South Carolina operates seven 1915(c) HCBS waivers on the SCDHHS summary chart dated January 2026. The Palmetto Coordinated System of Care (PCSC) waiver, which appeared on earlier charts, is no longer listed; its end date was July 31, 2025. Enrollment figures below are the chart's January 2026 counts.
Who each waiver serves
| Waiver (in operation since) | Who it serves | Level of care | Operated by | Enrollment (Jan. 2026) |
|---|---|---|---|---|
| Community Choices (CC), 2003 | Frail elderly (65+) and adults with physical disabilities (18-64) | Nursing facility | SCDHHS | 22,536 |
| HIV/AIDS, 1988 | People with an HIV or AIDS diagnosis in S.C. (or intending to locate here) who are at risk of hospitalization | At risk of hospitalization | SCDHHS | 427 |
| Mechanical Ventilator (VENT), 1994 | Adults 21+ who need mechanical ventilation, including the frail elderly and people with physical disabilities | Nursing facility, ventilator-dependent | SCDHHS | 41 |
| Medically Complex Children's (MCC), 2008 | Children from birth to 21 with chronic physical or health conditions expected to last at least 12 months | Hospital (at risk of hospitalization) | SCDHHS, with contracted nurse care coordination and pediatric medical day care | 2,212 |
| Intellectual Disability/Related Disabilities (ID/RD), 1991 | Any age; diagnosis of an intellectual or related disability | ICF/IID | OIDD, with SCDHHS administrative authority | 8,558 |
| Community Supports (CS), 2009 | Any age; diagnosis of an intellectual or related disability | ICF/IID | OIDD, with SCDHHS administrative authority | 2,590 |
| Head and Spinal Cord Injury (HASCI), 1995 | Any age; traumatic brain injury, spinal cord injury or similar disability | Nursing facility or ICF/IID | OIDD, with SCDHHS administrative authority | 1,069 |
Terms and renewal status
| Waiver | Expiration on the Jan. 2026 chart | Status |
|---|---|---|
| Community Choices | June 30, 2026 | Renewed (MB# 26-029) |
| HIV/AIDS | June 30, 2026 | Renewed (MB# 26-029) |
| Mechanical Ventilator | Nov. 30, 2027 | No change found |
| Medically Complex Children's | Dec. 31, 2026 | SCDHHS issued a renewal notice on Aug. 21, 2026 for a Jan. 1, 2027 effective date; we found no CMS approval yet |
| ID/RD | Dec. 31, 2026 | Same renewal notice (Aug. 21, 2026) for Jan. 1, 2027; no CMS approval found yet |
| Community Supports | June 30, 2027 | No change found |
| HASCI | June 30, 2028 | No change found |
The chart's own "years in operation" notes and some renewal dates look inconsistent with its January 2026 date, so confirm any date you rely on against the current SCDHHS waivers page.
Services listed on the chart
| Waiver | Services listed |
|---|---|
| Community Choices | Case management; personal care; attendant care; companion care (agency and individual); home-delivered meals; adult day health care and adult day health care nursing; respite (institutional, CRCF, in-home); personal emergency response (installation and monitoring); telemonitoring; home accessibility adaptations; specialized medical equipment and supplies; residential personal care II; pest control |
| HIV/AIDS | Case management; personal care; attendant care; companion care (agency and individual); home-delivered meals; pest control; nursing; home accessibility adaptations; specialized medical equipment and supplies |
| Mechanical Ventilator | Case management; personal care; attendant care; nursing; specialized medical equipment and supplies; respite (institutional, in-home); personal emergency response; home accessibility adaptations; pest control; home-delivered meals |
| Medically Complex Children's | Nurse care coordination; respite; environmental modifications; pediatric medical day care; children's attendant care |
| ID/RD | Residential habilitation; personal care; respite; nursing; behavior support; audiology; adult companion; adult dental and vision; adult day health care; attendant care; career preparation, day activity, employment and community services; support center services; independent living skills; environmental and vehicle modifications; specialized equipment and assistive technology; incontinence supplies; personal emergency response; pest control and bed bug treatment; waiver case management |
| Community Supports | Personal care; adult day health services and nursing; respite; environmental modifications; assistive technology; incontinence supplies; vehicle modifications and assessment; behavior support; day activity; career preparation; community services; employment services; support center services; in-home support; personal emergency response; waiver case management |
| HASCI | Caregiver coaching; independent living skills; career preparation, day activity and employment; attendant care/personal assistance; health education and peer guidance for participant direction; specialized equipment and assistive technology; incontinence supplies; respite; personal emergency response; physical, occupational, psychological, speech and hearing therapies; behavior support; nursing; vehicle and environmental modifications; assessment/consultation; pest control; waiver case management |
Where to start
| Waivers | Contact listed on the chart |
|---|---|
| Community Choices, HIV/AIDS, Mechanical Ventilator, Medically Complex Children's | SCDHHS/CLTC Centralized Intake, 888-971-1637, or electronic referral through the CLTC referral portal |
| ID/RD, Community Supports, HASCI | OIDD Single Point of Entry, 1-800-289-7012 |
Practical takeaway: Confirm which waiver each client is enrolled in and its current term before assuming service coverage; service arrays differ between waivers.
Last verified against the cited source on November 2, 2026.
General information, not legal advice. Requirements change; confirm against the official source before you act, or ask us how this applies to your organization.