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Head and Spinal Cord Injury

Services for People with Traumatic Brain Injury and/or Spinal Cord Injury and Similar Disability

SCDDSN HASCI Program Report Funding for Specialized TBI/SCI Post-Acute Rehabilitation (PDF)

Definition and Eligibility Criteria for Traumatic Brain Injury, Spinal Cord Injury and Similar Disabilities

All four (4) of the following requirements must be met at the time of applying for eligibility. The condition:

  • is attributed to a physical impairment, including traumatic brain injury, spinal cord injury or both, or a similar disability, regardless of age of onset, but not associated with the process of a progressive degenerative illness or dementia, or a neurological disorder related to aging;
  • is likely to continue indefinitely without intervention;
  • results in substantial functional limitations in at least two areas of these life activities: self-care, receptive and expressive communication, learning, mobility, self-direction, capacity for independent living, economic self-sufficiency;
  • reflects the need for a combination and sequence of special interdisciplinary or generic care or treatment or other services which are lifelong or of extended duration and are individually planned or coordinated.

Traumatic brain injury and spinal cord injury are defined by state law as follows

Traumatic brain injury is an injury to the skull or brain caused by an external physical force. The injury may produce a diminished or altered state of consciousness resulting in impairment in cognitive abilities or physical functioning, as well as behavioral and/or emotional functioning. It does not include cerebral vascular accidents (strokes) or aneurysms.

Spinal cord injury is an acute traumatic lesion of neural elements in the spinal canal, resulting in any degree of deficit in sensory, motor and life functions. The deficit may be temporary or permanent.

The South Carolina Code of Laws does not define a "similar disability", but stipulates that a similar disability:

  • is not limited by early age of onset;
  • is not a condition that culminates in death or worsens over time;
  • is not dementia resulting from chronic disease or alcohol/drug use;
  • is not a neurological disorder related to aging.

Muscular dystrophy, multiple sclerosis, cancer, Parkinson's disease and other primarily medical conditions DO NOT qualify as a "similar disability.”

Applying For Services For Traumatic Brain Injury, Spinal Cord Injury And Similar Disability

If you or a family member have a severe impairment as a result of traumatic brain injury, spinal cord injury, or both, or a similar disability:

  • Contact the DDSN Screening at 1-800-289-7012 (toll-free) in Columbia to be screened for referral to DDSN's Head and Spinal Cord Injury (HASCI) Division.
  • If you are determined appropriate for formal consideration of eligibility, you will be referred by the Screener to the approved Intake Provider of your choice.
  • You will be contacted by a (HASCI) Intake Worker to begin formal intake and eligibility determination procedures.
  • If your condition or circumstances change significantly, contact DDSN Screening at the above phone number again and give them any updated information about your situation. You will be screened for possible referral.

Information Needed To Determine Eligibility

  1. Medical records documenting a traumatic brain injury and/or spinal cord injury or any other condition.
  2. Medical records pertaining to any other current or pre-existing conditions.
  3. Social information necessary to determine eligibility.
  4. Completion of a functional limitations inventory by a DDSN Qualified testing provider.

Types Of Services And Supports Available

DDSN contracts with local Disabilities and Special Needs (DSN) Boards and other providers to bring an array of services to your community. Services are provided based on the assessed needs of the consumer, the appropriateness of the service to meet the need, and the availability of funding. There may be a waiting list for particular services. Services may also be limited by the availability of a service provider in your community.

Individual And Family Support And Services For Children And Adults

  • information and referral
  • Case Management
  • modifications to enable a person to better access his or her own home
  • equipment and devices to facilitate greater independence
  • personal assistance/attendant care for essential activities of daily living
  • services and supports to improve functioning, increase productivity and promote self-determination, including communication services
  • habilitation services, including Day, Career Preparation, Employment, and Residential Services
  • occupational therapy
  • personal emergency response system
  • physical therapy
  • prescribed drugs
  • private nursing services
  • psychological services
  • respite care

Services/supports may be funded through Medicaid State Plan, Head and Spinal Cord Injury (HASCI) Waiver, HASCI Individual Rehabilitation Supports, HASCI Individual and Family Support Funding, and/or special HASCI Division projects.

HASCI Waiver Eligibility Requirements

To qualify for Head and Spinal Cord Injury (HASCI) Waiver Services, a person must:

  • receive Case Management through the DDSN Head and Spinal Cord Division
  • be eligible for Medicaid or already covered by Medicaid
  • request HASCI Waiver Services through his/her HASCI Case Management
  • meet Nursing Facility or ICF/ID level of care
  • have urgent circumstances affecting his/her health or functional status and depend on others to provide or assist with critical health needs, basic activities of daily living or require daily monitoring or supervision to avoid institutionalization
  • need services not available from or adequate with existing resources, including family, private means and other agencies/programs to meet the basic needs of the individual to allow him/her to remain in the home
  • have adequate natural supports to live safely in a private home or other community setting with the type/amount of services available from the HASCI Waiver

Reasons HASCI Waiver Will Be Terminated

HASCI Waiver services will be terminated when a person:

  • voluntarily withdraws or no longer wishes to receive services funded by the Waiver
  • is no longer financially eligible for Medicaid as determined by the SC Department of Health and Human Services
  • is admitted to an acute care hospital for more than 30 days
  • no longer meets Nursing Facility or ICF/ID level of care
  • is admitted to a Nursing Facility or ICF/ID
  • receives no Waiver services for 30 days
  • moves out of the state