---
title: "South Carolina Home Care Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/south-carolina/home-care-medicaid/
description: "The Community Choices Waiver is South Carolina's principal home-care alternative for people who meet nursing-facility level of care."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
South Carolina · Home & Community Care

# South Carolina Home Care Medicaid

Last updated 2026-10-20

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

- [SCDHHS: Nursing Facilities](https://www.scdhhs.gov/resources/programs-and-initiatives/long-term-living/nursing-facilities)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full South Carolina guide](https://fundingltcmarketplace.com/states/south-carolina/)