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 disabilitiy 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 three HCBS Waiver Programs.
Below are “Waiver Fact Sheets” summarizing key information and how to obtain services in each of the three Medicaid waivers:
Waiver Information Sheets
For more detailed information, below are “Waiver Manuals” for each of the three waivers: