South Carolina Home Modification Agency Policy Manual

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The South Carolina Home Modification Agency Policy Manual provides a comprehensive operational framework for agencies delivering home modification services to individuals with disabilities, older adults, and others requiring accessible, safe, and functional home environments 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 applicable Medicaid Home and Community-Based Services (HCBS) waiver programs, including the Community Supports Waiver, ID/RD Waiver, and Community Choices Waiver. The manual includes policies and procedures governing agency enrollment and compliance, participant eligibility and assessment, person-centered planning, accessibility evaluations, contractor coordination and oversight, design and implementation of modifications, adherence to ADA and safety standards, staff qualifications and training, participant rights and protections, budgeting and funding authorizations, documentation and billing, incident management, and quality assurance. It supports individualized, outcome-focused environmental adaptations that enable safe mobility, independence, and long-term residence in the least restrictive setting. This manual serves as a foundational resource for home modification providers in South Carolina, ensuring the delivery of high-quality, compliant services that empower individuals to remain in their homes with dignity, safety, and enhanced quality of life.