These videos give an overview of the various Home and Community-Based Services (HCBS) available in South Carolina for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in South Carolina. Explore each section to find the service that best matches your goals or area of interest.
Resite Care
RESPITE CARE SERVICES PROVIDER IN SOUTH CAROLINA
OFFERING SHORT-TERM RELIEF TO FAMILIES WHILE ENSURING CONTINUITY OF CARE FOR INDIVIDUALS WITH DISABILITIES AND CHRONIC NEEDS
Respite Care Services in South Carolina provide temporary, supportive care to individuals with disabilities or health conditions, giving their regular caregivers a break. These services are available under several Home and Community-Based Services (HCBS) Waivers, including the ID/RD Waiver, Community Supports Waiver, HASCI Waiver, and CLTC (Community Long Term Care). Respite may be provided in-home, in licensed facilities, or at adult day care sites, and must align with the participant’s Individual Support Plan (ISP).
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Oversees Medicaid funding, service authorizations, and provider reimbursements.
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Coordinates respite services for individuals with intellectual and developmental disabilities (IDD), including training and provider oversight.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Ensures state waiver compliance with federal guidelines for respite and family support services.
2. RESPITE CARE SERVICES OVERVIEW
Respite care provides temporary, substitute support to a person with disabilities or chronic illness when the usual caregiver is unavailable. It helps prevent caregiver burnout and ensures that care remains consistent and person-centered.
Approved providers may offer:
In-Home Respite: Short-term care within the participant’s residence
Out-of-Home Respite: Delivered in a licensed group home, facility, or community site
Hourly or Daily Care: Flexible based on waiver guidelines and caregiver availability
Skilled or Non-Skilled Supervision: Depending on the participant’s care needs
Documentation: Shift notes, care logs, incident reports, and Medicaid billing records
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State
Obtain EIN and Type 2 NPI
Enroll as a Medicaid provider under Respite Services through DDSN or SCDHHS
Hire trained Direct Support Professionals (DSPs) or respite workers
If offering out-of-home respite, comply with DHEC facility licensure requirements
Develop a Respite Care Services Policy & Procedure Manual
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Establish your business, secure EIN and NPI
Step 2: Apply for provider enrollment with DDSN (for ID/RD and related waivers) or SCDHHS (for CLTC services)
Step 3: Submit staff training, supervision protocols, and documentation samples
Step 4: Complete provider approval and facility licensing (if applicable)
Step 5: Begin accepting participant referrals from case managers or waiver coordinators
5. REQUIRED DOCUMENTATION
EIN, NPI, and Articles of Incorporation
Medicaid enrollment approval
Staff training records and background checks
Liability and worker’s compensation insurance
Respite Care Services Policy & Procedure Manual including:
Participant intake and caregiver contact forms
Emergency protocols and medication handling (if applicable)
Daily shift documentation and service logs
Participant rights and HIPAA compliance
Critical incident response procedures
Billing records and audit trail tools
6. STAFFING REQUIREMENTS
Role: Respite Worker / Direct Support Professional (DSP)
Requirements:
High school diploma or GED
Background check, CPR/First Aid, and training in ADLs and behavior support
Familiarity with individual support plans and safety protocols
Role: Clinical Supervisor (if skilled services provided)
Requirements: RN or licensed professional to oversee care where required
All staff must complete:
HIPAA and abuse prevention training
Participant dignity and rights training
Documentation and Medicaid billing protocols
Emergency preparedness procedures
Annual in-service training and skills evaluations
7. MEDICAID WAIVER PROGRAMS
Respite Care Services are reimbursable through:
ID/RD Waiver – For individuals with intellectual disabilities
Community Supports Waiver – For part-time support to individuals with fewer service needs
HASCI Waiver – For those with head or spinal cord injuries
CLTC (Community Long Term Care) – For adults with chronic illness or aging-related needs
TEFRA / EPSDT (under age 21) – May provide skilled pediatric respite when medically necessary
8. TIMELINE TO LAUNCH
Phase: Business Formation & Manual Development
Timeline: 1–2 months
Phase: Medicaid Enrollment & Staff Onboarding
Timeline: 2–3 months
Phase: Facility Licensure (if applicable)
Timeline: 1–2 months
Phase: Start Accepting Referrals
Timeline: Upon provider approval and participant matching
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
South Carolina Department of Health and Environmental Control (DHEC)
Website: https://scdhec.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC RESPITE CARE PROVIDER
WCG helps providers establish Medicaid-approved respite care programs that reduce caregiver stress and promote consistent care for South Carolina’s most vulnerable populations.
Scope of Work:
Medicaid enrollment and credentialing
Respite Care Policy & Procedure Manual
Participant intake and caregiver communication tools
Daily documentation logs and emergency forms
Staff onboarding, training, and supervision plans
Compliance checklists and billing guidance
Residential Care
RESIDENTIAL CARE SERVICES PROVIDER IN SOUTH CAROLINA
SUPPORTING INDEPENDENT LIVING IN COMMUNITY-BASED HOMES FOR INDIVIDUALS WITH DISABILITIES, BEHAVIORAL NEEDS, OR AGING-RELATED SUPPORT REQUIREMENTS
Residential Care Services in South Carolina provide 24-hour support and supervision in non-institutional, home-like settings for individuals who are unable to live independently due to intellectual or developmental disabilities (IDD), behavioral health conditions, or age-related limitations. These services are authorized through Medicaid HCBS Waivers managed by the South Carolina Department of Disabilities and Special Needs (DDSN) and other specialized programs under SCDHHS.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Oversees residential supports for individuals with IDD, autism, and related conditions, including provider approval and compliance.
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Administers Medicaid and HCBS Waivers, funds residential habilitation and community living programs.
Agency: South Carolina Department of Health and Environmental Control (DHEC)**
Role: Licenses Community Residential Care Facilities (CRCFs) and monitors facility safety and sanitation.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Sets federal guidelines for residential HCBS settings and person-centered care delivery.
2. RESIDENTIAL CARE SERVICES OVERVIEW
Residential care includes structured living environments where individuals receive supervision, assistance with daily living, and community integration opportunities.
Approved providers may deliver:
Residential Habilitation: Skill-building and ADL support in group homes or supervised apartments.
24-Hour Supervision & Safety Monitoring
Medication Assistance & Health Coordination
Meals, Transportation & Housekeeping Support
Community Integration & Social Skill Development
Behavioral Support (if authorized by waiver or care plan)
Documentation: ISP progress notes, shift logs, incident reports, and Medicaid billing records.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the SC Secretary of State.
Obtain EIN and Type 2 NPI.
Apply for DHEC licensure if operating a Community Residential Care Facility (CRCF).
Apply through DDSN for residential provider approval and service authorization.
Enroll with SCDHHS as a Medicaid provider for residential habilitation.
Maintain liability insurance, staffing plan, and emergency preparedness systems.
Develop a Residential Care Services Policy & Procedure Manual addressing supervision, ADLs, health coordination, and participant rights.
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Register business, obtain EIN/NPI, and apply for DHEC licensure.
Step 2: Submit provider application to DDSN for residential habilitation approval.
Step 3: Enroll with SCDHHS as a Medicaid waiver provider.
Step 4: Complete facility inspections, staffing credential checks, and program readiness reviews.
Step 5: Begin accepting residents upon service plan authorization and referral.
5. REQUIRED DOCUMENTATION
Articles of Incorporation, EIN, and NPI
DHEC CRCF license (if required)
DDSN provider approval documentation
Medicaid enrollment confirmation
Staff background checks and training logs
Residential Care Services Policy & Procedure Manual including:
Daily living support protocols
Medication administration and health coordination
Behavioral support procedures (if applicable)
Staff-to-client ratio standards
Emergency, fire safety, and infection control policies
Incident response, quality assurance, and documentation tools
6. STAFFING REQUIREMENTS
Role: Residential Direct Support Professional (DSP)
Requirements: High school diploma/GED, background check, CPR/First Aid, abuse prevention training.
Role: House Manager or Program Supervisor
Requirements: Supervisory experience in residential care, DDSN/Medicaid compliance training.
Role: Registered Nurse (if required by plan)
Requirements: Active SC license, assists with medication administration and health plans.
All staff must complete:
Person-centered planning training
HIPAA and participant rights education
Crisis intervention and behavioral de-escalation (if applicable)
Fire safety, emergency response, and infection control
Ongoing in-service training and annual skills review
7. MEDICAID WAIVER PROGRAMS
Residential Care Services are authorized through:
ID/RD Waiver – For individuals with intellectual or related developmental disabilities
Community Supports Waiver – May cover limited residential respite
HASCI Waiver – For individuals with head or spinal cord injuries needing residential habilitation
CLTC (Community Long Term Care) – Includes some supervised living or group home models for seniors
State-Only DDSN Placements – For individuals not eligible for waiver but needing residential services
8. TIMELINE TO LAUNCH
Phase: Business Registration & Policy Manual Creation
Timeline: 1–2 months
Phase: DHEC Licensing & DDSN Provider Approval
Timeline: 2–4 months
Phase: Staff Hiring, Facility Setup & Medicaid Enrollment
Timeline: 2–3 months
Phase: Begin Accepting Residents
Timeline: Once all licenses, enrollments, and inspections are approved
9. CONTACT INFORMATION
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Department of Health and Environmental Control (DHEC)
CRCF Licensing: https://scdhec.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SOUTH CAROLINA RESIDENTIAL CARE PROVIDER
WCG provides comprehensive support to agencies establishing residential habilitation services that comply with Medicaid, DDSN, and DHEC standards.
Scope of Work:
Facility and program licensing with DHEC and DDSN
Medicaid provider enrollment and compliance documentation
Residential Care Policy & Procedure Manual development
Staff onboarding and annual training trackers
Incident response tools and documentation systems
Participant rights materials and emergency preparedness plans
Supported Employment
SUPPORTED EMPLOYMENT SERVICES PROVIDER IN SOUTH CAROLINA
EMPOWERING INDIVIDUALS WITH DISABILITIES TO GAIN MEANINGFUL EMPLOYMENT THROUGH INDIVIDUALIZED JOB SUPPORTS AND COMMUNITY PARTNERSHIPS
Supported Employment Services in South Carolina are person-centered, Medicaid-funded services that help individuals with intellectual and developmental disabilities (IDD), traumatic brain injuries, or behavioral challenges obtain and retain competitive, integrated employment. These services are authorized through several Home and Community-Based Services (HCBS) Waivers, primarily administered by the South Carolina Department of Disabilities and Special Needs (DDSN) and SCDHHS.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Authorizes supported employment providers, establishes service standards, and manages job coaching referrals.
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Oversees Medicaid reimbursement under HCBS Waivers and monitors program integrity.
Agency: South Carolina Vocational Rehabilitation Department (SCVRD)**
Role: Offers pre-employment and transition services that may be coordinated with waiver supports.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Enforces federal Medicaid standards for employment-related HCBS and person-centered outcomes.
2. SUPPORTED EMPLOYMENT SERVICES OVERVIEW
Supported Employment Services promote competitive, integrated work for individuals who need long-term supports to succeed in the workforce.
Approved providers may offer:
Job Development & Placement: Individualized job matching and employer outreach.
