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S.C. Code of Regulations R.126-350 to R.126-360 — Community Long Term Care (CLTC) definitions and Medicaid eligibility procedures
South CarolinaregulationSouth Carolina Department of Health and Human Services· effective 1995-03-24
What this rule requires your agency to do
- 1Individuals not automatically eligible through cash-assistance programs must file an application for Medicaid benefits with the Department of Social Services (R.126-355 C).(S.C. Code of Regulations R.126-350 to R.126-360 — Community Long Term Care (CLTC) definitions and Medicaid eligibility procedures)
- 2Eligibility determinations must be made within sixty (60) days for applicants applying on the basis of disability and forty-five (45) days for all other applicants, absent unusual circumstances (R.126-355 D).(S.C. Code of Regulations R.126-350 to R.126-360 — Community Long Term Care (CLTC) definitions and Medicaid eligibility procedures)
- 3Community Long Term Care (CLTC) must perform certification of medical necessity and level of long term care for Medicaid applicants and recipients (R.126-350 G).(S.C. Code of Regulations R.126-350 to R.126-360 — Community Long Term Care (CLTC) definitions and Medicaid eligibility procedures)
- 4An individual whose gross monthly income before deductions exceeds the Medicaid Cap set by the General Assembly shall not be eligible for Medical Assistance Only (MAO) (R.126-350 E).(S.C. Code of Regulations R.126-350 to R.126-360 — Community Long Term Care (CLTC) definitions and Medicaid eligibility procedures)
Applies to: personal care
This DHHS regulation defines Community Long Term Care as the unit that certifies medical necessity and level of long-term care for Medicaid HCBS applicants, and sets the application procedures and eligibility timeframes that gate access to home-based personal care.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.