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![]() This means that meeting eligibility criteria does not guarantee receipt of benefits, as there are a limited number of slots for program participants. Waivers can target specific groups who require a nursing home level of care and are at risk of institutionalization such as the elderly, disabled, or persons with Alzheimer’s. The goal of HCBS is to delay or prevent institutionalization, and to that end, care may be provided in one’s home, the home of a relative, assisted living, or adult foster care / adult family living. “HCBS” stands for “Home and Community Based Services. 1915(c) HCBS Medicaid Waivers allow states to offer benefits outside of these institutions. Historically Medicaid only paid for long-term care in nursing homes. Medicaid in SC is called Healthy Connections. ![]() It is a Community Long Term Care (CLTC) Medicaid program. The Community Choices Waiver is a 1915(c) Home and Community Based Services (HCBS) Medicaid waiver. Instead, the waiver has a limited number of participant enrollment slots, and when these slots are full, a waitlist for program participation forms. Program beneficiaries can reside in their own home, the home of a loved one, an adult foster care home, or an assisted living residence (also called a community residential care facility).Ĭommunity Choices is not an entitlement program, which means meeting eligibility requirements does not equate to immediate receipt of program benefits. A financial management services agency handles the financial aspects of employment responsibilities such as tax withholding and caregiver payments. Program participants who cannot direct their own care may have a representative do so on their behalf. Friends, and some relatives, such as adult children, can be hired. This means program participants can hire the person of their choosing to provide care rather than have their care provided by licensed agency workers. Personal assistance services offered under Community Choices can be participant directed. These include in-home personal care assistance, home accessibility modifications, personal emergency response systems, adult day health care, and specialized equipment, such as a handheld shower and shower chair. ![]() Intended to allow persons to continue living independently rather than require nursing home care, a variety of long-term services and supports are available. ADLs are activities that are essential to day-to-day living, such as bathing, personal hygiene, dressing, toiletry, eating, and mobility. The South Carolina Community Choices Waiver provides home and community-based services (HCBS) for seniors and disabled adults who require assistance with their activities of daily living (ADLs). Overview of South Carolina’s Community Choices Waiver
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