Job Coaching: On-site training and support to build and maintain job skills.
Workplace Accommodations: Consultation and support to ensure accessibility and inclusion.
Employment Skills Training: Soft skills, communication, and task-specific instruction.
Ongoing Support & Monitoring: Periodic check-ins and coordination with employers and caregivers.
Documentation: Employment plans, service logs, progress reports, and billing records for Medicaid.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State.
Obtain EIN and Type 2 NPI.
Employ qualified job coaches or employment specialists with relevant experience or certifications.
Enroll with DDSN as a Supported Employment provider.
Enroll with SCDHHS as a Medicaid provider under HCBS Waiver services.
Develop a Supported Employment Policy & Procedure Manual detailing individualized planning, job support, documentation, and employer engagement.
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Form your business entity and obtain EIN/NPI.
Step 2: Apply for approval as a Supported Employment provider through DDSN.
Step 3: Complete SCDHHS Medicaid provider enrollment.
Step 4: Submit training certifications, staff resumes, and sample documentation (e.g., employment support plans).
Step 5: Begin receiving participant referrals and service authorizations.
5. REQUIRED DOCUMENTATION
Articles of Incorporation, EIN, and NPI confirmation
DDSN provider approval
Medicaid enrollment confirmation
Professional liability and general insurance
Supported Employment Services Policy & Procedure Manual including:
Person-centered job matching and intake forms
Job coach guidelines and supervision protocols
Employment support plans and service delivery notes
Employer agreements and participant consent forms
Incident reporting and quality assurance policies
Billing documentation and time tracking tools
6. STAFFING REQUIREMENTS
Role: Job Coach / Employment Specialist
Requirements: Experience with disability employment services; must complete DDSN training and pass background checks.
Role: Employment Program Supervisor
Requirements: Oversight of job placements, staff, and compliance with Medicaid documentation standards.
Preferred Certifications:
Association of Community Rehabilitation Educators (ACRE)
National APSE Certification in Employment Services
All staff must complete:
DDSN-approved Supported Employment training
HIPAA and participant rights training
Abuse prevention and reporting training
Documentation and Medicaid billing protocols
Ongoing continuing education and competency evaluations
7. MEDICAID WAIVER PROGRAMS
Supported Employment Services are reimbursable through:
ID/RD Waiver – For adults with intellectual or developmental disabilities
HASCI Waiver – For individuals with brain or spinal cord injuries
Community Supports Waiver – May cover limited employment-related supports
EPSDT / TEFRA (under 21) – Youth may be eligible through transition programs coordinated with SCVRD
Self-Directed Services – Participants can choose employment providers within waiver guidelines
8. TIMELINE TO LAUNCH
Phase: Business Registration & Manual Development
Timeline: 1–2 months
Phase: DDSN Application & SCDHHS Medicaid Enrollment
Timeline: 2–3 months
Phase: Staff Hiring & Training
Timeline: 30–60 days
Phase: Participant Onboarding & Service Launch
Timeline: Begins once referrals and service authorizations are received
9. CONTACT INFORMATION
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Vocational Rehabilitation Department (SCVRD)
Website: https://scvrd.sc.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC SUPPORTED EMPLOYMENT PROVIDER
WCG helps providers launch supported employment programs that prioritize individual success, workforce inclusion, and Medicaid compliance.
Scope of Work:
Medicaid and DDSN enrollment support
Supported Employment Policy & Procedure Manual
Job coach training materials and supervision logs
Intake forms, support plans, and job tracking tools
Employer engagement templates and consent forms
Medicaid billing and progress note systems
Personal Care
PERSONAL CARE SERVICES PROVIDER IN SOUTH CAROLINA
DELIVERING COMPASSIONATE, HANDS-ON SUPPORT TO HELP INDIVIDUALS WITH DAILY LIVING ACTIVITIES AND INDEPENDENT LIVING GOALS
Personal Care Services (PCS) in South Carolina support individuals with physical, cognitive, or age-related limitations who require assistance with activities of daily living (ADLs) such as bathing, grooming, mobility, and eating. These services are covered under South Carolina Medicaid through the State Plan, Community Long Term Care (CLTC) programs, and Home and Community-Based Services (HCBS) Waivers, enabling individuals to remain safely in their homes or communities instead of entering institutional care.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Administers Medicaid programs, oversees provider enrollment, authorizes PCS services, and reimburses claims.
Agency: South Carolina Department of Health and Environmental Control (DHEC)**
Role: Licenses in-home care providers and monitors health and safety standards for personal care agencies.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Ensures South Carolina's Medicaid services comply with federal regulations, including waiver requirements.
2. PERSONAL CARE SERVICES OVERVIEW
Personal Care Services are non-medical, hands-on supports provided in the participant’s home or community setting to promote independence and reduce reliance on institutional care.
Approved providers may offer:
Assistance with Activities of Daily Living (ADLs): Bathing, dressing, grooming, toileting, transferring, and eating.
Instrumental ADL (IADL) Support: Light housekeeping, laundry, shopping, and meal preparation (when related to ADLs).
Mobility Assistance: Safe ambulation and transferring techniques for those with mobility impairments.
Health Maintenance Tasks: Support with self-administered medications, under supervision (not clinical).
Safety Monitoring & Supervision: Ensuring participant well-being and reporting changes in condition.
Documentation: Shift logs, care notes, and time tracking for Medicaid billing.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business entity with the South Carolina Secretary of State.
Obtain EIN from the IRS and a Type 2 NPI.
Apply for a DHEC In-Home Care Provider License.
Enroll as a Medicaid provider with SCDHHS under Personal Care Services or attendant care.
Maintain insurance (general liability, workers’ comp, and professional liability if required).
Develop a Personal Care Services Policy & Procedure Manual that aligns with Medicaid and DHEC standards.
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and apply for a DHEC license as an In-Home Care provider.
Step 2: Secure EIN, NPI, and required insurance coverage.
Step 3: Apply for provider enrollment through the SCDHHS Medicaid Provider Enrollment Portal.
Step 4: Submit agency documentation including your PCS manual, staffing plan, and organizational structure.
Step 5: Begin receiving service authorizations from CLTC case managers or waiver administrators.
5. REQUIRED DOCUMENTATION
Articles of Incorporation, EIN, and NPI confirmation
DHEC In-Home Care Provider license
Medicaid enrollment approval letter
Insurance certificates (liability, workers’ comp)
Personal Care Services Policy & Procedure Manual including:
Client intake and care plan development
ADL assistance procedures and safety protocols
Caregiver documentation standards
Participant rights and HIPAA policies
Incident response and quality assurance plans
Medicaid billing logs and supervisory visit checklists
6. STAFFING REQUIREMENTS
Role: Personal Care Aide / Attendant
Requirements: Minimum training per DHEC guidelines (often 40+ hours), background checks, CPR/First Aid certification.
Role: RN Supervisor (if required by license or waiver)
Requirements: Active SC RN license, responsible for care plan oversight and aide supervision.
Role: Administrator / Program Coordinator
Requirements: Responsible for staff compliance, quality control, and DHEC documentation.
All staff must complete:
ADL and personal care skills training
HIPAA and confidentiality training
Abuse prevention and safety training
Annual performance evaluations and competency assessments
Ongoing in-service education (as required by DHEC)
7. MEDICAID WAIVER PROGRAMS
Personal Care Services are available through:
Community Long Term Care (CLTC) Program – Personal care and attendant services for seniors and adults with disabilities
HASCI Waiver – For individuals with head or spinal cord injuries
ID/RD Waiver – For individuals with intellectual and related disabilities
Medicaid State Plan Services – For eligible individuals requiring personal care without waiver enrollment
Self-Directed Options – Participants may select their own personal care provider from an approved agency
8. TIMELINE TO LAUNCH
Phase: Business Formation & Policy Manual Development
Timeline: 1–2 months
Phase: DHEC Licensure & Medicaid Enrollment
Timeline: 2–3 months
Phase: Staff Hiring, Training & Compliance Setup
Timeline: 30–60 days
Phase: Begin Receiving Service Authorizations
Timeline: Upon DHEC and Medicaid approval
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Department of Health and Environmental Control (DHEC)
In-Home Care Licensing: https://scdhec.gov
SCDHHS Medicaid Provider Enrollment Portal
Website: https://providers.scdhhs.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SOUTH CAROLINA PERSONAL CARE PROVIDER
WCG offers comprehensive guidance to help providers launch and manage PCS agencies that meet South Carolina’s DHEC and Medicaid standards.
Scope of Work:
DHEC licensing and Medicaid enrollment assistance
Personal Care Services Policy & Procedure Manual development
Staff onboarding tools and training documentation
Shift log templates and care plan forms
Compliance audit prep and supervisory visit tools
Referral development strategy and billing guidance
Adaptive Equipment
ADAPTIVE EQUIPMENT SERVICES PROVIDER IN SOUTH CAROLINA
ENHANCING FUNCTIONAL INDEPENDENCE AND SAFETY THROUGH CUSTOMIZED EQUIPMENT SOLUTIONS FOR INDIVIDUALS WITH DISABILITIES
Adaptive Equipment Services in South Carolina involve the assessment, procurement, customization, and delivery of tools and devices that support individuals with disabilities in performing everyday tasks more independently. These services are funded through South Carolina Medicaid Home and Community-Based Services (HCBS) Waivers, most notably through the Community Supports Waiver, ID/RD Waiver, and HASCI Waiver, and are coordinated by SCDHHS and DDSN.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Oversees Medicaid funding, service definitions, and billing under HCBS Waivers.
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Coordinates authorizations and provider monitoring for waiver participants requiring adaptive equipment.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Ensures federal compliance under Medicaid's person-centered service standards.
2. ADAPTIVE EQUIPMENT SERVICES OVERVIEW
Adaptive equipment refers to devices designed or modified to assist individuals with physical, cognitive, or developmental disabilities in performing daily activities more independently and safely.
Approved providers may deliver:
Individualized Equipment Assessments
Procurement and Customization of adaptive tools
Setup and Installation in the home or care setting
Training for Participants and Caregivers on safe use
Maintenance and Repairs as needed
Documentation and Medicaid Billing for each service stage
Examples of Adaptive Equipment:
Grab bars, raised toilet seats, and shower chairs
Adaptive utensils, non-slip mats, and reaching tools
Transfer boards, gait belts, and bed rails
Specialized seating or positioning systems
Adaptive switches for mobility or communication devices
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State
Obtain EIN and Type 2 NPI
Partner with qualified professionals (e.g., OT, PT, ATP) for assessments
Enroll as an Adaptive Equipment provider through DDSN and/or SCDHHS
Maintain product liability and business insurance
Develop a Policy & Procedure Manual covering assessments, installations, safety, and Medicaid documentation
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Form your business entity, obtain EIN and NPI
Step 2: Apply to DDSN and/or SCDHHS for provider approval in the Adaptive Equipment category
Step 3: Submit staff qualifications, sample service workflows, and policies
Step 4: Undergo provider readiness review and receive your provider number
Step 5: Begin receiving referrals and service authorizations
5. REQUIRED DOCUMENTATION
Business registration, EIN, and NPI documentation
Provider enrollment confirmation with SCDHHS and/or DDSN
Insurance policies (liability, workers’ comp, etc.)
