Provided methods of communication with the public regarding general information on the HCBS Rule and Waiver Specific Transition Plans.
  • Provided public notice and comment on the Waiver Specific Transition Plans.

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.
  • Pursued 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 waiver-specific transition plans as Appendix A.

A copy of this notice and the South Carolina HCBS Community Choices and Mechanical Ventilator Dependent Transition Plans are available at the following locations:

  • Electronic Access: scdhhs.gov
  • Hardcopies: Community Long Term Care Regional Offices



620 North Main Street, Suite 300

Greenville, S.C. 29601



945 East Main Street, Suite 3

Spartanburg, S.C. 29302



617 South Main Street¸ Suite 301

Greenwood, S.C. 29648


Rock Hill

454 South Anderson, Suite 11

BTC Box 526

Rock Hill, S.C. 29730



7499 Parklane Road, Suite 164

Columbia, S.C. 29223



191 Regional Parkway, Bldg. A

Orangeburg, S.C. 29115



6170 Woodside Executive Court

Aiken, S.C. 29803



30 Westmark Ct.

Sumter, S.C. 29150



201 Dozier Boulevard

Florence, S.C. 29501



1201 Creel Street

Conway, S.C. 29526



4130 Faber Place Drive, Suite 303

North Charleston, S.C. 29405



10175 South Jacob Smart Blvd.

Ridgeland, S.C. 29936



3215 Martin Luther King Jr. Blvd., Ste. H

Anderson, S.C. 29625




Print Version: 
Report Fraud