State Profile · Deep
SOUTH CAROLINA
CLast verified 2026-07-03
Deadlines reflect this state’s rules as researched; they can change — always confirm the current deadline with your state agency or Protection & Advocacy office before relying on it.
HOW TO GET SERVICES & APPEAL IN SOUTH CAROLINA
How services are run
State agency
Your service plan
Individualized Service Plan (ISP)
Self-direction
Self-Directed Services
If you get denied
Deadline to appeal
30 days from your Notice of Adverse Action / Notice of Denial of Waiver Services (Notice of Resolution for MCO appeals)
Keep services during appeal
File within 10 days
- File written fair-hearing request with SCDHHS Division of Appeals and Hearings within 30 days of the notice (S.C. Code Regs. 126-152(A))
- DD/ID waiver (DDSN): appeal to SCDHHS within 30 calendar days of the DDSN notification (Directive 535-11-DD)
- Continuation: submit the fair-hearing request within 10 days of the notice date
- Managed care (Healthy Connections MCO): file plan appeal within 60 days, then request State Fair Hearing within 120 days of the Notice of Resolution
- Judicial review: appeal to SC Administrative Law Court within 30 days of the hearing officer's order
KEY AGENCIES & RESOURCES
Family-to-Family Health Center
Family Connection of South Carolina F2F Health Information Center
Aging & Disability Resource Center
South Carolina ADRC / Aging and Disability Resource Center
NOTABLE WAIVERS
Intellectual Disability / Related Disabilities (ID/RD) Waiver
SourceChildren and adults with ID or related disabilities.
Waitlist: Waitlist managed by DDSN; keep annual contact updates.
Community Supports Waiver
SourcePeople with IDD; capped budget for family/community supports.
Waitlist: Verify with DDSN intake.
Head and Spinal Cord Injury (HASCI) Waiver
SourcePeople with traumatic brain or spinal cord injuries.
Waitlist: Apply through DDSN HASCI division.
Medically Complex Children's Waiver
SourceChildren with complex medical conditions.
Waitlist: Apply through SCDHHS.
Community Choices Waiver
SourceSeniors and adults with physical disabilities.
Waitlist: Apply through SCDHHS Community Long Term Care.