Adaptive Equipment Services Policy & Procedure Manual including:
Assessment forms and procurement logs
Participant safety and training checklists
Delivery and installation documentation
Maintenance, warranty, and return protocols
HIPAA compliance and participant rights policies
Medicaid billing logs and service authorization forms
6. STAFFING REQUIREMENTS
Role: Adaptive Equipment Specialist / Installer
Requirements: Training in safety, installation, and use of equipment; familiarity with participant mobility and home access needs.
Role: Occupational or Physical Therapist (as needed)
Requirements: SC licensure to perform assessments or justify equipment need for Medicaid approval.
Role: Program Manager (Recommended)
Requirements: Responsible for vendor sourcing, documentation review, and compliance oversight.
All staff must complete:
HIPAA and participant rights training
Infection control and equipment safety training
Installation and demonstration competency
Documentation and Medicaid billing compliance
Annual skills updates and in-service training
7. MEDICAID WAIVER PROGRAMS
Adaptive Equipment Services are covered under:
ID/RD Waiver – For individuals with intellectual or developmental disabilities
HASCI Waiver – For individuals with head or spinal cord injuries
Community Supports Waiver – For individuals needing support to prevent institutionalization
CLTC (Community Long Term Care) – For elderly and disabled adults needing home modifications or devices
EPSDT / TEFRA (Under Age 21) – For children with medical necessity for adaptive tools
8. TIMELINE TO LAUNCH
Phase: Business Setup & Manual Development
Timeline: 1–2 months
Phase: Medicaid Enrollment & Credentialing
Timeline: 2–3 months
Phase: Vendor Setup & Staff Training
Timeline: 1 month
Phase: Begin Receiving Referrals & Delivering Equipment
Timeline: Once authorization is issued
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
South Carolina Assistive Technology Program (SCATP)
Website: https://scatp.med.sc.edu
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC ADAPTIVE EQUIPMENT PROVIDER
WCG helps providers build Medicaid-compliant adaptive equipment programs with participant-centered service models.
Scope of Work:
Medicaid provider enrollment and credentialing
Adaptive Equipment Policy & Procedure Manual
Assessment templates and delivery logs
Device training documentation and consent forms
Medicaid billing and service authorization tools
Vendor sourcing, warranty tracking, and maintenance logs
Attendant & Companion Care
ATTENDANT & COMPANION CARE SERVICES PROVIDER IN SOUTH CAROLINA
DELIVERING PERSONALIZED NON-MEDICAL SUPPORT TO PROMOTE INDEPENDENCE, SAFETY, AND COMPANIONSHIP FOR MEDICAID WAIVER PARTICIPANTS
Attendant and Companion Care Services in South Carolina provide non-medical, in-home assistance with daily living tasks and emotional support to Medicaid recipients who require supervision or help to remain safely in their homes and communities. These services are authorized under South Carolina Medicaid’s Home and Community-Based Services (HCBS) Waivers, especially through the Community Supports Waiver, CLTC (Community Long Term Care), and DDSN-managed waivers.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Oversees Medicaid reimbursement and ensures service delivery compliance under relevant waiver programs.
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Authorizes companion and attendant services for individuals with IDD and related conditions.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Sets federal person-centered planning and community-based service requirements.
2. ATTENDANT & COMPANION CARE SERVICES OVERVIEW
These services support individuals who need help with daily non-medical activities, companionship, and protective oversight but do not require skilled nursing care.
Approved providers may deliver:
Companion Care: Social interaction, activity engagement, and community participation
Attendant Care: Assistance with ADLs such as dressing, grooming, eating, mobility, and light housekeeping
Safety Monitoring & Supervision: Support to prevent accidents and promote well-being
Medication Reminders (non-clinical)
Transportation Assistance (within service scope)
Documentation: Daily logs, service timesheets, incident reports, and billing forms
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State
Obtain EIN and Type 2 NPI
Enroll as a provider with SCDHHS and/or DDSN under the Companion/Attendant Care service category
Hire and train direct care staff (Companions or Attendants) who meet waiver-specific requirements
Maintain liability and workers’ compensation insurance
Develop a Companion & Attendant Care Services Policy & Procedure Manual
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Establish your business, obtain EIN and NPI
Step 2: Submit enrollment application through SCDHHS or DDSN based on target population
Step 3: Submit staff qualifications, sample documentation, and service delivery plans
Step 4: Complete a provider readiness review
Step 5: Begin accepting referrals from waiver case managers
5. REQUIRED DOCUMENTATION
Articles of Incorporation, EIN, and NPI confirmation
Medicaid and/or DDSN enrollment approval
Staff credentialing, background checks, and training records
Companion & Attendant Care Services Policy & Procedure Manual including:
Participant intake and service planning
Daily activity documentation forms
Safety and supervision protocols
Emergency and incident response procedures
Participant rights, HIPAA compliance
Quality assurance and service delivery tracking
Timekeeping and Medicaid billing logs
6. STAFFING REQUIREMENTS
Role: Companion / Attendant Care Worker
Requirements:
High school diploma or GED (recommended)
Background check and CPR/First Aid certification
Onboarding training in ADLs, abuse prevention, and participant safety
Role: Program Supervisor (Recommended)
Requirements:
Experience in direct care or home-based services
Oversight of staff documentation and participant satisfaction
All staff must complete:
HIPAA and confidentiality training
Abuse/neglect prevention and reporting
Infection control and emergency response
Documentation and service delivery procedures
Annual in-service training and competency review
7. MEDICAID WAIVER PROGRAMS
Attendant & Companion Care Services may be authorized through:
Community Supports Waiver – For individuals with disabilities needing non-medical daily support
ID/RD Waiver – Often paired with habilitation or in-home support
HASCI Waiver – For individuals with head and spinal cord injuries
CLTC (Community Long Term Care) – For aging and disabled adults needing home-based personal assistance
Self-Directed Waivers – Participants choose their own providers under Medicaid rules
8. TIMELINE TO LAUNCH
Phase: Business Registration & Policy Manual Creation
Timeline: 1–2 months
Phase: Medicaid Enrollment & Staff Hiring
Timeline: 2–3 months
Phase: Service Readiness & Referral Setup
Timeline: 1–2 months
Phase: Begin Service Delivery
Timeline: Upon receiving authorization from waiver case managers
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC ATTENDANT & COMPANION CARE PROVIDER
WCG helps providers launch high-quality, Medicaid-compliant Attendant & Companion Care programs that support dignity and independence.
Scope of Work:
Medicaid and DDSN provider enrollment
Companion & Attendant Care Policy & Procedure Manual
Staff onboarding and training forms
Daily log templates and billing documentation
Quality assurance and incident tracking tools
Participant intake and service satisfaction forms
Community Integration Services
COMMUNITY INTEGRATION SERVICES PROVIDER IN SOUTH CAROLINA
FACILITATING SOCIAL CONNECTION, SKILL DEVELOPMENT, AND INCLUSIVE PARTICIPATION FOR INDIVIDUALS WITH DISABILITIES
Community Integration Services—often called Community Services—help individuals with disabilities engage meaningfully in everyday community life. These services support participation in social, recreational, educational, and volunteer activities. In South Carolina, they are reimbursed through various Home and Community-Based Services (HCBS) Waivers administered by the Department of Disabilities and Special Needs (DDSN) and the South Carolina Department of Health and Human Services (SCDHHS).
1. GOVERNING AGENCIES
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Authorizes providers to deliver Community Integration Services and monitors compliance with service standards.
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Oversees Medicaid reimbursement and HCBS compliance.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Ensures federal standards for inclusion, person-centered services, and community-based care are met.
2. COMMUNITY INTEGRATION SERVICES OVERVIEW
These services are designed to reduce social isolation and help individuals build relationships, access public spaces, and develop skills for greater independence in the community.
Approved providers may deliver:
Individual or Small Group Outings (e.g., museums, libraries, stores, volunteer work)
Transportation to Community Activities
Social Skills Training and Peer Engagement
Participation in Public Events or Clubs
Support in Navigating Community Resources
Documentation: Progress reports, activity logs, time tracking, and billing records
Activities must align with the participant’s Individual Support Plan (ISP) and support inclusion in community life.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State
Obtain EIN and Type 2 NPI
Enroll as a Community Services provider with DDSN
Complete SCDHHS Medicaid enrollment
Hire trained Direct Support Professionals (DSPs)
Develop a Community Integration Services Policy & Procedure Manual
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain EIN/NPI
Step 2: Apply with DDSN for approval as a Community Integration provider
Step 3: Complete Medicaid enrollment through SCDHHS
Step 4: Submit staff qualifications, service protocols, and sample documentation
Step 5: Undergo service readiness verification and begin receiving referrals
5. REQUIRED DOCUMENTATION
Articles of Incorporation, EIN, and NPI
DDSN and SCDHHS provider approvals
Staff background checks and training records
Community Integration Services Policy & Procedure Manual including:
Daily activity planning and documentation templates
Participant consent forms
Risk assessments and supervision protocols
HIPAA and participant rights policies
Emergency response and safety procedures
Medicaid billing logs and audit tools
6. STAFFING REQUIREMENTS
Role: Community Support Worker / Direct Support Professional (DSP)
Requirements:
High school diploma or GED
Background check, CPR/First Aid certification
Training in person-centered support and community engagement
Role: Program Coordinator (Recommended)
Requirements: Oversight of service quality, staff training, and coordination with ISPs
All staff must complete:
Abuse and neglect prevention training
HIPAA and confidentiality education
Participant dignity and rights awareness
Documentation and timekeeping training
Annual in-service trainings and competency reviews
7. MEDICAID WAIVER PROGRAMS
Community Integration Services are covered under:
Community Supports Waiver – For individuals with disabilities needing part-time services
ID/RD Waiver – For full support participants receiving structured community services
HASCI Waiver – For adults with head and spinal cord injuries
Self-Directed Services – May allow families to select their own community providers
8. TIMELINE TO LAUNCH
Phase: Business Setup & Policy Development
Timeline: 1–2 months
Phase: Medicaid & DDSN Enrollment
Timeline: 2–3 months
Phase: Staff Hiring & Training
Timeline: 30–60 days
Phase: Service Activation
Timeline: Begins after approval and referral receipt
9. CONTACT INFORMATION
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC COMMUNITY SERVICES PROVIDER
WCG helps providers create impactful community inclusion programs that align with Medicaid waiver goals and participant aspirations.
Scope of Work:
Provider enrollment with SCDHHS and DDSN
Community Integration Policy & Procedure Manual
Activity log, incident report, and ISP alignment forms
Staff orientation and training guidance
Participant intake and consent tools
Medicaid billing templates and compliance checklists
Adult Health
ADULT HEALTH SERVICES PROVIDER IN SOUTH CAROLINA
DELIVERING PERSON-CENTERED MEDICAL AND SUPPORTIVE CARE TO PROMOTE HEALTH, DIGNITY, AND INDEPENDENCE FOR ADULTS IN COMMUNITY SETTINGS
Adult Health Services in South Carolina consist of Medicaid-funded in-home and community-based medical and non-medical services provided to adults with disabilities, chronic conditions, or aging-related health needs. These services support functional independence, promote wellness, and prevent unnecessary institutionalization. They are primarily authorized under South Carolina Medicaid’s Home and Community-Based Services (HCBS) Waivers, the Community Long Term Care (CLTC) program, and DDSN-managed waivers.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Oversees Medicaid enrollment, provider payments, and Adult Health Service standards under HCBS and CLTC programs.
