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Medicaid Home and Community-Based Waiver Services Programs

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 three (2) HCBS Waiver Programs.

Please use the links below for more information on the waivers operated by DDSN. Each link will also give you information on how to obtain each waiver.


Waiver Fact Sheets

ID-RD Waiver Info Sheet (PDF)

Community Support Waiver Info Sheet (PDF)

HASCI Waiver Info Sheet (PDF)


Community Supports (CS) Waiver

Head and Spinal Cord Injury (HASCI) Waiver

Intellectual Disability and Related Disabilities (ID/RD) Waiver