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

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

HASCI renewal: HCBS Waiver: MCCW 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

HIV/AIDS Waiver (SC.0186)


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:


Monday, March 15, 2021

Tuesday, March 9, 2021

August 9, 2017



Public Input on Medically Complex Children's Waiver Summary


Waivers and Applications

Community Engagement

Palmetto Coordinated System of Care for Children (PCSC)


Community Choices


Community Support Waiver


ID/RD Waiver

Mechanical Ventilator

Medically Complex Children

PDD Waiver


Report Fraud