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South Carolina HCBS Provider Manual — Personal Care Scope, Section D-E (Nurse Supervisor / RN Supervisory Visit Requirements for Personal Care Services)

South Carolinasub-regulatorySouth Carolina Department of Health and Human Services (SCDHHS)· effective 2025-07-01

What this rule requires your agency to do

  • 1The provider must employ a registered nurse or licensed practical nurse capable of evaluating the aide's competency and able to assume responsibility for in-service training for aides. (Personal Care Scope § D.1.a)(Personal Care Scope § D.1.a)
  • 2The nurse supervisor must make a supervisory visit to the participant's place of residence within thirty (30) days after the PCS/HASCI Attendant Care service is initiated. (Personal Care Scope § E.3.e)(Personal Care Scope § E.3.e)
  • 3The nurse supervisor must visit the participant's home prior to the start of Personal Care and HASCI Agency Attendant Care, including developing the required task lists and providing written information on advance directives and complaint procedures. (Personal Care Scope § E.3.a)(Personal Care Scope § E.3.a)
  • 4The nurse supervisor must make a supervisory visit to the participant's place of residence at least once every four (4) months for each participant. (Personal Care Scope § E.3.f)(Personal Care Scope § E.3.f)
  • 5The provider must ensure the aide is present during at least one (1) of the supervisory visits during each twelve (12) month period. (Personal Care Scope § E.3.f)(Personal Care Scope § E.3.f)
  • 6The nurse supervisor must provide and document supervision of, training for, and evaluation of aides. (Personal Care Scope § E.3.d)(Personal Care Scope § E.3.d)
  • 7The nurse supervisor must be accessible by phone during any hours services are provided under the contract. (Personal Care Scope § E.3.c)(Personal Care Scope § E.3.c)

Applies to: personal care

South Carolina's Medicaid HCBS Personal Care Scope requires providers to employ an RN or LPN as nurse supervisor who must conduct an initial home visit before care begins, a supervisory visit within 30 days of service initiation, and ongoing supervisory visits at least once every four months, with the aide present at least once per 12-month period.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.