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History of the DDSN Intellectual Disability and Related Disabilities Division

In October 1991, SCDHHS and SCDDSN (then known as the Department of Mental Retardation) received approval to offer the Home and Community Based Waiver as an option to institutional care for people with intellectual disability or a related disability. This option allows individuals with intellectual disability or related disabilities to choose to receive care at home rather than in an Intermediate Care Facility for Persons with Intellectual Disabilities (ICF/ID). Although the individual may choose to receive care at home, he/she must require the degree of care that would be provided in the ICF/ID. In other words, individuals choosing this option must meet ICF/ID level of care.

Since the approval of the ID/RD Waiver in October 1991, several changes or amendments have been made to the original waiver request. As of March 2011, the following services are funded by Medicaid through South Carolina's ID/RD Waiver:

  • Personal Care Services
  • Residential Habilitation
  • Day Activity
  • Career Preparation Services
  • Employment Services
  • Community Services
  • Support Center Services
  • Respite Care
  • Environmental Modifications
  • Specialized Medical Equipment, Supplies and Assistive Technology
  • Adult Companion Services
  • Psychological Services
  • Nursing Services
  • Prescribed Drugs
  • Audiology Services
  • Private Vehicle Modification
  • Adult Dental
  • Adult Vision
  • Behavior Support Services
  • Adult Day Health Care Services
  • Adult Day Health Care Nursing
  • Adult Day Health Care Transportation
  • Personal Emergency Response System
  • Adult Attendant Care Services