Waiver Management / Field Management

Community Long Term Care (CLTC) operates home and community-based waiver programs for persons eligible for nursing home care but who prefer to receive their services in the community. Through a process of case management and an individualized service package, waiver clients are able to successfully remain at home at a cost to Medicaid that is substantially less than the cost of institutional care.

The CLTC program began statewide in 1983 after a three-year pilot program in the Upstate.

It was first established to meet the needs of the elderly or disabled person who was not able to care for himself or herself independently over a long period of time, perhaps for life. Currently, CLTC administers and operates four Medicaid waiver programs; Community Choices waiver, HIV/AIDS Waiver, Ventilator Dependent Waiver, and Medically Complex Children (MCC) .

CLTC also administers four waivers that are operated by other state agencies. The Department of Disabilities and Special Needs operates the Head and Spinal Cord Injury (HASCI) waiver, the Intellectual Disability/Related Disabilities (ID/RD)  waiver, and the Community Supports (CS) waiver. The South Carolina Continuum of Care operates the Palmetto Coordinated System of Care (PCSC) waiver.

A summary of who is eligible for these waiver programs, which services are provided and how the programs are operated can be found by clicking on the  Waiver Summary Chart .

Recent Waiver Renewals and Amendments

MVD 2023 Amendment Final Draft

IDRD Amendment - SC.014.06.03

HIV 2023 Amendment Final Draft

Community Choices 2023 Amendment Final Draft

CS Amendment - SC.012.03.01

HASCI renewal: HCBS Waiver: (Draft SC.009.06.00 2023-07-01) 

Medically Complex Children Waiver Amendment (Draft SC.008.03.02, 2023-07-01) 

Community Choices (CC) Waiver (SC.0405) Amendment  (Draft SC.016.04.01, 2022-02-25)

Community Supports (CS) Waiver (SC.0676) Renewal  (Draft SC.012.03.00, 2022-02-25)

Head and Spinal Cord Injury (HASCI) Waiver (SC.0284) Amendment  (Draft SC.009.05.02, 2022-02-25)

HIV/AIDS Waiver (SC.0186) Amendment  (Draft SC.017.07.01, 2022-02-25)

Mechanical Ventilator Dependent (Vent) Waiver (SC.40181) Amendment  (Draft SC.006.05.01, 2022-02-25)

Medically Complex Children (MCC) Waiver (SC.0675) Amendment  (Draft SC.008.03.01, 2022-02-25)

Currently Approved Waivers

Community Choices (CC) Waiver (SC.0405)

 
 
 
 
 
 

 

Proposed Waiver Renewal

January 31, 2023

 

September 2, 2022

August 15, 2022

August 12, 2022

June 13, 2022

August 23, 2021
 
August 17, 2021

February 26, 2021

December 11, 2020

May 25, 2018

February 16, 2018

December 12, 2017

October 3, 2017

July 2017

February 14, 2017

December 22, 2016

July 20, 2016

May 13, 2016

May 11, 2016

April 25, 2016

December 11, 2015

November 18, 2015

September 1, 2015

May 1, 2015

March 18, 2015

November 10, 2014

October 1, 2014:

September 29, 2014:

Webinars Monday, March 15, 2021

Tuesday, March 9, 2021

August 9, 2017

Meetings

 

  • Healthy Connections SC (Medicaid) HCBS Waiver Advisements meeting recording
     
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  • Home and Community-Based Waiver Amendments and Community Supports Waiver Renewal meeting 3/3/22
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  • Medically Complex Children Waiver
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  • HCBS Waiver Public Meeting Sept. 2015
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  • PDD Waiver Renewal Presentation August 2014
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  • ID/RD Waiver Renewal Presentation August 2014
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  • Ventilator Dependent Waiver Renewal  Public Meeting (Presentation)
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  • PRTF Alternative CHANCE Waiver Public Meeting (Presentation)
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  • PRTF Alternative CHANCE Waiver FAQs
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  • August Notice of Public Meeting (Mechanical Ventilation)
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  • CHANCE Waiver August Public Meeting
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  • MCAC PROPOSAL to AMEND the HCBS Waiver Programs for Medicaid Waiver Case Management Service.
  • Amendments

     

     

     

     

  • Medically Complex Children's Waiver
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  • SC.0186 HIV/AIDS Waiver
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  • SC.0405 Community Choices Waiver
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  • SC.40181 Mechanical Ventilator Dependent Waiver
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  • Notification to Amend Medicaid Home and Community-Base Waivers
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  • Pervasive Developmental Disorder Revised Proposed Amendment
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  • Proposed Definition for Medicaid Waiver Case Management Service
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  • Proposed Qualifications for Medicaid Waiver Case Manager Requirements
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  • Planned   Amendments to the following Home and Community-Based Waiver programs:
    • Intellectual Disability/Related Disabilities (ID/RD)
    • Head and Spinal Cord Injury (HASCI)
    • Pervasive Developmental Disability (PDD)
    • Community Supports (CS)
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    Public Input on Medically Complex Children's Waiver Summary

