Prior to 1981, needed Medicaid funded services for people with intellectual disability and related disabilities were primarily available in institutional settings (e.g. nursing facilities, intermediate care facilities). People with intellectual disability and related disabilities were pushed toward institutional settings because the supportive services necessary for them to live in their own home or community setting were not available.
The Home and Community-Based Services (HCBS) Waiver Program was established in 1981 and allowed States to elect to furnish under Medicaid, as an alternative to institutional care, a broad array of services that are otherwise not covered under the Medicaid program.
DDSN, on behalf of the South Carolina Department of Health and Human Services, operates two (2) HCBS Waiver Programs for people with intellectual disability and related disabilities:
- Intellectual Disability/Related Disabilities (ID/RD) Waiver
- Community Supports (CS) Waiver
To learn more about the ID/RD Waiver program, see the ID/RD Information Sheet (PDF)
To learn more about the CS Waiver program, see the CS Information Sheet (PDF)