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Authorizes medical and personal care services for adults with developmental disabilities.
Agency: South Carolina Department of Health and Environmental Control (DHEC)
Role: Regulates licensure for certain clinical and home-based care providers.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Ensures compliance with federal Medicaid guidelines and waiver requirements.
2. ADULT HEALTH SERVICES OVERVIEW
These services include medical, therapeutic, and supportive care delivered in the participant’s home or adult day health centers to help manage chronic health conditions, perform daily living tasks, and maintain community integration.
Approved providers may deliver:
Skilled Nursing: Medication administration, chronic disease monitoring, wound care
Personal Care: Bathing, dressing, toileting, and mobility support
Adult Day Health Care: Supervision, meals, health screenings, and recreation in a licensed facility
Health Monitoring: Vitals, symptom recognition, and care plan compliance
Therapy Services: PT, OT, or speech therapy (if licensed)
Nutrition Support: Meal planning, feeding assistance, dietary tracking
Care Coordination: ISP development, communication with case managers and physicians
Documentation: Daily logs, clinical notes, billing records
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State
Obtain EIN and Type 2 NPI
Apply to SCDHHS and/or DDSN for Medicaid provider enrollment under the appropriate categories (e.g., Personal Care, Home Health, Adult Day Health)
If delivering skilled care, secure DHEC licensure
Carry liability and workers’ compensation insurance
Develop an Adult Health Services Policy & Procedure Manual
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Form your business entity, obtain EIN and NPI
Step 2: Submit provider application to SCDHHS (and DDSN, if applicable)
Step 3: Apply for DHEC licensure for skilled nursing or adult day health operations
Step 4: Submit required staff credentials, policy manuals, and sample documentation
Step 5: Complete provider readiness review and begin receiving referrals
5. REQUIRED DOCUMENTATION
Articles of Incorporation, EIN, and NPI confirmation
SCDHHS and/or DDSN approval letters
DHEC license (if providing skilled or adult day services)
Insurance coverage (liability, auto, professional)
Adult Health Services Policy & Procedure Manual including:
Participant intake and care plan templates
Medication and vital signs protocols
Personal care documentation and shift notes
Emergency and critical incident protocols
HIPAA compliance and participant rights
Billing logs and service tracking sheets
Quality assurance and supervision tools
6. STAFFING REQUIREMENTS
Role: Registered Nurse (RN)
Requirements: SC licensure, responsible for medication oversight, clinical documentation, and staff supervision
Role: Certified Nursing Assistant (CNA) / Personal Care Aide
Requirements: Background check, CPR/First Aid, and training in ADL assistance
Role: Adult Day Health Program Manager (if applicable)
Requirements: Experience in adult care, compliance, and activity coordination
Role: Licensed Therapists (optional)
Requirements: PT, OT, or SLP licensure for waiver-authorized services
All staff must complete:
HIPAA and participant rights training
Abuse/neglect prevention and emergency response training
Documentation and billing compliance training
Annual in-service competency evaluations
7. MEDICAID WAIVER PROGRAMS
Adult Health Services are reimbursable through:
CLTC (Community Long Term Care) – For elderly and disabled adults needing in-home support
ID/RD Waiver – For individuals with intellectual and developmental disabilities
Community Supports Waiver – For those needing lower-intensity support
HASCI Waiver – For individuals with acquired brain and spinal cord injuries
EPSDT / TEFRA (Under 21) – Pediatric participants transitioning into adult services
State Plan Medicaid Services – For eligible home health or nursing care needs
8. TIMELINE TO LAUNCH
Phase: Business Formation & Policy Manual Development
Timeline: 1–2 months
Phase: Medicaid Enrollment & Facility Licensing (if applicable)
Timeline: 2–3 months
Phase: Staff Hiring, Credentialing & Training
Timeline: 1–2 months
Phase: Readiness Review & Service Activation
Timeline: Begins once authorizations and referrals are received
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
South Carolina Department of Health and Environmental Control (DHEC)
Website: https://scdhec.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC ADULT HEALTH SERVICES PROVIDER
WCG equips Adult Health Services providers with the tools to deliver high-quality, Medicaid-compliant care to South Carolina’s aging and disabled populations.
Scope of Work:
Business registration and Medicaid/DHEC provider enrollment
Adult Health Services Policy & Procedure Manual
Staff credentialing trackers and supervision plans
Participant intake forms and daily care documentation
Incident reporting tools and emergency plans
Medicaid billing templates and audit-ready records
Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN SOUTH CAROLINA
ENABLING INDEPENDENCE AND ACCESSIBILITY THROUGH CUSTOMIZED TOOLS AND EQUIPMENT FOR INDIVIDUALS WITH DISABILITIES
Assistive Technology (AT) Services in South Carolina provide Medicaid-funded tools, devices, and services that help individuals with disabilities perform functions that might otherwise be difficult or impossible. These supports are authorized under various Home and Community-Based Services (HCBS) Waivers administered by South Carolina Department of Health and Human Services (SCDHHS) and Department of Disabilities and Special Needs (DDSN). AT services may also include training, customization, and ongoing maintenance to ensure effective use in daily life.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Authorizes and reimburses Medicaid claims for approved assistive technology devices and related services.
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Coordinates the delivery of AT services for individuals with intellectual, developmental, or related disabilities.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Oversees federal Medicaid guidelines ensuring AT services under HCBS Waivers support independent, person-centered living.
2. ASSISTIVE TECHNOLOGY SERVICES OVERVIEW
Assistive Technology Services include the evaluation, selection, delivery, training, and maintenance of equipment or tools that promote functional independence.
Approved providers may deliver:
AT Assessments: Evaluations to determine appropriate devices for an individual's needs and setting.
Device Procurement & Setup: Ordering, fitting, programming, and installation of approved equipment.
Training & Coaching: Instructing participants, caregivers, and staff on how to use the devices safely and effectively.
Maintenance & Repair: Troubleshooting and servicing equipment to ensure long-term usability.
Documentation & Compliance: Service logs, device usage notes, training records, and Medicaid billing documentation.
Common Devices Include:
Communication devices (e.g., speech-generating devices)
Adaptive switches and controls
Mobility aids (e.g., powered wheelchairs, gait trainers)
Hearing and vision support tools
Environmental control units (e.g., smart home systems)
Adaptive computer hardware and software
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State.
Obtain EIN and Type 2 NPI.
Employ qualified professionals (e.g., Assistive Technology Professionals, occupational or speech therapists).
Enroll with DDSN or SCDHHS as an approved Assistive Technology provider.
Maintain insurance for product liability, general business operations, and workers' compensation.
Develop a Assistive Technology Services Policy & Procedure Manual that outlines procurement, training, and safety practices.
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain EIN/NPI.
Step 2: Apply for provider enrollment with DDSN and/or SCDHHS under the assistive technology service category.
Step 3: Submit professional credentials, policies, and a sample device request protocol.
Step 4: Undergo service readiness review and credentialing.
Step 5: Begin providing AT services upon referral and authorization through case managers or ISPs.
5. REQUIRED DOCUMENTATION
Business registration, EIN, and NPI
Proof of professional credentials (ATP certification, licenses)
Product warranties, training documentation, and vendor agreements
Insurance certificates (product liability, general liability, workers’ comp)
Assistive Technology Services Policy & Procedure Manual including:
Assessment and recommendation procedures
Equipment procurement and maintenance guidelines
Training and documentation templates
HIPAA, safety, and participant rights policies
Medicaid billing documentation standards and authorization workflows
6. STAFFING REQUIREMENTS
Role: Assistive Technology Professional (ATP)
Requirements: Certification from RESNA or equivalent experience with AT evaluations and device fitting.
Role: Licensed Clinicians (OT, PT, SLP) – as applicable
Requirements: SC state licensure required for therapists recommending AT devices within their discipline.
Role: AT Technician / Trainer
Requirements: Experience with adaptive equipment setup, troubleshooting, and user training.
All staff must complete:
HIPAA and confidentiality training
Device-specific training (provided by manufacturers or ATPs)
Abuse prevention and participant safety education
Documentation and Medicaid billing training
Ongoing in-service training and competency assessments
7. MEDICAID WAIVER PROGRAMS
Assistive Technology Services are authorized through:
ID/RD Waiver – Devices that support daily functioning and reduce reliance on human assistance
HASCI Waiver – Technology to support individuals with brain and spinal cord injuries
Community Supports Waiver – For individuals needing limited AT without 24-hour care
CLTC (Community Long Term Care) – Devices that promote independence and reduce institutional risk
EPSDT / TEFRA / State Plan Services – Children under 21 may receive AT through doctor referrals and Medicaid
8. TIMELINE TO LAUNCH
Phase: Business Registration & Policy Manual Creation
Timeline: 1–2 months
Phase: Credentialing & Medicaid Enrollment
Timeline: 2–3 months
Phase: Vendor Agreements & Staff Training
Timeline: 1–2 months
Phase: Begin AT Assessments & Device Delivery
Timeline: Once provider approval and referral authorizations are received
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
Assistive Technology Program – SCATP (University of South Carolina)
Resource Site: https://www.scatp.med.sc.edu
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC ASSISTIVE TECHNOLOGY PROVIDER
WCG helps new providers launch AT services that comply with HCBS waiver requirements while ensuring participants receive safe, effective tools for independence.
Scope of Work:
Medicaid enrollment and DDSN credentialing
AT Policy & Procedure Manual development
Assessment templates and training documentation
Vendor sourcing, quote, and purchase workflows
Participant intake and delivery logs
Medicaid billing tools and compliance systems
Behavioral Support
BEHAVIOR SUPPORT SERVICES PROVIDER IN SOUTH CAROLINA
DELIVERING INDIVIDUALIZED INTERVENTIONS TO PROMOTE POSITIVE BEHAVIORS, PERSONAL GROWTH, AND COMMUNITY INCLUSION FOR INDIVIDUALS WITH DISABILITIES AND MENTAL HEALTH NEEDS
Behavior Support Services in South Carolina are designed to assist individuals with intellectual or developmental disabilities (IDD), autism spectrum disorders, or behavioral health conditions in managing maladaptive behaviors and developing functional skills. These services are authorized under South Carolina Medicaid’s HCBS Waivers, primarily through the South Carolina Department of Disabilities and Special Needs (DDSN) and administered in compliance with standards from SCDHHS and federal CMS guidelines.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Approves behavior support providers, oversees service delivery, and ensures compliance with individual service plans (ISPs) for waiver participants.
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Administers Medicaid reimbursement and manages waiver eligibility and funding.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Ensures behavior support services meet HCBS requirements for person-centered planning, rights, and quality.
2. BEHAVIOR SUPPORT SERVICES OVERVIEW
Behavior Support Services include professional assessments, individualized support plans, training, and intervention to reduce challenging behaviors and enhance independence.
