PUBLIC NOTICE: Proposed Palmetto Coordinated System of Care Waiver Program

The South Carolina Department of Health and Human Services (SCDHHS) gives notice that a proposed application for the Palmetto Coordinated System of Care (PCSC) waiver will be submitted to the Centers of Medicaid and Medicare (CMS) and is available for public review and comment. The proposed waiver will be submitted to CMS Aug. 1, 2017. It will be effective upon CMS approval.

The following is a summary of the waiver application document:

South Carolina is developing the PCSC for children and youth with significant behavioral health needs or co-occurring conditions in or at imminent risk of out of home placement. PCSC is an evidence-based approach that is part of a national movement to develop family driven and youth guided care, and keep children at home, in school and out of the child welfare and juvenile justice systems when possible. The waiver will provide home and community based supports and services to children with significant behavioral health needs who would otherwise be served in an inpatient general or psychiatric hospital.

Research has shown that effective home and community based services can be less costly and provide better outcomes for children, youth and their families. Proposed waiver services include:

1. High-fidelity wraparound care coordination (an evidence-based practice)

2. Individual goods and services

3. Employment services, including career exploration and assessment, employment skills development and intensive supported employment (an evidence-based practice)

4. Respite

5. Community psychiatric support and treatment, including the five evidence-based practices of multi-systemic therapy (MST), functional family therapy (FFT), dialectical behavior therapy (DBT), home builders and adolescent community reinforcement approach (A-CRA)

6. Non-medical transportation

Other non-waiver services designed to support a system of care approach include parent/caregiver peer support and Community Crisis Response and Intervention. Both of these services will be available to waiver participants.

Services are provided using a system of care approach. There is a single point of entry for all waiver applicants and applicants are evaluated to determine eligibility for the waiver. Children, youth and their families who enter the waiver participate in a child and family team meeting to develop a person-centered plan. The team includes individuals involved with the family and any representatives the family chooses to attend. Once the team develops a plan, the family may choose from enrolled qualified public and private providers. If the family has a provider who they have been working with who is not a qualified provider, efforts are made to contact the provider to discuss their interest in enrolling. The child and family team meets at least every 90 days, or more often if requested, to discuss treatment progress and any changes. Annual reevaluations are conducted to determine continued eligibility for waiver participation. The SCDHHS, as the agency that operates Medicaid for the state, has both the operational and administrative authority over the waiver.


This proposed waiver was discussed at SCDHHS’ Medical Care Advisory Committee (MCAC) meeting Feb. 9, 2016, at 10 a.m. at 1801 Main Street, Columbia, S.C. An update is also planned for May 9, 2017.
A copy of this notice and the PCSC draft waiver application are available at the following locations:

1. Electronic Access: (under the “Public Notice” and “Waiver” sections)

2. Hardcopies:
a. All Healthy Connections Medicaid local eligibility offices (see Attachment A)
b. SCDHHS lobby at 1801 Main Street, Columbia, S.C.

Additionally, information on the proposed waiver will be discussed during four public meetings. During those meetings there will be approximately 30 minutes for questions and answers. See details below:

Date: Tuesday, June 6, 2017
Time: 5:30-7 p.m.
Location: Florence-Darlington Technical College
Fred C. Fore Auditorium, Building 400
2715 West Lucas Street
Florence, S.C. 29501
Please do not park in spaces that are marked yellow.

Date: Thursday, June 8, 2017
Time: 5:30-7 p.m.
Location: Charleston County Public Library – Main Branch
68 Calhoun Street
Charleston, S.C. 29401
Parking in the parking garage is free for the first half-hour and 0.50 per additional half-hour.

Date: Tuesday, June 13, 2017
Time: 5:30-7 p.m.
Location: Greenville Health System, Medical Staff Auditorium
701 Grove Road
Greenville, S.C. 29605
North or South Parking Deck

Date: Thursday, June 15, 2017
Time: 5:30-7 p.m.
Location: Columbia BlueCross BlueShield Training Room
8901 Farrow Road, Building 200
Columbia, S.C. 29203

Finally, a live webinar will take place June 6, 2017, from 10-11:30 a.m. To register for the webinar, visit Following the webinar, a recording will be available at

Public Comments and Responses

SCDHHS wants to hear from the public about the proposed PCSC waiver program to serve children and youth with serious mental health or substance use needs. Your questions and comments about this program are very important. Your input may help make changes to how this program will work and how the program can reach children, youth and their families who might qualify.

If you have a question or comment, please send it to the following email or mailing address before July 2, 2017:

Email: [email protected]

Mail: Palmetto Coordinated System of Care
ATTN: Gwynne Goodlett
South Carolina Department of Health and Human Services
Post Office Box 8206
Columbia, S.C. 29202-8206

Questions will be compiled, answered and posted on the SCDHHS website under the “Public Notice” and “Waiver” sections after July 11, 2017. If you would like to receive an electronic copy of a summary of the public comments and responses, please provide your email address in correspondence you send. If you would like to review a hard copy of the summary of public comments and responses, they may be reviewed at the local Healthy Connections Medicaid eligibility offices after July 11, 2017.

