South Carolina Health Maintenance Organization (HMO):

This program provides services to adults and children with disabilities who do not participate in an HCBS waiver, do not live in a nursing or intermediate care facility, and do not need hospice care. People who are also eligible for Medicare are not covered by this program.

Ages: under 65

• Community: transportation
• Health: alcohol and drug screening, durable medical equipment, early and periodic screening, diagnosis, and treatment, hearing, immunization, hospitalization, psychiatric exams, laboratory, pharmacy, some physical exams, physician services, skilled nursing facilities, x-ray
• Home: home health care

Medically Fragile Children Program:

This program was designed to meet the particular medical needs of children with disabilities or other chronic health conditions. It does not cover children who may be eligible for Medicare, those who receive care under an HCBS waiver, or those who live in a nursing or intermediate care facility.

• Community: transportation
• Health: durable medical equipment, emergency room treatment, family planning, hearing, immunization, occupational therapy, outpatient hospital services, personal care, physical therapy, pharmacy, physician services, primary care, psychological services, respiratory therapy, speech therapy, vision
• Home: home health care
• Social Services: case management

Medical Homes Program:

This program provides limited services to adults and children with disabilities, except to those participating in an HCBS waiver or living in a nursing or intermediate care facility. It covers people who are also eligible for Medicare.

• Health: early and periodic screening, diagnosis, and treatment, family planning, immunization, laboratory, physician services, x-ray
• Social Services: case management

Program of All-Inclusive Care for the Elderly (PACE):

PACE programs are designed for people 55 and older who need nursing care, which includes many people with disabilities. These programs provide integrated care and support including a high level of preventive care. PACE programs must provide all services otherwise included in a person’s Medicaid or Medicare benefit, as well as all other services deemed medically necessary.

Age: 55 and older

Level of Care: nursing

Restrictions: you must live close enough to a PACE center to have access to care.

• Community: day care, health-related transportation
• Health: primary and specialty care, nursing, physical therapy, occupational therapy, speech therapy, recreation therapy, prescription drugs,
• Home: home health care, home and environmental modifications
• Social Services: case management

Non-Emergency Transportation Program:

This program can help pay for transportation to and from routine, scheduled doctor’s appointments and related medical errands.

• Community: transportation