KodaComplyHome care rules, state by state, in plain EnglishDocuments collected September 22, 2026

South Carolina home care rules

South Carolina's Department of Public Health (DPH) licenses in-home care providers under Regulation 60-122, which was rewritten and took effect May 22, 2026, and licenses home health agencies separately under Regulation 60-77. The Department of Health and Human Services (SCDHHS) pays Medicaid waiver personal care fee-for-service; in the waivers SCDHHS runs, care is authorized and billed through its Phoenix and EVV (electronic visit verification) systems. Since Jan. 1, 2026, five health plans pay only the medical services for many waiver members. The change to watch now: SCDHHS has put personal care providers on its rapid revalidation list (August 2026).

59 official documents·collected September 22, 2026·checked against them September 22, 2026
License for non-medical home care?YesIn-home care provider license from DPH (Regulation 60-122) · $1,000 first year, $800 each yearly renewal. House-cleaning-only services and caregivers hired directly by a client or family are not in-home care providers.
License for home health?Yes, separateHome health agency license from DPH (Regulation 60-77) · $100 plus $50 per county served. SCDHHS's home health manual (May 2023) also requires Medicare certification and an approved Certificate of Need to enroll in Medicaid.
EVVYes, for SCDHHS waiversRequired for in-home services in the Community Choices, HIV/AIDS, Ventilator and Medically Complex Children waivers, through Phoenix. The ID/RD, Community Supports and HASCI waivers don't currently require EVV billing; claims can go through the Medicaid Web Tool.
Medicaid health plans5 plans, medical onlyAbsolute Total Care, First Choice by Select Health, Healthy Blue, Humana Healthy Horizons, Molina. Waiver personal care stays fee-for-service with SCDHHS.

What changed, and what to do about it

Red means act now, amber means read it this month, grey is for the record.

Act nowMedicaid Bulletin 26-027, Aug. 12, 2026

Personal care providers are on SCDHHS's rapid revalidation list

Following a federal push that started in April 2026, SCDHHS will rapidly revalidate 5,713 higher-risk providers within 12 months, with document reviews, site visits and fingerprint-based background checks. Home health agencies are on the list, and SCDHHS added providers offering personal care services. Each provider gets a letter with a unique revalidation code. Revalidation cannot start until that letter arrives.

What to do: Watch your mail for the letter. Get your license, insurance, background-check and personnel files ready for a site visit.
Read this monthRegulation 60-122, effective May 22, 2026

The rewritten in-home care rule is in force

DPH replaced Regulation 60-122 in full. New sections cover SLED checks and drug tests for the people who sign the application, policies and insurance, infection control, client rights and disaster plans. It also updates caregiver drug testing, training and incident reporting (24 hours, with a written report in 5 days). Fees are $1,000 for the first license and $800 to renew.

What to do: Check your policies against the new rule. Make sure a random drug-testing policy and a disaster plan are written down, and confirm your insurance meets the $100,000 / $300,000 minimums.
Read this monthMedicaid Bulletin 26-029, Sept. 2, 2026

Community Choices and HIV/AIDS waivers renewed to 2031

CMS approved both five-year renewals, retroactive to July 1, 2026. In answers to provider questions (sent online and at its March 2026 webinars) printed in the renewal, SCDHHS said no EVV updates had been made and no scope changes had been announced, and that policy updates will be issued at least 30 days before they start.

What to do: Read the approved renewal on SCDHHS's waivers page if you serve CC or HIV/AIDS participants, and sign up for Medicaid bulletins.
For the recordSince Jan. 1, 2026

Health plans now cover medical care for many waiver members

Adult members of the CC, HIV/AIDS and Vent waivers were moved into managed care for medical services, including home health and incontinence supplies. Personal care, companion, respite and other waiver services are still authorized and paid fee-for-service through Phoenix.

What to do: If you also bill home health or supplies, check which health plan each member is in and send those claims to that plan.

Deadlines coming up

Dates taken from the rules and notices as we read them.

100days
January 1, 2027

ID/RD and Medically Complex Children waiver renewals due

SCDHHS's July 2026 waiver chart says the ID/RD and Medically Complex Children (MCC) waivers expire Dec. 31, 2026, with the next renewal on Jan. 1, 2027. A draft ID/RD renewal application dated Aug. 20, 2026 is posted.

281days
July 1, 2027

Community Supports waiver renewal due

The CS waiver expires June 30, 2027, per SCDHHS's July 2026 waiver chart.

434days
December 1, 2027

Ventilator waiver renewal due

The Mechanical Ventilator Dependent waiver expires Nov. 30, 2027, per SCDHHS's July 2026 waiver chart.