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


The South Carolina Department of Health and Human Services (SCDHHS) gives notice that the Waiver Specific Transition Plans revised draft, required per Centers for Medicare and Medicaid Services (CMS) Home and Community-Based Services (HCBS) Rule (42 CFR Part 430, 431, et al), are available for public review and comment. The revised South Carolina Waiver Specific Transition Plans will be submitted to CMS on or after April 20, 2015 and will be effective upon CMS approval.

The following is a summary of the document:

 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

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

1.  Electronic Access: scdhhs.gov

2.  Hardcopies: Community Long Term Care Regional Offices or the SCDHHS


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


SCDHHS (Documents are in Lobby)

1801 Main Street

Columbia, S.C. 29202


Questions and/or comments must be sent to the following before April 20, 2015:

Email:   Comments@scdhhs.gov

Written: Community Long Term Care

ATTN:  Belinda Adams

South Carolina Department Health and Human Services

Post Office Box 8206

Columbia, S.C. 29202-8206

Any written comments submitted may be reviewed by the public at SCDHHS, Division of Community Long Term Care, Jefferson Square Building, 1801 Main Street, Columbia, S.C., Monday through Friday between the hours of 9 a.m.-5 p.m.

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