Navigating the world of in-home care can be overwhelming. In South Carolina, many families struggle to find safe, affordable care for loved ones dealing with age, disability, or illness. Luckily, the state offers several waiver programs designed to ease this burden. This guide will help you understand the available programs, provide essential contact information, and outline a step-by-step application process.
Understanding Waiver Programs
Waiver programs are state-funded initiatives aimed at providing long-term care services to qualifying individuals. In South Carolina, these programs allow people to receive care in their homes or communities instead of institutional settings. Ultimately, these programs help individuals maintain independence and enhance their quality of life.
Overview of Waiver Programs in South Carolina
1. Community Choices Waiver (CCW)
The Community Choices Waiver is intended for elderly individuals and adults with disabilities who need help with daily living tasks. Services under this waiver can include personal care, home modifications, and respite care.
Eligibility Requirements:
Must be a South Carolina resident
Aged 21 or older
Must meet specific financial criteria, typically having an income below $2,199 per month
Contact Information:
South Carolina Department of Health and Human Services
Phone: 1-888-549-0820
Website: SCDHHS
2. Home and Community-Based Services Waiver (HCBS)
The HCBS waiver caters to individuals with intellectual and developmental disabilities, allowing them to receive personalized care at home or in community settings.
Eligibility Requirements:
Must be a South Carolina resident
Aged 18 to 64
Must meet specific level of care and financial eligibility
Contact Information:
South Carolina Department of Disabilities and Special Needs
Phone: 1-888-DSN-INFO (376-4636)
Website: SCDDSN
3. Elderly and Disabled Waiver (EDW)
The Elderly and Disabled Waiver focuses on seniors and individuals with disabilities, providing vital services such as personal care and transportation to essential appointments.
Eligibility Requirements:
Must be a South Carolina resident
Aged 65 or older, or individuals with disabilities
Financial eligibility based on a functional assessment, typically a monthly income limit under $2,199
Contact Information:
South Carolina Department of Health and Human Services
Phone: 1-888-549-0820
Website: SCDHHS
4. Pediatric Day Health Care Waiver (PDHC)
This waiver is specifically for children under 21 with complex medical needs. It helps families keep their children at home by offering necessary medical care and support services.
Eligibility Requirements:
Must be a South Carolina resident
Aged 0-21 and meet certain medical criteria
Financial eligibility based on state guidelines which often includes limits similar to other waivers
Contact Information:
South Carolina Department of Health and Human Services
Phone: 1-888-549-0820
Website: SCDHHS
5. HIV/AIDS Waiver
Designed for individuals living with HIV/AIDS, this waiver assists with personal care needs, helping them maintain independence and quality of life.
Eligibility Requirements:
Must be a South Carolina resident
Adult (18 and older)
Documented HIV/AIDS diagnosis plus financial requirements
Contact Information:
South Carolina Department of Health and Human Services
Phone: 1-888-549-0820
Website: SCDHHS
Navigating the Application Process
Understanding how to apply for these waiver programs can make a big difference in securing needed services.
Step 1: Determine Eligibility
Start by assessing whether you or your loved one meets the eligibility criteria for each waiver. Pay attention to age, residency, and financial requirements.
Step 2: Gather Required Documentation
Prepare necessary documents, which may include:
Proof of income (typically not exceeding $2,199 monthly)
Medical evaluations documenting care needs
Identification and evidence of residency
Step 3: Complete the Application
You can apply online through the department's website or by phone. Each program has unique application steps, which may include completing forms online or submitting physical copies by mail.
Step 4: Participate in an Assessment
After submitting your application, an assessment may be scheduled to evaluate the level of care required. This assessment looks at daily living activities and necessary support.
Step 5: Wait for Approval
The approval process might take several weeks. Stay in contact with the relevant department to get updates about your application.
Counties Served by Waiver Programs
These waiver programs are available throughout South Carolina, including:
Charleston County
Greenville County
Richland County
Lancaster County
York County
For comprehensive resources or to find local service contacts, visit the South Carolina Department of Health and Human Services website.
Recommendations for Families
Finding in-home care services can be daunting, but knowing your options simplifies the process. Take the following steps to better prepare:
Educate Yourself: Dive into resources like state websites and local support groups for additional information about what programs may suit your needs.
Engage with Professionals: Consider consulting a social worker or case manager experienced in navigating these waivers. They can provide tailored advice and support through the process.
In South Carolina, utilizing these waiver programs can significantly improve the quality of care for individuals while allowing them to remain in the comfort of their homes. Remember, you are not alone, and help is available.


By understanding and utilizing South Carolina’s waiver programs, families can secure the essential in-home care services their loved ones need with confidence and ease.
This is false or at least misleading. There is no waiver exception for someone who qualifies in every way except income. There is no exception for the above the income requirement. I just went through a year of hell thinking if I jumped through all their hoops I'd get it. No one gave me an honest answer from the beginning and now with the new administration and a governor who doesn't care about people with disabilities it is a lost cause trying to fight it. Do NOT MOVE to SC or leave if you are a single adult/senior with disabilities who makes more than that measley limit/maximum (they don't even look at the medical expenses it all goes to pay)!…