The South Carolina Department of Health and Human Services (SCDHHS) and the South Carolina Department of Disabilities and Special Needs (SCDDSN) are seeking key stakeholder feedback like yours. We are hosting a webinar that will present the draft Home and Community-Based (HCB) Settings Quality Review Process. This process is for SCDDSN-contracted settings that have been identified as potentially eligible for the Centers for Medicare and Medicaid Services (CMS) heightened scrutiny process. The HCB Settings Quality Review process is to gather information to determine if a setting can overcome its “presumed institutional nature” due to co-location through programming, operation and/or reasonable environmental modifications. This type of review is required by CMS for compliance with the Home and Community-Based Services (HCBS) settings rule [42 CFR 441.301(c)(5)] before submission for CMS heightened scrutiny review. SCDHHS and SCDDSN would like your feedback on this process before finalizing it and submitting it to CMS in the SC HCBS Statewide Transition Plan.