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Head and Spinal Cord Injury Waiver


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

  • receive Service Coordination 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 Service   Coordinator
  • 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


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

(HASCI) Waiver Manual

Table of Contents

Chapter 1 (PDF)   Background

  • History of the SCDDSN Head and Spinal Cord Injury Division
  • What is a Medicaid Waiver?
  • Medicaid HCBS Waiver Programs in South Carolina

Chapter 2 (PDF)   Official HASCI Waiver Document
Chapter 3 (PDF)   Eligibility and Slot Allocation

  • HASCI Waiver Eligibility
  • Management of HASCI Waiver Slots
  • Requesting a HASCI Waiver Slot
  • HASCI Waiver Waiting List
  • Allocation of HASCI Waiver Slots
  • HASCI Waiver Residential Slots
  • Referrals from SCDSS or SCDMH
  • Removal from the HASCI Waiver Waiting List

Chapter 4 (PDF)   Enrollment and Termination

  • Initiating HASCI Waiver Enrollment
  • Medicaid Eligibility
  • Level of Care
  • Determining Services and Enrollment Date
  • Completing Enrollment
  • Level of Care Re-evaluation
  • HASCI Waiver Termination

Chapter 5 (PDF)   Service Procedures

  • Selection of HASCI Waiver Services and Providers
  • Justifying Services in the Individual’s Plan
  • Budgeting for HASCI Waiver Services
  • Service Tracking System
  • Service Authorizations
  • Monitorship of HASCI Waiver Services
  • Service Denial, Reduction, Suspension, Termination

Chapter 6   Services