View the proposed application for the Palmetto Coordinated System of Care (PCSC) waiver on the SCDHHS website,


Abbeville: 903 W. Greenwood Street, Abbeville, SC 29620

Aiken: 1410 Park Ave, Aiken, SC 29801

Aiken (CLTC): 6170 Woodside Executive Court, Aiken, SC 29803

Allendale: 521 Barnwell Hwy, Allendale, SC 29810

Anderson:224 McGee Road, Anderson, SC 29625

Anderson (CLTC):3215 Martin Luther King Jr. Blvd, Ste. H, Anderson, SC 29625

Bamberg: 374 Log Branch Road, Bamberg, SC 29003

Barnwell: 10913 Ellenton Street, Barnwell, SC 29812

Beaufort: 1905 Duke Street, Beaufort, SC 29901

Berkeley: 2 Belt Drive, Moncks Corner, SC 29461

Calhoun: 2831 Old Belleville Road, St. Matthews, SC 29135

Charleston: 3366 Rivers Avenue, North Charleston, SC 29405

Charleston (Faber place): 4130 Faber Place Drive, Ste. 300, North Charleston, SC 29405

Cherokee: 1231 N Limestone Street, Suite C, Gaffney, SC 29340

Chester: 115 Reedy Street, Chester, SC 29706

Chesterfield: 203 Commerce Avenue, Chesterfield, SC 29709

Clarendon: 3 South Church Street, Manning, SC 29102

Colleton: 215 South Lemacks Street, Walterboro, SC 29488

Darlington: 300 Russell Street, Room 145, Darlington, SC 29532

Darlington: 404 S. Fourth Street, Suite 301, Hartsville, SC

Dillon: 1213 Highway 34, West Dillon, SC 29536

Dorchester: 216 Orangeburg Road, Summerville, SC 29483

Dorchester: 201 Johnston Street, #17, St. George, SC 29477

Edgefield: 120 W.A. Reel Drive, Edgefield, SC 29824

Fairfield: 1136 Kincaid Bridge Road, Winnsboro, SC 29180

Florence: 2685 South Irby Street, Florence, SC 29505

Florence: 201 Dozier Blvd, Florence, SC 29501

Florence: 345 Ron McNair Blvd., Lake City, SC 29560

Georgetown: 330 Dozier Street, Georgetown, SC 29440

Greenville: 620 N. Main Street, Suite 301, Greenville, SC 29601

Greenville: 301 University Ridge, Suite 6700, Greenville, SC 29601

Greenwood: 1118 Phoenix Street, Greenwood, SC 29646

Greenwood (CLTC): 617 South Main Street, Suite 302, Greenwood, SC 29646

Hampton: 102 Ginn Altman Avenue, Hampton, SC 29924

Horry: 1201 Creel Street, Conway, SC 29526

Jasper: 10908 North Jacob Smart Blvd., Ridgeland, SC 29936

Jasper (CLTC): 10175 South Jacob Smart Blvd., Ridgeland, SC 29936

Kershaw: 110 East Dekalb Street, Camden, SC 29020

Lancaster: 1599 Pageland Hwy, Lancaster, SC 29720

Laurens: 93 Human Services Drive, Clinton, SC 29325

Lee: 820 Brown Street, Bishopville, SC 29010

Lexington: 605 West Main Street, Lexington, SC 29072

Marion: 137 Airport Court, Suite J, Mullins, SC 29574

Marlboro: 1 Ag Street, Bennettsville, SC 29512

McCormick: 215 North Mine St/Hwy 28 North, McCormick, SC 29835

Newberry: 2107 Wilson Road, Newberry, SC 29108

Oconee: 223B Kenneth Street, Walhalla, SC 29691

Orangeburg: 2570 St Matthews Road, Orangeburg, SC 29116

Orangeburg (CLTC): 191 Regional Parkway, Building A, Orangeburg, SC 29118

Pickens: 212 McDaniel Avenue, Pickens, SC 29671

Richland: 3220 Two Notch Road, Columbia, SC 29204

Richland: 7499 Parklane Road, Suite 180, Columbia, SC 29223

Saluda: 613 Newberry Highway, Saluda, SC 29138

Spartanburg: 1000 N. Pine Street, #23, Spartanburg, SC 29303

Spartanburg (CLTC): 945 East Main Street, Suite 3, Spartanburg, SC 29302

Sumter: 105 N. Magnolia Street, 3rd Floor, Sumter SC

Sumter (CLTC): 30 Westmark Court, Sumter, SC 29150

Union: 200 South Mountain Street, Union, SC 29379

Williamsburg: 121 Hampton Avenue, Kingstree, SC 29556

York: 454 S Anderson Road, Suite 11, Rock Hill, SC 29730