South Carolina Attendant & Companion Care Policy Manual

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The South Carolina Attendant & Companion Care Agency Policy Manual provides a comprehensive operational framework for agencies delivering non-medical attendant and companion care services to older adults, individuals with disabilities, and others requiring daily living support in South Carolina. This manual aligns with the regulations established by the South Carolina Department of Health and Human Services (SCDHHS), the Department of Disabilities and Special Needs (DDSN), and the South Carolina Department of Health and Environmental Control (DHEC). It also ensures compliance with Medicaid Home and Community-Based Services (HCBS) waiver programs, including the Community Choices Waiver, Community Supports Waiver, and ID/RD Waiver. The manual includes policies and procedures governing agency licensing and certification, participant eligibility and assessment, individualized service planning, assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs), social and emotional companionship, safety supervision, staff qualifications and training, client rights and protections, emergency preparedness, health and safety protocols, incident management, documentation and billing, and quality assurance. It promotes person-centered care that enhances independence, reduces social isolation, and supports clients in maintaining dignity and autonomy in their home or community setting. This manual serves as a foundational resource for attendant and companion care agencies in South Carolina, ensuring the delivery of high-quality, compliant services that meet the diverse and evolving needs of individuals who require day-to-day support.