Approved providers may deliver:
Functional Behavior Assessments (FBA): In-depth evaluations to identify triggers and patterns in behavior.
Behavior Support Plans (BSPs): Individualized, proactive plans based on FBA outcomes.
Ongoing Monitoring and Adjustment: Regular review of BSPs, data collection, and plan modifications.
Direct Behavioral Support: 1:1 services in the home or community focused on skill-building and de-escalation.
Caregiver Training: Instruction for family members and staff on how to implement behavior plans.
Data Collection and Documentation: Session notes, behavior data sheets, progress summaries, and Medicaid-compliant records.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State.
Obtain EIN and Type 2 NPI.
Employ or contract with qualified behavior support professionals (see Staffing).
Enroll as a provider with DDSN for behavior support services.
Enroll as a Medicaid waiver provider with SCDHHS under the appropriate waiver(s).
Develop a Behavior Support Services Policy & Procedure Manual covering assessments, documentation, staff oversight, and participant protections.
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Register business and obtain EIN, NPI, and liability insurance.
Step 2: Apply to DDSN for approval as a behavior support provider.
Step 3: Enroll with SCDHHS through the Medicaid provider portal.
Step 4: Submit staff credentials, sample FBAs/BSPs, and operational documents.
Step 5: Begin receiving referrals and authorizations from case managers.
5. REQUIRED DOCUMENTATION
Business formation documents, EIN, and NPI
Proof of professional liability and general insurance
DDSN approval letter for behavior support
Medicaid provider enrollment confirmation
Behavior Support Services Policy & Procedure Manual including:
Functional behavior assessment protocols
Template behavior support plans (BSPs)
Data collection forms and documentation standards
Staff supervision, continuing education, and ethics policies
Participant rights, abuse prevention, and emergency protocols
Medicaid billing templates and audit readiness tools
6. STAFFING REQUIREMENTS
Role: Behavior Support Professional / Specialist
Requirements: Must have a Master’s degree in psychology, behavior analysis, education, or related field; and meet qualifications defined by DDSN (e.g., licensed psychologist, Board Certified Behavior Analyst – BCBA).
Role (optional): Behavior Technician / Support Aide
Requirements: Works under the supervision of a qualified professional; must be trained in BSP implementation.
Role: Clinical Supervisor / Quality Assurance Coordinator
Requirements: Oversees plan fidelity, ethical compliance, and data analysis.
All staff must complete:
HIPAA, abuse prevention, and participant rights training
Positive behavior support and de-escalation certification
Documentation and Medicaid billing standards training
Annual continuing education and competency checks
7. MEDICAID WAIVER PROGRAMS
Behavior Support Services are available through:
ID/RD Waiver – For individuals with intellectual or related developmental disabilities
Community Supports Waiver – For individuals needing behavior support but not 24-hour care
HASCI Waiver – For individuals with head or spinal cord injuries and behavioral needs
Children’s Services / TEFRA / EPSDT – May allow for behavior services for eligible minors through state plan mechanisms
Self-Directed Services – Participants may choose approved behavior support providers within waiver rules
8. TIMELINE TO LAUNCH
Phase: Business Registration & Policy Development
Timeline: 1–2 months
Phase: DDSN Approval & Medicaid Enrollment
Timeline: 2–3 months
Phase: Staff Credentialing, Forms, and Training
Timeline: 1–2 months
Phase: Referral Network Setup & Service Delivery
Timeline: Starts immediately upon authorization receipt
9. CONTACT INFORMATION
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
SCDHHS Provider Enrollment Portal
Website: https://providers.scdhhs.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC BEHAVIOR SUPPORT PROVIDER
WCG offers full-service support for professionals and agencies launching behavior support programs in compliance with Medicaid and DDSN guidelines.
Scope of Work:
Medicaid enrollment and DDSN provider setup
Behavior Support Services Policy & Procedure Manual
FBA and BSP templates and compliance tools
Staff credentialing and continuing education trackers
Medicaid billing and documentation tools
Quality assurance systems and plan review checklists
Environmental Modification
ENVIRONMENTAL MODIFICATION SERVICES PROVIDER IN SOUTH CAROLINA
CREATING ACCESSIBLE, SAFE, AND PERSON-CENTERED HOME ENVIRONMENTS FOR INDIVIDUALS WITH DISABILITIES OR FUNCTIONAL LIMITATIONS
Environmental Modification Services in South Carolina are Medicaid-funded supports that allow individuals with physical disabilities, chronic health conditions, or aging-related needs to live safely and independently in their homes. These services are authorized under the Community Long Term Care (CLTC) program and Home and Community-Based Services (HCBS) Waivers, and they focus on removing physical barriers or making structural changes that improve accessibility and functionality.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Oversees Medicaid waiver programs, authorizes environmental modifications, and reimburses approved providers.
Agency: South Carolina Department of Health and Environmental Control (DHEC)**
Role: May regulate licensure and inspection for contractors or facilities involved in construction-related services.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Ensures waiver services, including home modifications, meet federal HCBS standards for person-centered care.
2. ENVIRONMENTAL MODIFICATION SERVICES OVERVIEW
Environmental modifications are physical adaptations to a home that enhance accessibility, ensure safety, and support independence for individuals with disabilities or limited mobility.
Approved providers may deliver:
Bathroom Modifications: Roll-in showers, grab bars, widened doorways, raised toilets.
Mobility Access Enhancements: Wheelchair ramps, stair lifts, handrails, automatic doors.
Bedroom/Living Area Modifications: Ceiling lifts, floor reinforcement, widened hallways.
Safety Features: Non-slip flooring, door alarms, voice-activated controls.
Minor Plumbing/Electrical Adjustments: When necessary for accessibility-related adaptations.
Project Documentation: Scope of work, itemized cost estimates, before-and-after photos, and invoices.
Note: Cosmetic upgrades, general home maintenance, and remodeling not related to the individual’s disability are not reimbursable under Medicaid.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business entity with the SC Secretary of State.
Obtain EIN and Type 2 NPI.
Acquire a General Contractor License in South Carolina (required for projects over a certain dollar threshold or involving structural changes).
Enroll with SCDHHS as a Medicaid waiver service provider under “Environmental Modifications.”
Maintain general liability insurance, workers’ comp, and bonding as required.
Develop a Environmental Modification Policy & Procedure Manual addressing project review, participant safety, documentation, and ADA standards.
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Register business and secure required licenses and insurances.
Step 2: Apply through the SCDHHS Medicaid Provider Enrollment Portal under the HCBS waiver modification category.
Step 3: Submit documentation including contractor credentials, bonding proof, and sample project reports.
Step 4: Receive referrals and service authorizations through waiver case managers (e.g., CLTC, ID/RD).
Step 5: Complete projects per ISP and Medicaid requirements, then submit invoices for reimbursement.
5. REQUIRED DOCUMENTATION
Business registration, EIN, NPI, and contractor license
Medicaid provider enrollment confirmation
Bonding documentation and liability insurance
Environmental Modification Services Policy & Procedure Manual including:
Project authorization and planning forms
ADA compliance protocols and safety checklists
Participant consent forms
Before-and-after project documentation guidelines
Invoicing templates and inspection verification
Quality assurance protocols and complaint resolution steps
6. STAFFING REQUIREMENTS
Role: Project Manager / Lead Contractor
Requirements: Licensed, experienced in ADA/accessibility construction, and responsible for coordinating timelines and permits.
Role: Skilled Tradespeople (Subcontractors)
Requirements: Background-checked professionals in carpentry, plumbing, electrical, or accessibility installation.
All staff must complete:
ADA compliance and accessibility design training
HIPAA and participant rights/confidentiality training
Risk management and safety training (e.g., OSHA protocols)
Documentation and invoicing standards for Medicaid
7. MEDICAID WAIVER PROGRAMS
Environmental Modifications are available under:
Community Long Term Care (CLTC) – For older adults and individuals with disabilities needing home adaptations
ID/RD Waiver – For individuals with intellectual or developmental disabilities
HASCI Waiver – For those with head and spinal cord injuries
Community Supports Waiver – May cover smaller-scale modifications
State Plan EPSDT (under 21) – Certain home adaptations may be approved for children through physician referral
8. TIMELINE TO LAUNCH
Phase: Business Registration & Manual Development
Timeline: 1–2 months
Phase: Contractor Licensing & Medicaid Enrollment
Timeline: 2–3 months
Phase: Subcontractor Network & Safety Compliance
Timeline: 30–60 days
Phase: Begin Receiving Referrals & Project Authorizations
Timeline: Upon enrollment approval and provider listing activation
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
SCDHHS Provider Enrollment Portal
Website: https://providers.scdhhs.gov
SC Department of Labor, Licensing and Regulation – Contractor Licensing
Website: https://llr.sc.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC ENVIRONMENTAL MODIFICATION PROVIDER
WCG helps construction and service providers launch compliant environmental modification programs that align with Medicaid guidelines and ADA accessibility standards.
Scope of Work:
Contractor licensing and Medicaid enrollment assistance
Environmental Modification Policy & Procedure Manual
Project tracking tools and invoicing templates
ADA accessibility planning support
Documentation systems for before-and-after photos and scope reports
Quality assurance tools and client satisfaction trackers
Nursing Facility Transition
NURSING FACILITY TRANSITION SERVICES PROVIDER IN SOUTH CAROLINA
SUPPORTING SAFE, PERSON-CENTERED TRANSITIONS FROM INSTITUTIONAL CARE TO HOME AND COMMUNITY SETTINGS FOR MEDICAID RECIPIENTS
Nursing Facility Transition Services (NFTS) help individuals leave nursing homes or institutional settings and re-establish residence in their homes or the community. These services are authorized under South Carolina Medicaid’s Home and Community-Based Services (HCBS) Waivers, including the Community Long Term Care (CLTC) program and the Money Follows the Person (MFP) initiative. They focus on reducing institutional reliance and promoting independence, dignity, and self-directed living.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Administers HCBS waivers and oversees funding, service eligibility, and provider enrollment.
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Coordinates transitions for waiver participants with IDD under applicable waivers.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Oversees the Money Follows the Person (MFP) program and ensures state compliance with federal transition standards.
2. NURSING FACILITY TRANSITION SERVICES OVERVIEW
NFTS help participants plan, fund, and coordinate their move out of institutional care. Services include comprehensive planning, home setup, and connections to supportive services after discharge.
Approved providers may deliver:
Transition Planning & Coordination
Housing Search & Lease Assistance
Home Setup & Environmental Modification
Purchase of Basic Household Goods (e.g., beds, cookware, hygiene products)
Utility Deposits & Start-Up Fees
Coordination of In-Home Services (personal care, transportation, etc.)
