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South Carolina Community Choices Healthy Connections (Medicaid) Waiver for the Aged

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.
 
  Overview of the Community Choices Waiver
This Healthy Connections (SC Medicaid) waiver is also referred to as the Elderly Waiver.  It allows individuals who require nursing home level care and assistance with their activities of daily living to receive care in their homes instead of in nursing homes.  There is a condition of this waiver that 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 with whom they work.  Program participants are able to hire their own personal assistance providers, respite care providers and companion services providers.  Certain family member are eligible to serve in these roles provided they pass the necessary background checks and are approved by the state. 
  Qualifications for the Community Choices Waiver
In addition to requiring assistance and nursing home level care, South Carolina residents must be financially qualified to receive Medicaid.

Qualifying for Medicaid is a complicated process involving a review of a family’s income, assets and asset transfers as far back as 5 years.  Rules change by state and there are many exceptions, but typically monthly income cannot exceed $2,000 and “countable asset” limits, excluding the car and home, range from $2,000 to $8,000.  

Not qualifying for Medicaid can be devastating to the comfort of an individual, their family’s finances and even their health.  For these reasons, Medicaid planners exist to ensure families have the best chance of acceptance into the program.  With care costing $1000’s / month, there is a strong incentive to use a Medicaid Planner.  Find assistance applying for Medicaid.
  Services Provided under the Community Choices Waiver
    • Adult Care Home (pending)
    • Adult Day Health Care
    • Adult Day Health Transportation
    • Attendant Care
    • Case Management
    • Home Delivered Meals
    • Incontinence Supplies
    • Institutional Respite Care
    • Limited Durable Medical Equipment
    • Minor Home Modifications
    • Nursing Home Transition Services
    • Nutritional Supplements
    • Personal Care
    • Personal Emergency Response System
    • Respite Care
    • Telemonitoring
        Availability of the Community Choices Waiver
      This program is available in all South Carolina counties.



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