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
HIV 2023 Amendment Final Draft
Community Choices 2023 Amendment Final Draft
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)
Community Supports (CS) Waiver (SC.0676)
HIV/AIDS Waiver (SC.0186)
Medically Complex Children (MCC) Waiver (SC.0675)
Proposed Waiver Renewal
January 31, 2023
September 2, 2022
August 15, 2022
August 12, 2022
- Mechanical Ventilator Dependent Waiver Renewal Public Notice
- Mechanical Ventilator Dependent Waiver Renewal Application
June 13, 2022
August 23, 2021
- ID/RD Home and Community-Based Services Waiver Program Public Notice
- ID/RD 2022 Waiver Renewal
- Recording of ID/RD 2022 Waiver Renewal Webinar
August 17, 2021
February 26, 2021
December 11, 2020
May 25, 2018
February 16, 2018
December 12, 2017
- Public Notices
- Intellectual Disability/Related Disabilities (ID/RD) Waiver Amendment
- Community Supports (CS) Waiver Amendment
October 3, 2017
July 2017
- Request for Mechanical Ventilator Dependent (Vent) Waiver Renewal
- Mechanical Ventilator Dependent (Vent) Waiver Transition Plan
February 14, 2017
December 22, 2016
- Community Supports Waiver (SC.0676) Renewal 2017
- Webinar: Waiver Renewal for Community Supports Waiver 2017 (Please register. A link will be sent to your email to view)
July 20, 2016
May 13, 2016
May 11, 2016
- Summary of Public Comments for Community Choices, HIV/AIDS Waiver Renewals, and Mechanical Ventilator Dependent Waiver Amendment, and Waiver Specific Transition Plan
- Webinar Waiver Renewals for Community Choices & HIV/AIDS & Waiver Management for Mechanical Ventilator Dependent
April 25, 2016
- Community Choices (SC.0405) - Renewal
- HIV/AIDS (SC.0186) – Renewal
- Mechanical Ventilator Dependent (SC.40181) – Amendment
December 11, 2015
November 18, 2015
September 1, 2015
May 1, 2015
March 18, 2015
November 10, 2014
- Community Choices Waiver Amendment Transition Plan Outline Draft
- Vent Waiver Amendment Transition Plan Outline Draft
October 1, 2014:
- ID/RD Waiver Renewal Transition PlanID/RD Waiver Renewal Transition Plan
- ID/RD Waiver Renewal Public Comment summary
September 29, 2014:
- The Transition Plan for the PDD Waiver Renewal
- Summary of public comments received on the PDD Waiver renewal and transition plan
- Mechanical Ventilator Dependent Waiver
- Psychiatric Residential Treatment Facility (PRTF) Alternative
- Children’s Health Access in Community Environments (CHANCE)
- Summary of proposed changes in the Head and Spinal Cord Injury (HASCI) waiver program 5-year renewal
Webinars Monday, March 15, 2021
Tuesday, March 9, 2021
August 9, 2017
Meetings
Amendments
- Intellectual Disability/Related Disabilities (ID/RD)
- Head and Spinal Cord Injury (HASCI)
- Pervasive Developmental Disability (PDD)
- Community Supports (CS)
Public Input on Medically Complex Children's Waiver Summary
Waivers and Applications
Community Engagement
Palmetto Coordinated System of Care for Children (PCSC)
CHANCE
Community Choices
HASCI
Community Support Waiver
HIV/AIDS
HIV/AIDS Waiver (SC.0186)
ID/RD Waiver
Mechanical Ventilator
Medically Complex Children
PDD Waiver
PRTF