Follow-Up Support for 90 Days Post-Discharge
Documentation: Transition plan, service logs, purchase receipts, Medicaid billing forms
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State
Obtain EIN and Type 2 NPI
Enroll with SCDHHS as a Transition Services provider or apply as a CLTC case management partner
Hire qualified transition coordinators or case managers
Develop a Nursing Facility Transition Services Policy & Procedure Manual
Maintain liability insurance and vendor compliance for household purchases
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain necessary tax IDs
Step 2: Submit a provider enrollment application to SCDHHS or through the CLTC provider network
Step 3: Submit resumes, training documentation, and policy manual for review
Step 4: Complete readiness review and receive provider credentials
Step 5: Begin accepting referrals from CLTC or waiver case managers
5. REQUIRED DOCUMENTATION
Articles of Incorporation, EIN, and NPI
Provider enrollment confirmation from SCDHHS
Insurance documents
Policy & Procedure Manual covering:
Transition planning workflows
Housing and community resource coordination
Purchasing and reimbursement tracking
Critical incident and follow-up procedures
HIPAA and participant rights
Medicaid billing compliance tools
6. STAFFING REQUIREMENTS
Role: Transition Coordinator
Requirements:
Experience in case management, housing support, or waiver navigation
Background check, CPR/First Aid, and HIPAA training
Role: Program Supervisor (optional)
Requirements: Oversees service quality, documentation, and follow-up procedures
All staff must complete:
Participant rights and confidentiality training
Crisis planning and emergency relocation protocol
Medicaid documentation and billing training
In-service training on housing barriers and benefits coordination
7. MEDICAID WAIVER PROGRAMS
Nursing Facility Transition Services are authorized through:
CLTC (Community Long Term Care) – Primary program coordinating nursing home discharges
Money Follows the Person (MFP) – Federal initiative funding transitional costs
ID/RD Waiver & HASCI Waiver – Transition coordination for individuals with IDD or brain injuries
Community Supports Waiver – May include transition supports based on assessed needs
State Plan Medicaid – Covers follow-up services like personal care, home health, or durable medical equipment
8. TIMELINE TO LAUNCH
Phase: Business Setup & Manual Development
Timeline: 1–2 months
Phase: Medicaid Enrollment & Provider Training
Timeline: 2–3 months
Phase: Staff Hiring & Community Network Building
Timeline: 1–2 months
Phase: Referral Intake & Transition Planning
Timeline: Upon SCDHHS approval and CLTC coordination
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
Centers for Medicare & Medicaid Services (CMS) – MFP Program
Website: https://www.medicaid.gov/medicaid/ltss/money-follows-person/index.html
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC NURSING FACILITY TRANSITION PROVIDER
WCG supports providers in developing compassionate, cost-effective transition programs that reduce institutional care reliance and promote community reintegration.
Scope of Work:
Medicaid and MFP provider enrollment
Transition Planning Policy & Procedure Manual
Staff training tools and service plan templates
Home setup and reimbursement tracking forms
Follow-up logs and participant satisfaction checklists
Medicaid billing documentation and compliance audits
Telemonitoring
TELEMONITORING SERVICES PROVIDER IN SOUTH CAROLINA
SUPPORTING INDEPENDENCE AND EARLY INTERVENTION THROUGH REMOTE HEALTH MONITORING FOR MEDICAID PARTICIPANTS WITH CHRONIC OR HIGH-RISK CONDITIONS
Telemonitoring (also known as Remote Patient Monitoring or RPM) involves the use of electronic devices to capture and transmit health data such as blood pressure, glucose levels, weight, or oxygen saturation from a patient’s home to healthcare professionals. In South Carolina, telemonitoring is reimbursable under specific Medicaid services and waiver programs, especially for individuals with chronic medical conditions who are at risk of hospitalization or institutionalization. It is primarily overseen by SCDHHS under the Community Long Term Care (CLTC) program.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Authorizes and reimburses approved telemonitoring services under Medicaid and HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Establishes federal rules for Medicaid funding and utilization of telehealth and remote monitoring technologies.
Agency (optional): South Carolina Board of Medical Examiners
Role: May regulate physician or nurse practitioner oversight of clinical monitoring services.
2. TELEMONITORING SERVICES OVERVIEW
Telemonitoring services use technology to track an individual’s vital signs and chronic health indicators on a daily or weekly basis. This allows for early detection of health issues, improved disease management, and reduction in emergency interventions.
Approved providers may deliver:
Home-Based Equipment Setup: Devices for monitoring blood pressure, glucose, weight, oxygen, heart rate, etc.
Daily Data Transmission: Readings sent securely to monitoring clinicians for review.
Clinical Review & Alerting: Healthcare professionals respond to abnormal readings and notify the individual’s care team.
Education & Support: Coaching clients on how to use equipment and understand readings.
Documentation: Daily logs, transmission summaries, provider notes, and Medicaid-compliant billing records.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State.
Obtain EIN and Type 2 NPI.
Partner with a licensed nurse or physician group for clinical oversight.
Obtain HIPAA-compliant telemonitoring software and secure data storage solutions.
Enroll with SCDHHS as a Medicaid provider for remote patient monitoring or nursing services (as applicable).
Develop a Telemonitoring Services Policy & Procedure Manual outlining privacy, alert protocols, escalation steps, and documentation standards.
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Form your organization and obtain EIN, NPI, and required clinical partnerships.
Step 2: Enroll as a provider with SCDHHS under a recognized service category (e.g., nursing, home health, chronic disease management, or telehealth vendor).
Step 3: Submit clinical protocols, staff licenses, and sample documentation for review.
Step 4: Set up data reporting, security infrastructure, and remote device systems.
Step 5: Begin accepting referrals for high-risk participants through CLTC or waiver coordinators.
5. REQUIRED DOCUMENTATION
Business formation documents, EIN, and NPI
Partnership agreements with clinical staff (RN, LPN, NP, or MD)
Medicaid provider enrollment confirmation
HIPAA-compliant technology use agreements
Telemonitoring Services Policy & Procedure Manual including:
Participant intake and assessment forms
Clinical alert thresholds and escalation plans
Device usage and transmission protocols
Secure data storage and privacy policies
Medicaid billing and reporting templates
Equipment maintenance and training documentation
6. STAFFING REQUIREMENTS
Role: Monitoring Nurse / RN
Requirements: Active SC nursing license; reviews transmitted data, contacts clients when readings are abnormal, and collaborates with physicians and case managers.
Role: Telemonitoring Technician / Program Coordinator
Requirements: Responsible for device setup, tech support, data tracking, and client education.
Role (optional): Physician / Nurse Practitioner
Requirements: Clinical oversight; interprets health data and orders medical intervention if needed.
All staff must complete:
HIPAA training and confidentiality agreements
Clinical data interpretation training
Equipment use and troubleshooting certification
Emergency protocol training and participant education standards
7. MEDICAID WAIVER PROGRAMS
Telemonitoring may be authorized under:
Community Long Term Care (CLTC) – For seniors and adults with chronic illness requiring daily monitoring
State Plan Nursing Services – May be used by home health providers for eligible participants
Medically Complex Children (MCC) Program – For pediatric clients under EPSDT requiring health tracking
Dual Eligible Programs (Medicaid/Medicare) – In coordination with managed care organizations (MCOs)
8. TIMELINE TO LAUNCH
Phase: Business Setup & Clinical Partnership
Timeline: 1–2 months
Phase: Medicaid Enrollment & Infrastructure Setup
Timeline: 2–3 months
Phase: Equipment Sourcing & Staff Training
Timeline: 1–2 months
Phase: Begin Service Delivery
Timeline: Upon referral authorization and device delivery
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Board of Nursing & Medical Examiners
Website: https://llr.sc.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC TELEMONITORING PROVIDER
WCG helps providers launch telemonitoring programs that reduce hospitalizations, support independence, and maintain Medicaid compliance.
Scope of Work:
Medicaid enrollment and nurse contracting setup
Telemonitoring Policy & Procedure Manual
HIPAA-compliant equipment selection and vendor sourcing
Alert protocol templates and call log forms
Daily log documentation and clinical escalation flowcharts
Staff training schedules and audit-readiness support
Specialized Therapies
SPECIALIZED THERAPIES SERVICES PROVIDER IN SOUTH CAROLINA
DELIVERING CUSTOMIZED THERAPEUTIC INTERVENTIONS TO PROMOTE FUNCTION, COMMUNICATION, AND QUALITY OF LIFE FOR INDIVIDUALS ACROSS THE LIFESPAN
Specialized Therapies Services in South Carolina include physical therapy (PT), occupational therapy (OT), and speech-language pathology (SLP) delivered under Medicaid State Plan benefits and Home and Community-Based Services (HCBS) Waiver programs. These services are intended for individuals with physical disabilities, developmental delays, traumatic injuries, or chronic conditions requiring skilled therapeutic support to achieve or maintain optimal functioning.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Manages Medicaid reimbursement and service authorizations for therapy services.
Agency: South Carolina Department of Health and Environmental Control (DHEC)**
Role: Regulates licensed therapy practices and oversees facility licensure if services are delivered in outpatient settings.
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)**
Role: Oversees therapy supports authorized under the ID/RD, HASCI, and CS Waivers.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Defines federal guidelines for reimbursable therapy services under Medicaid programs.
2. SPECIALIZED THERAPIES SERVICES OVERVIEW
Specialized therapies help individuals achieve developmental milestones, improve communication, strengthen motor skills, and increase independence in daily activities.
Approved providers may deliver:
Physical Therapy (PT): Strengthening, mobility training, gait support, and balance work.
Occupational Therapy (OT): Fine motor skills, ADL retraining, sensory integration, and adaptive strategies.
Speech-Language Therapy (SLP): Speech production, language comprehension, feeding and swallowing interventions, and AAC device use.
Therapy Evaluations: Functional assessments to determine goals and service needs.
Direct 1:1 Interventions: In-home or clinic-based, depending on service model.
Care Plan Development & Progress Monitoring: ISP or treatment plans aligned with individual goals.
Documentation: Session notes, treatment goals, outcome tracking, and Medicaid billing forms.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State.
Obtain EIN and Type 2 NPI.
Ensure all therapists are licensed in SC by the appropriate state board (PT, OT, or SLP).
Secure a DHEC facility license if operating a brick-and-mortar therapy clinic.
Enroll as a Medicaid provider through SCDHHS under each therapy discipline.
Develop a Specialized Therapy Services Policy & Procedure Manual including treatment models, compliance protocols, and documentation standards.
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Register business, secure EIN, NPI, and liability insurance.
Step 2: Obtain therapist licensure and any applicable facility licenses (if not mobile/in-home).
Step 3: Enroll in Medicaid via the SCDHHS Provider Enrollment Portal, selecting each therapy type (PT/OT/SLP).
Step 4: Submit credentialing documents, policies, and sample treatment plans.
Step 5: Begin providing services upon authorization through waiver case managers or physician referrals.
5. REQUIRED DOCUMENTATION
Business license, EIN, and NPI verification
SC licensure for each therapist and clinical supervisor
Medicaid provider approval letter
Facility license (if applicable via DHEC)
Liability and malpractice insurance
Specialized Therapy Services Policy & Procedure Manual including:
Evaluation and treatment planning protocols
Medicaid billing and session note templates
Participant rights, HIPAA compliance, and confidentiality policies
Incident reporting and safety procedures
Progress documentation and goal tracking forms
Quality assurance and peer review systems
6. STAFFING REQUIREMENTS
Role: Licensed Therapist (PT, OT, SLP)
Requirements: Active South Carolina license, Medicaid credentialing, and background check.
