What happened: CMS approved SCDHHS's five-year renewal of the Community Choices and HIV/AIDS 1915(c) waivers, retroactive to July 1, 2026. SCDHHS reports CMS approved all submitted changes.
Scope of the proposed changes (public notice, Feb. 27, 2026): review of service definitions and utilization; level of care section; participant access and eligibility; performance measures and quality improvement strategy; financial accountability, rates, billing and claims; and the cost neutrality demonstration. The notice gave no specific rate amounts, and SCDHHS's bulletin does not list individual changes.
Where to read the detail: the approved applications are posted on the SCDHHS waivers page.
Practical takeaway: If you serve Community Choices participants, read the approved service definitions for changes that affect your billing codes and documentation.
General information, not legal advice. Requirements change; confirm against the official source before you act, or ask us how this applies to your organization.