Part 2: Medicaid Home and Community-Based Services Waivers
In an HCBS waiver, individuals (or their representatives) can manage their own services and hire their own workers. In this model, the person can make decisions about recruiting, hiring, training, and supervising their chosen workers. A fiscal agency handles payroll for these workers. Self-direction should be discussed with an individual’s case manager. The following services have the option for self-direction in SC:
- Community Choices Waiver: Attendant Care and Companion Care
- Mechanical Ventilator Dependent Waiver: Attendant Care
- HIV/AIDS Waiver: Attendant Care and Companion Care
- ID/RD Waiver: Adult Attendant Care Services and Respite
- Community Supports Waiver: In-Home Supports and Respite Care
- HASCI Waiver: Attendant Care/Personal Assistance Services and Respite Care