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SC Medicaid - SCDHHSMedicaid · Coverage · Provider Communication · SC · Infectious DiseaseMedium impact

Community Choices and HIV/AIDS 1915(c) Waiver Changes and Program Renewal Status

Act
by Sep 15, 2026
Effective date
Jul 1, 2026
Identified
Sep 3, 2026

Summary

CMS has approved South Carolina's five-year renewal of the Community Choices (CC) and HIV/AIDS 1915(c) HCBS waiver programs, with all submitted changes approved. The renewal is retroactive to July 1, 2026. Billing teams should review the approved renewal applications and previously announced amendments on the SCDHHS website to identify any service coverage, benefit, or billing process changes.

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What to do

by Sep 15, 2026 · 4 steps
01Billing team must access the approved renewal applications and detailed amendments from the SCDHHS waivers page (https://www.scdhhs.gov/communications/community-choices-and-hivaids-1915c-waiver-changes-and-program-renewal-status) to identify specific service coverage changes, billing code updates, or documentation requirements.
02Review the March 20, 2026 webinar materials referenced in the bulletin.
03Update billing software, fee schedules, and prior authorization requirements as needed for CC and HIV/AIDS waiver services.
04Contact MedicaidWaiver@scdhhs.gov with questions about implementation.
If missed: Failure to implement approved changes may result in claim denials or improper billing for affected waiver services.

Original notice

Community Choices and HIV/AIDS 1915(c) Waiver Changes and Program Renewal Status
scdhhs.gov · Always check the source before changing claims.
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SC Medicaid - SCDHHS policiesSC policy changesInfectious Disease

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