“Services in this manual are intended to be delivered in an outpatient and community setting only. In accordance with 42CFR 435.1009-1011, services are not available for beneficiaries residing in an Institution of Mental Disease. Inpatient Psychiatric Hospitals and Psychiatric Residential Treatment Facilities (PRTFs) receive an all-inclusive, per diem rate for services. Services provided to beneficiaries in these settings are not Medicaid reimbursable”
South Carolina DHHS Local Education Agencies (LEA) Services Provider Manual
“The South Carolina Department of Health and Human Services (SCDHHS) provides Medicaid reimbursement for medically necessary services provided to Medicaid-eligible individuals in the Local Education Agency (LEA). This includes, but is not limited to, children under the age of 21 years who have or are at risk of developing sensory, emotional, behavioral or social impairments, physical disabilities, medical conditions, intellectual disabilities or related disabilities, or developmental disabilities or delays.”
South Carolina DHHS Community Mental Health (CMH) Services Provider Manual
“Community mental health (MH) service providers must provide clinic services as defined in federal regulation42 CFR 440.90. This manual describes these services, legal authorities and the characteristics of the providers of services.
“The South Carolina Department of Health and Human Services (SCDHHS) provides Medicaid reimbursement for medically necessary services provided to Medicaid-eligible individuals in the Local Education Agency (LEA). This includes, but is not limited to, children under the age of 21 years who have or are at risk of developing sensory, emotional, behavioral or social impairments, physical disabilities, medical conditions, intellectual disabilities or related disabilities, or developmental disabilities or delays.”
~~“DECO Recovery Management, LLC was awarded a statewide 2019 CMS Navigator Cooperative Agreement serving Underserved and vulnerable uninsured populations: Latino/Hispanic; African Americans; Rural communities; young and “invincibles”; small employers; and self-employed individuals. There are no Sub-awardee/Subrecipient Contracted Organizations. They will partner with South Carolina Chamber of Commerce, South Carolina Hospital Association, South Carolina of the Healthcare Financial Management Association (HFMA) , Carolina Chapter of the American Association of Healthcare Administrative Management (AAHAM), Greenville Memorial Hospital, Greer Memorial Hospital, North Greenville Hospital, Hillcrest Memorial Hospital , Patewood Memorial Hospital, Laurens County Memorial Hospital, Aiken Regional Medical Center, Oconee Memorial Hospital, and Bon Secours St. Francis Health System. For more information, please contact the designated project lead. Contact: Andrew Foland Phone: (410) 763-7475 Email: afoland@decorm.com ”
South Carolina Executive Order 2019-39: State Community Engagement Implementation Task Force
“WHEREAS, numerous state and federal public assistance programs currently provide support to individuals seeking education and employment, including Unemployment Insurance (“UI”), Supplemental Nutrition Assistance Program (“SNAP”), Vocational Rehabilitation, and Medicaid benefits for qualified working disabled individuals; and…
NOW, THEREFORE, by virtue of the authority vested in me as Governor of the State of South Carolina and pursuant to the Constitution and Laws of this State and the powers conferred upon me therein, I hereby create and establish the State Community Engagement Implementation Task Force”
Association of People Supporting Employment First (APSE)
“People with all types of disabilities are employed, pursuing careers and building assets just like people without disabilities… Through advocacy and education, APSE advances employment and self-sufficiency for all people with disabilities.”
South Carolina Home and Community-Based Waiver Services
Prior to 1981, needed Medicaid-funded services for people with intellectual disability and related disabilities were primarily available in institutional settings (e.g. nursing facilities, intermediate care facilities). People with intellectual disability and related disabilities were pushed toward institutional settings because the supportive services necessary for them to live in their own home or community setting were not available.
The Home and Community-Based Services (HCBS) Waiver Program was established in 1981 and allowed States to elect to furnish under Medicaid, as an alternative to institutional care, a broad array of services that are otherwise not covered under the Medicaid program.
BHDD-OIDD, on behalf of the South Carolina Department of Health and Human Services, operates three HCBS Waiver Programs.
Below are “Waiver Fact Sheets” summarizing key information and how to obtain services in each of the three Medicaid waivers:
South Carolina Medicaid Money Follows the Person/ Home Again
“Home Again is a program assisting Medicaid beneficiaries who currently live in nursing facilities or hospitals to transition back to their communities and receive appropriate services and support.
The Home Again program is designed to assist eligible individuals who live in a skilled nursing facility or a hospital to move back into their homes and communities. South Carolina Department of Health and Human Services awarded Money Follows the Person (MFP) grant from Centers for Medicare & Medicaid Services to develop Home Again program and started to implement the program in 2013.”
Sourh Carolina SAMHSA Grant – “Health Mind Body Alliance”
“The integration model brings primary care into state community mental health clinics. Clinics are located in the underserved rural counties of Marlboro, Dillon, and Chesterfield South Carolina and the initial strategy included an FQHC [Federal Qualified Health Center]. Year two enrollment target is to serve 150 unduplicated clients (During the first quarters of year two for the grant 194 clients unduplicated clients were enrolled). Services are accessible to all consenting adult clients of TCCMHC [Tri-County Community Mental Health Center] with serious mental illness (Excepting incarcerated clients).”
“Home Again is a program assisting seniors, individuals with disabilities, and children with severe emotional disturbances who currently live in facilities to transition back into their communities and receive appropriate services and supports.”
