South Carolina Respite Care Agency Policy Manual

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The South Carolina Respite Care Agency Policy Manual provides a comprehensive operational framework for agencies delivering respite care services to individuals with disabilities, chronic conditions, and aging-related needs—and their caregivers—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 Department on Aging. It also ensures compliance with Medicaid Home and Community-Based Services (HCBS) waiver programs, including the ID/RD Waiver, Community Supports Waiver, Head and Spinal Cord Injury (HASCI) Waiver, and Community Choices Waiver. The manual includes policies and procedures governing agency licensing and enrollment, participant and caregiver eligibility, individualized service planning, in-home and out-of-home respite models, staff qualifications and training, participant rights and protections, health and safety protocols, emergency preparedness, incident reporting, documentation and billing, and quality assurance. It supports both planned and emergency respite services, promoting continuity of care while providing essential relief to primary caregivers. This manual serves as a foundational resource for respite care providers in South Carolina, ensuring the delivery of high-quality, person-centered, and compliant services that protect the well-being of individuals while strengthening families and preventing caregiver burnout.