Role: Therapy Assistant (PTA, COTA, SLPA – if applicable)
Requirements: Must work under direct supervision of a licensed therapist.
Role: Clinical Supervisor / Program Director
Requirements: Oversight of documentation, compliance, and service quality.
All staff must complete:
HIPAA and confidentiality training
Abuse prevention and incident reporting
Emergency protocols and safety procedures
Medicaid billing standards and note-writing training
Continuing education as required by state boards
7. MEDICAID WAIVER PROGRAMS
Therapy services are reimbursable under:
ID/RD Waiver – PT/OT/SLP services for individuals with intellectual and developmental disabilities
HASCI Waiver – For individuals with head or spinal cord injuries
Community Supports (CS) Waiver – For individuals needing non-residential habilitative therapies
Medicaid State Plan – Standard therapy benefits with physician referral
Katie Beckett/TEFRA Program – Pediatric therapy services for children with complex needs
EPSDT Services (Early and Periodic Screening, Diagnosis, and Treatment) – Comprehensive therapy access for children under 21
8. TIMELINE TO LAUNCH
Phase: Business Formation & Policy Manual Development
Timeline: 1–2 months
Phase: Therapist Credentialing & Medicaid Enrollment
Timeline: 2–3 months
Phase: Facility Setup (if applicable) & Staff Orientation
Timeline: 30–60 days
Phase: Begin Service Delivery upon Authorization
Timeline: Immediately following approval and plan of care acceptance
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
SCDHHS Medicaid Provider Enrollment Portal
Website: https://providers.scdhhs.gov
South Carolina Department of Health and Environmental Control (DHEC)
Website: https://scdhec.gov
SC Board of Physical Therapy, Occupational Therapy, and Speech-Language Pathology
Licensure Portal: https://llr.sc.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SOUTH CAROLINA THERAPY PROVIDER
WCG assists therapy providers with launching compliant, person-centered services that support Medicaid-eligible individuals with developmental, physical, or communication challenges.
Scope of Work:
Medicaid and DHEC enrollment guidance for PT/OT/SLP services
Specialized Therapy Policy & Procedure Manual
Therapist credentialing and staff onboarding tools
Progress note templates and treatment plan builders
Compliance documentation and HIPAA materials
Referral-building strategies and billing support
Case Management
CASE MANAGEMENT SERVICES PROVIDER IN SOUTH CAROLINA
COORDINATING CARE, ADVOCATING FOR NEEDS, AND FACILITATING SERVICES TO IMPROVE QUALITY OF LIFE FOR MEDICAID WAIVER PARTICIPANTS
Case Management Services in South Carolina help Medicaid beneficiaries navigate healthcare, behavioral, and community-based services by coordinating their care through person-centered planning. These services are authorized under Home and Community-Based Services (HCBS) Waivers and administered by the South Carolina Department of Health and Human Services (SCDHHS) and the Department of Disabilities and Special Needs (DDSN). Case Managers play a critical role in ensuring that waiver participants receive timely, appropriate, and individualized support.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Manages Medicaid Waivers, defines case management qualifications, and reimburses enrolled providers.
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Oversees Service Coordination for individuals with intellectual and developmental disabilities (IDD), including monitoring of plan implementation and service quality.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Sets federal guidelines ensuring conflict-free case management and participant-directed planning under Medicaid.
2. CASE MANAGEMENT SERVICES OVERVIEW
Case Management (also known as Service Coordination or Support Coordination) involves assessment, planning, service linkage, monitoring, and advocacy.
Approved providers may deliver:
Comprehensive Needs Assessment: Evaluate participant strengths, preferences, and medical, behavioral, and social needs.
Person-Centered Service Planning: Create and maintain individualized service plans (ISPs) with participant and caregiver input.
Service Referral and Linkage: Coordinate with Medicaid and non-Medicaid providers to access needed supports.
Monitoring & Reassessment: Ensure that services are delivered appropriately, goals are met, and changes are made as needed.
Crisis Support & Advocacy: Address urgent issues and represent participant needs across care teams.
Documentation: Maintain service notes, contact logs, plan updates, and billing documentation.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State.
Obtain EIN and Type 2 NPI.
Employ or contract with qualified Case Managers (see Staffing).
Enroll with SCDHHS or DDSN as a Medicaid provider for Case Management or Support Coordination.
Develop a Case Management Services Policy & Procedure Manual covering planning, communication, compliance, and documentation protocols.
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Form your organization and acquire EIN, NPI, and liability insurance.
Step 2: Apply through the DDSN Provider Portal (for IDD populations) or SCDHHS portal (for other waiver populations).
Step 3: Submit staff qualifications, policy manual, and sample service plans for review.
Step 4: Complete readiness review and secure provider number.
Step 5: Begin receiving referrals and authorizations from waiver program leads.
5. REQUIRED DOCUMENTATION
Articles of Incorporation, EIN, and NPI confirmation
Professional liability and general insurance
Medicaid enrollment approval
DDSN provider certification (if applicable)
Case Management Services Policy & Procedure Manual including:
Intake and assessment forms
Service planning and reassessment protocols
Documentation and contact log templates
HIPAA and participant rights guidelines
Critical incident reporting and follow-up
Conflict-free case management policies
Medicaid billing standards and audit checklists
6. STAFFING REQUIREMENTS
Role: Case Manager / Service Coordinator
Requirements:
Bachelor’s degree in a human services field (e.g., social work, psychology, counseling, education).
Experience working with Medicaid-eligible populations (IDD, aging, behavioral health).
Must pass background checks and complete DDSN or SCDHHS-approved training.
Role: Clinical Supervisor (optional but recommended)
Requirements: Oversees quality assurance, provides supervision, and ensures compliance with case management guidelines.
All staff must complete:
HIPAA and confidentiality training
Abuse prevention and critical incident reporting
Person-centered planning training
Medicaid documentation and billing training
Ongoing continuing education and competency checks
7. MEDICAID WAIVER PROGRAMS
Case Management Services are authorized through:
ID/RD Waiver – Support Coordination for individuals with intellectual/developmental disabilities
HASCI Waiver – Service Coordination for individuals with traumatic brain and spinal cord injuries
Community Supports Waiver – Case management for individuals needing less intensive support
CLTC (Community Long Term Care) – Case Management for aging and disabled adults
EPSDT / TEFRA (under 21) – Care coordination for medically complex children
PACE and MCO programs – Include case management functions under state-managed care
8. TIMELINE TO LAUNCH
Phase: Business Registration & Manual Development
Timeline: 1–2 months
Phase: DDSN/SCDHHS Enrollment
Timeline: 2–3 months
Phase: Staff Credentialing & Training
Timeline: 1–2 months
Phase: Begin Providing Case Management Services
Timeline: Upon referral and authorization
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC CASE MANAGEMENT PROVIDER
WCG helps agencies establish case management programs that prioritize quality, compliance, and participant empowerment.
Scope of Work:
Medicaid and DDSN provider enrollment support
Case Management Policy & Procedure Manual
Intake and person-centered planning forms
Contact log and documentation templates
Quality assurance and critical incident systems
Billing forms and compliance audit tools
Transportation Services
TRANSPORTATION SERVICES PROVIDER IN SOUTH CAROLINA
ENSURING ACCESS TO ESSENTIAL MEDICAL AND COMMUNITY SERVICES THROUGH SAFE, RELIABLE, AND MEDICAID-APPROVED NON-EMERGENCY TRANSPORTATION
Transportation Services in South Carolina help Medicaid recipients travel to medical appointments, day programs, waiver-authorized activities, and community events. These services are critical for individuals with disabilities or limited mobility who would otherwise face barriers to care and inclusion. Medicaid reimburses transportation through both State Plan services and Home and Community-Based Services (HCBS) Waivers, such as the CLTC, ID/RD, HASCI, and Community Supports Waivers.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Oversees Medicaid-funded Non-Emergency Medical Transportation (NEMT) and waiver-authorized transportation services.
Agency: South Carolina Department of Disabilities and Special Needs (DDSN)
Role: Coordinates transportation for participants in waiver programs, including adult day services and supported employment.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Regulates Medicaid transportation funding and access requirements under federal HCBS guidelines.
2. TRANSPORTATION SERVICES OVERVIEW
These services include the coordination and provision of non-emergency rides to authorized services, including day programs, medical appointments, therapy, and employment-related activities.
Approved providers may offer:
Waiver Transportation: Trips to and from day programs, community events, and employment
Medicaid NEMT Services: For eligible medical appointments under the State Plan
Escort Support (if needed): For individuals requiring supervision
Trip Logging and Mileage Documentation
Lift-Equipped or Accessible Vehicle Services (required for certain clients)
Routine & Scheduled Routes or On-Demand Services
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State
Obtain EIN and Type 2 NPI
Enroll as a transportation provider through SCDHHS and/or DDSN
Submit vehicle inspection records and insurance
Maintain a drug-free workplace policy and driver safety training
Develop a Transportation Services Policy & Procedure Manual
Comply with ADA requirements for vehicle accessibility (if applicable)
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Register business, obtain EIN/NPI
Step 2: Submit Medicaid transportation provider application to SCDHHS or DDSN
Step 3: Submit required vehicle specs, driver credentials, and safety protocols
Step 4: Undergo readiness review and receive provider number
Step 5: Begin accepting referrals or routing assignments from case managers
5. REQUIRED DOCUMENTATION
Articles of Incorporation, EIN, and NPI
Provider approval from SCDHHS and/or DDSN
Vehicle registration and inspection reports
Driver’s license, training certificates, background checks
Transportation Services Policy & Procedure Manual including:
Route scheduling and dispatch procedures
Participant safety and emergency protocols
Vehicle maintenance and accessibility policies
Mileage logs, trip documentation, and billing forms
HIPAA and participant rights compliance
Critical incident reporting and backup plan documentation
6. STAFFING REQUIREMENTS
Role: Driver / Transportation Aide
Requirements:
Valid SC driver’s license (CDL not always required)
CPR/First Aid, defensive driving certification
Background check and drug screening
ADA accessibility and passenger assistance training
Role: Transportation Coordinator (Recommended)
Requirements: Manages scheduling, staff supervision, vehicle compliance
All staff must complete:
HIPAA and confidentiality training
Emergency evacuation and incident response drills
Vehicle inspection and documentation procedures
Annual refresher on safety and participant support protocols
7. MEDICAID WAIVER PROGRAMS
Transportation Services are covered under:
ID/RD Waiver – For day program, community activities, and employment-related rides
Community Supports Waiver – For limited transportation tied to service goals
HASCI Waiver – For rehabilitation, day services, or therapy-related trips
CLTC (Community Long Term Care) – Typically under the NEMT umbrella
State Plan Medicaid (NEMT) – For medical trips managed through LogistiCare or Modivcare (as the transportation broker)
8. TIMELINE TO LAUNCH
Phase: Business & Fleet Setup, Policy Manual Creation
Timeline: 1–2 months
Phase: Medicaid Enrollment & Vehicle Credentialing
Timeline: 2–3 months
Phase: Driver Training & Safety Verification
Timeline: 1–2 months
Phase: Begin Service Delivery
Timeline: Upon approval and referral matching
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Department of Disabilities and Special Needs (DDSN)
Website: https://ddsn.sc.gov
Modivcare (formerly LogistiCare) – NEMT Broker
Website: https://www.modivcare.com
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC TRANSPORTATION PROVIDER
WCG helps transportation providers build safe, compliant, and Medicaid-credentialed fleets that meet participant mobility needs statewide.
