South Carolina Community Choices Medicaid Waiver
What are Medicaid Waivers?
Medicaid pays for long term care services in nursing homes. For nursing home qualified persons that choose to live at home or in a residential community, Medicaid will pay for those services if they can be obtained at a lower cost. These are called Home and Community Based Services, Waiver Funded Services, Medicaid Waivers or simply Waivers.
Community Choices Waiver Overview
This Medicaid program is also referred to as the Elderly and Disabled Waiver. It allows individuals who require nursing home level care and assistance with their activities of daily living to receive care in their communities or homes instead of in nursing homes. There is a condition associated with the waiver which states that the cost of the care at home cannot exceed a certain percentage of the cost for the same care in a nursing home.
This waiver allows for consumer or participant direction of some services; meaning the individual receiving care can self-direct or choose the care providers from whom they receive assistance. Program participants are able to hire their own personal assistance providers, respite care providers and companion services providers. Certain family members, such as the adult children of aged parents, are eligible to serve in these roles provided they pass the necessary background checks and are approved by the state.
To avoid confusion, it is also worth mentioning that South Carolina Medicaid is sometimes referred to as Healthy Connections.
Community Choices Waiver Eligibility
In addition to requiring assistance and nursing home level care, South Carolina residents must be at least 18 years of age and willing and able to receive care at home or in the community instead of in a nursing home. In addition, the Community Choices Waiver requires participants to be eligible financially for South Carolina's HCBS Waivers.
It is important to note that while HCBS Waivers are Medicaid funded, they have different financial limits. For 2013, HCBS Waivers have a single applicant, monthly income limit of $2,130 while full Medicaid's limit is $958 for aged, blind or disabled persons.
Both SC Medicaid and HCBS Waivers have a countable asset limit of $6,940 for an individual and $10,410 for a couple. However, should one spouse of a couple not be applying for Medicaid, they are permitted countable assets up to $115,920. One can read more about financial eligibility on the following webpage
If one's resources exceeds the limits, they should find assistance applying for Medicaid
as persons over the limits can often qualify by using financial trusts.
Services / Benefits
Applicants are assess and approved for services individually. Possible benefits include the following:
-Adult Day Health Care and Transportation
-Congregate and Home Respite Care
-Disposable Medical Supplies
-Durable Medical Equipment
-Home Delivered Meals
-Home Modifications to Increase Accessibility
-Nursing Home Transition Services
-Personal Emergency Response System / Telemonitoring
Availability / How to Apply
Use our Locator Tool to Find Other Options for which You're Eligible
This program is available in all South Carolina counties however in recent years there have been waiting lists for services. As of last year, for every 4 persons receiving benefits, there was an additional person waiting for a slot to become available.
To apply or check wait list status, one should contact their DHHS County Office
Page Reviewed / Updated - Mar. 2013