For people who'd rather avoid a nursing facility, South Carolina's Community Choices Waiver is the main home- and community-based option. SCDHHS says it serves frail adults 65 and older along with adults 18 through 64 who have physical disabilities, provided they meet the same nursing-facility level-of-care standard used for institutional placement. The waiver runs through Community Long Term Care rather than functioning as a generic private-pay home-care program.
Community Choices sits within a wider network of state waivers. SCDHHS itself administers Community Choices alongside the HIV/AIDS, Mechanical Ventilator Dependent, and Medically Complex Children waivers, while a separate agency — the Department of Behavioral Health and Developmental Disabilities — runs the HASCI, Intellectual Disability/Related Disabilities, and Community Supports waivers. Since eligibility rules and waitlist procedures can differ from program to program, getting the right name and agency matters.
Sources and official resources
Rules and figures change. Confirm current details with the agency before you act.