    Waivers and Applications

    Community Engagement

     

     

  • Palmetto Pathways to Independence Section 1115 Demonstration Waiver (approved by CMS Dec. 12, 2019, authorities withdrawn by CMS effective Sept. 10, 2021)
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  • Healthy Connections Works (approved by CMS Dec. 12, 2019, authorities withdrawn by CMS effective Sept. 10, 2021)
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  • Section 1115 Demonstration Waiver Application  (submitted May 8, 2019)
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  • Draft Section 1115 Demonstration Waiver  (submitted March 4, 2019)
  • Palmetto Coordinated System of Care for Children (PCSC)

     

     

     

     

  • Palmetto Coordinated System of Care waiver (c) (submitted May 1, 2020)
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  • Palmetto Coordinated System of Care Waiver Public Comments and Responses
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  • Palmetto Coordinated System of Care waiver(c) 
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  • Palmetto Coordinated System of Care waiver (b)(4)

  • CHANCE

     

     

     

     

  • CHANCE Waiver Application
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  • Children’s Health Access In Community Environments  (CHANCE)
  • Community Choices

     

     

     

     

  • Community Choices (CC) Waiver  (SC.0405)
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  • Community Choices Waiver Amendment (2022-02-25)
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  • Community Choices Waiver Amendment
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  • Community Choices Waiver Amendment Webinar
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  • Community Choices Waiver
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  • Community Choices Waiver Application
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  • Community Choices Waiver Application Approved
  • HASCI

     

     

     

     

  • Head and Spinal Cord Injury (HASCI) Waiver  (SC.0284)
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  • Head and Spinal Cord Injury (HASCI) Waiver (SC.0284) Amendment  (Draft SC.009.05.02, 2022-02-25)
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  • Head and Spinal Cord Injury (HASCI) Waiver (SC.0284) Renewal 2018 Update
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  • Head and Spinal Cord Injury (HASCI) Waiver (SC.0284) Renewal 2018
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  • HASCI Waiver Application
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  • HASCI PUBLIC INPUT Summary March 26 2013
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  • CMS Approved Amended Waiver Docs For HASCI
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  • HASCI CMS Approval Letter
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  • Head and Spinal Cord Injury Waiver Renewal
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  • Head and Spinal Cord Injury (HASCI) Waiver
  • Community Support Waiver

     

     

     

     

  • Community Supports (CS) Waiver  (SC.0676)
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  • Community Supports (CS) Waiver (SC.0676) Renewal  (Draft SC.012.03.00, 2022-02-25)
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  • Community Supports Waiver Renewal
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  • 1 st Waiver Amendment Approval Letter for the HCBS CS waiver 
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  • Application For The HCBS Intellectual Disability/ Related Disabilities Waiver (ID/RD)
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  • Community Supports Waiver Application
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  • CS Waiver Renewal Approval Letter
  • HIV/AIDS 

     

     

     

     

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  • HIV/AIDS Waiver Amendment (2022-02-25)
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  • HIV-AIDS Waiver Transition Plan
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  • HIV/AIDS Waiver
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  • HIV/AIDS waiver Renewal Approval
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  • HIV/AIDS Waiver Renewal Application Approved
  • ID/RD Waiver

     

     

     

     

  • Intellectually Disabled and Related Disabilities Waiver (ID/RD)  (SC.0237)
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  • ID/RD Waiver Application
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  • Finalized IDRD Waiver
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  • ID/RD Draft Waiver Application
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  • Application For The HCBS Community Support Waiver
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  • 4th Waiver Amendment Approval Letter for the HCBS CS waiver 
  • Mechanical Ventilator

     

     

     

     

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  • Mechanical Ventilator Dependent Waiver  (2022-02-25)
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  • Mechanical Ventilator Dependent Waiver
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  • Mechanical Ventilation Waiver
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  • Mechanical Ventilation Waiver Application
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  • Mechanical Ventilation Waiver Application Approved
  • Medically Complex Children

     

     

     

     

  • Medically Complex Children (MCC) Waiver  (SC.0675)
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  • Medically Complex Children (MCC) Waiver (SC.0675) Amendment  (Draft SC.008.03.01, 2022-02-25)
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  • Medically Complex Children Waiver Application
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  • Medically Complex Children Waiver Application  2017 Draft
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  • Medically Complex Children Waiver Application
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  • Mental Retardation/Related Disability Waiver
  • PDD Waiver

     

     

     

     

  • PDD Waiver
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  • PDD CMS Approval Letter
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  • PDD Waiver Application
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  • CMS Approved Amended Waiver Docs For PDD
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  • 1st Waiver Amendment Approval Letter for the HCBS PDD waiver 
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  • 3rd Waiver Amendment Approval Letter for the HCBS PDD waiver 
  • PRTF

     

     

     

     

  • Psychiatric Residential Treatment Facility (PRTF) Waiver Application
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