Scope of Work:
Medicaid enrollment and vehicle compliance assistance
Transportation Services Policy & Procedure Manual
Route planning templates and trip logs
Driver onboarding and training trackers
Billing forms and mileage tracking systems
Safety audit and ADA readiness support
Home Health
HOME HEALTH SERVICES PROVIDER IN SOUTH CAROLINA
DELIVERING SKILLED MEDICAL CARE AND SUPPORTIVE HEALTH MONITORING TO MEDICAID PARTICIPANTS IN THE COMFORT OF THEIR HOMES
Home Health Services in South Carolina consist of skilled medical services provided to Medicaid recipients who are homebound or require intermittent care. These services are funded under the State Plan Medicaid benefit and various Home and Community-Based Services (HCBS) Waivers, such as CLTC, ID/RD, HASCI, and Community Supports Waiver. Providers may offer nursing, therapy, and aide-level care to help prevent institutionalization and promote independence.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Administers Medicaid and oversees provider enrollment, reimbursement, and compliance with home health regulations.
Agency: South Carolina Department of Health and Environmental Control (DHEC)
Role: Licenses and inspects home health agencies to ensure safety, quality, and clinical standards.
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Enforces federal regulations under Medicare Conditions of Participation and Medicaid HCBS waiver standards.
2. HOME HEALTH SERVICES OVERVIEW
These services are prescribed by a physician and delivered in the client’s residence. They address post-acute care, chronic condition management, rehabilitation, and supportive health monitoring.
Approved providers may offer:
Skilled Nursing Services: Medication administration, wound care, disease education, vitals monitoring
Certified Home Health Aide Services: ADL support under nursing supervision
Physical, Occupational, or Speech Therapy
Medical Social Work Support (if medically necessary)
Care Coordination and Documentation for plan of care
Medicaid & Medicare Billing for dual-eligible clients
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the South Carolina Secretary of State
Obtain EIN and Type 2 NPI
Apply for Home Health Agency License through DHEC
Enroll with SCDHHS as a Medicaid home health provider
Employ licensed RNs, therapists, and certified home health aides
Develop a comprehensive Home Health Services Policy & Procedure Manual
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain EIN and NPI
Step 2: Apply to DHEC for Home Health Agency licensure (includes inspection and operational readiness)
Step 3: Enroll with SCDHHS as a Medicaid provider for home health
Step 4: Submit required staff credentials, organizational chart, and care policies
Step 5: Complete provider certification, then begin accepting Medicaid referrals
5. REQUIRED DOCUMENTATION
Business registration, EIN, NPI
DHEC Home Health Agency license
SCDHHS Medicaid enrollment confirmation
Liability, malpractice, and workers’ compensation insurance
Home Health Services Policy & Procedure Manual including:
Plan of care development and nursing documentation
Medication management protocols
Emergency and infection control procedures
Home health aide supervision and service logs
HIPAA and participant rights protections
Billing templates and audit readiness documents
6. STAFFING REQUIREMENTS
Role: Registered Nurse (RN)
Requirements: SC nursing license, develops care plans, provides skilled services, supervises aides
Role: Certified Home Health Aide (CHHA)
Requirements: DHEC-approved training program, CPR, background check
Role: Physical / Occupational / Speech Therapist (optional)
Requirements: SC licensure, provides therapy under physician orders
Role: Clinical Supervisor / Director of Nursing (required for licensure)
Requirements: RN with administrative experience in home health
All staff must complete:
Orientation on HIPAA and participant safety
Emergency preparedness and infection control
Documentation and billing training
Annual performance reviews and competency testing
7. MEDICAID WAIVER PROGRAMS
Home Health Services are billable under:
CLTC (Community Long Term Care) – For post-acute or chronic care at home
ID/RD Waiver – May authorize nurse visits or therapy for waiver participants
HASCI Waiver – Skilled nursing and therapy for traumatic brain/spinal injuries
Community Supports Waiver – Limited medical care based on need
State Plan Medicaid – Covers medically necessary in-home care with a physician’s order
EPSDT / TEFRA (Under 21) – Pediatric in-home nursing or therapy
8. TIMELINE TO LAUNCH
Phase: Business Setup & Policy Manual Creation
Timeline: 1–2 months
Phase: DHEC Licensure Process
Timeline: 3–5 months (includes inspection and approval)
Phase: SCDHHS Medicaid Enrollment
Timeline: 2–3 months after licensure
Phase: Staff Hiring & Clinical Training
Timeline: 1–2 months
Phase: Service Launch
Timeline: Begins after provider approval and physician referral coordination
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
South Carolina Department of Health and Environmental Control (DHEC)
Website: https://scdhec.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SC HOME HEALTH SERVICES PROVIDER
WCG helps providers launch compliant home health agencies equipped for high-quality in-home medical care and Medicaid reimbursement success.
Scope of Work:
Medicaid and DHEC enrollment support
Home Health Policy & Procedure Manual
Nurse supervision and home health aide tracking templates
Care plan forms and documentation systems
Emergency protocols and infection control plans
Billing and service verification tools
Meal & Nutrition
MEAL AND NUTRITION SERVICES PROVIDER IN SOUTH CAROLINA
PROMOTING HEALTH, DIGNITY, AND NUTRITIONAL INDEPENDENCE FOR INDIVIDUALS WITH DISABILITIES, AGING NEEDS, OR MEDICALLY COMPLEX CONDITIONS
Meal and Nutrition Services in South Carolina help Medicaid participants maintain proper nutrition through structured meal provision and diet-related education. These supports are available through the South Carolina Medicaid State Plan, Community Long Term Care (CLTC) program, and Home and Community-Based Services (HCBS) Waivers. They are designed to ensure individuals who are unable to shop for or prepare meals independently can continue living safely in their homes or community settings.
1. GOVERNING AGENCIES
Agency: South Carolina Department of Health and Human Services (SCDHHS)
Role: Oversees Medicaid reimbursement, meal delivery authorization, and nutritional service enrollment.
Agency: South Carolina Department of Health and Environmental Control (DHEC)**
Role: Licenses food service establishments and ensures compliance with food safety and sanitation laws.
Agency: South Carolina Department on Aging (SCDOA)**
Role: Coordinates congregate and home-delivered meal programs for older adults (non-Medicaid programs may be blended).
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Sets federal regulations on nutrition-related services under waiver and state plan Medicaid programs.
2. MEAL AND NUTRITION SERVICES OVERVIEW
These services focus on providing prepared meals, dietary monitoring, and nutrition counseling to maintain or improve health.
Approved providers may offer:
Home-Delivered Meals: Fresh or frozen meals tailored to health conditions (e.g., diabetic, cardiac, renal).
Congregate Meals (optional): Group-based meal service in approved adult day or senior centers.
Nutrition Counseling: Individualized support from a licensed or registered dietitian for medically necessary cases.
Feeding Assistance: Help with eating or monitoring intake for safety.
Menu Planning: Creation of therapeutic diets per care plan.
Documentation: Delivery logs, dietary tracking, and service summaries for Medicaid billing.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the South Carolina Secretary of State.
Obtain EIN and Type 2 NPI.
Acquire DHEC licensure or food establishment permit (if preparing meals directly).
Enroll as a Medicaid provider with SCDHHS under HCBS meal services or nutrition support.
Partner with a licensed commercial kitchen or food service vendor if you are not producing meals in-house.
Develop a Meal and Nutrition Services Policy & Procedure Manual covering food handling, delivery, dietary needs, and documentation.
4. SOUTH CAROLINA PROVIDER ENROLLMENT PROCESS
Step 1: Register your organization and obtain EIN, NPI, and liability insurance.
Step 2: Apply for DHEC food establishment licensure (or partner with a licensed caterer).
Step 3: Enroll with SCDHHS as a Medicaid provider for meal delivery or dietary counseling.
Step 4: Submit documentation for review (menu samples, safety protocols, RD credentials).
Step 5: Begin service once participant referrals and care plans are authorized.
5. REQUIRED DOCUMENTATION
Business registration and EIN/NPI confirmation
DHEC food safety certificate or subcontractor agreement with licensed kitchen
Medicaid enrollment confirmation
Staff and RD credentials (if applicable)
Insurance coverage (general liability, workers’ comp, product liability)
Meal and Nutrition Services Policy & Procedure Manual including:
Food storage, preparation, and delivery procedures
Nutritional screening and dietary intake forms
Participant satisfaction surveys and feedback logs
HIPAA, confidentiality, and abuse prevention protocols
Safety procedures for in-home delivery and group settings
Quality assurance and complaint response system
6. STAFFING REQUIREMENTS
Role: Nutrition Services Coordinator
Requirements: Experience in food service, community nutrition, or care coordination.
Role: Meal Delivery Personnel
Requirements: Background check, food handling training, clean driving record.
Role (optional): Registered Dietitian (RD)
Requirements: Licensed in SC; provides medical nutrition therapy, menu design, and consultative support.
All staff must complete:
HIPAA and participant rights training
Food safety, sanitation, and infection control
Emergency response and incident reporting
Abuse prevention and home-entry protocols
Annual competency reviews and safety drills
7. MEDICAID WAIVER PROGRAMS
Meal and Nutrition Services are available through:
Community Long Term Care (CLTC) – Home-delivered meals for older adults and individuals with disabilities
Head and Spinal Cord Injury (HASCI) Waiver – Supports including nutrition services for participants with severe mobility needs
Community Supports Waiver – May include dietary assistance or counseling components
State Plan Medicaid – For qualifying medical nutrition therapy by an RD
Katie Beckett/TEFRA Program – Pediatric dietary monitoring and therapeutic meal guidance
8. TIMELINE TO LAUNCH
Phase: Business Registration & Policy Manual Creation
Timeline: 1–2 months
Phase: DHEC Licensing & Medicaid Enrollment
Timeline: 2–3 months
Phase: Staff Hiring, Menu Development & Safety Protocol Setup
Timeline: 30–60 days
Phase: Participant Onboarding & Meal Delivery
Timeline: Immediately upon service authorization
9. CONTACT INFORMATION
South Carolina Department of Health and Human Services (SCDHHS)
Website: https://www.scdhhs.gov
SCDHHS Medicaid Provider Enrollment Portal
Website: https://providers.scdhhs.gov
South Carolina Department of Health and Environmental Control (DHEC)
Food Safety Licensing: https://scdhec.gov
South Carolina Department on Aging (SCDOA)
Website: https://aging.sc.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — SOUTH CAROLINA MEAL AND NUTRITION SERVICES PROVIDER
WCG helps providers develop and deliver effective meal and nutrition services that promote wellness, independence, and person-centered care.
Scope of Work:
Medicaid and DHEC enrollment support
Meal and Nutrition Policy & Procedure Manual
Menu design templates and RD credentialing guidance
Participant intake, dietary forms, and delivery logs
Compliance checklists and food safety protocols
Billing tools and satisfaction tracking for continuous improvement
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.