Notification to Amend Medicaid Home and Community-Based Waivers


The South Carolina Department of Health and Human Services (SCDHHS) intends to file amendments with the Centers for Medicare and Medicaid Services (CMS) to three of its home and community-based waiver programs operated through the Community Long Term Care (CLTC) Program. These waivers are:


  1. SC.0186  HIV/AIDS Waiver
  2. SC.0405  Community Choices Waiver
  3. SC.40181  Mechanical Ventilator Dependent Waiver


The waiver amendments will address Healthy Connections Prime.

These changes will enable SCDHHS to implement a second phase of transitioning home and community-based services (HCBS) as part of a joint Medicare-Medicaid demonstration program known as Healthy Connections Prime. Through Healthy Connections Prime, people age 65 and older who receive both Medicare and Medicaid and meet other eligibility criteria will receive all of their care, including primary care, behavioral health and long term care services, from a Coordinated and Integrated Care Organization (CICO). In Phase 1 of Healthy Connections Prime, the CICOs began serving waiver participants, but did not develop care plans for waiver services. These Phase 2 amendments will allow CICOs to develop participants’ care plans, drawing on their knowledge of the participants’ health needs within and beyond the waiver services they receive, and make the care plan subject to state review and approval. The CICO will also prior authorize waiver services, and develop contractual oversight of waiver providers, excluding attendant care providers. Waiver participants will have access to an appeals process and the Healthy Connections Prime Advocate to assist in disputes.


The changes are proposed to be effective Jan. 1, 2016, which is the date that Phase 2 of the transition of HCBS under the Healthy Connections Prime demonstration project begins, or upon CMS approval.


These amendments were discussed at SCDHHS’ Medical Care Advisory Committee meeting on Sept. 10, 2014, and May 5, 2015, at 10 a.m. at 1801 Main Street, Columbia, S.C.


These draft waiver amendments can be found in the following locations:

Electronic Access : (under the “Waiver” section)

Hardcopies: Community Long Term Care Regional Offices or the SCDHHS (lobby):


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



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


Additionally, information on these amendments will be shared during a public meeting. See details below:

Date: Monday, Sept. 14, 2015

Time: 10 a.m.-Noon

Location: Blue Cross Blue Shield of South Carolina

8901 Farrow Road, Building 200

Columbia, S.C. 29203


Questions and Comments

Questions and comments must be sent to the following before Sept. 21, 2015:


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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