South Carolina

States - Big Screen

The Palmetto State is "Prepared in Mind and Resources" when it comes to improving supports for individuals with disabilities to increase access to competitive, integrated employment and socioeconomic advancement in South Carolina.

2014 State Population.
1.19%
Change from
2013 to 2014
4,832,482
2014 Number of people with disabilities (all disabilities, ages 18-64).
2.12%
Change from
2013 to 2014
375,543
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-3.63%
Change from
2013 to 2014
109,012
2014 Percentage of working age people who are employed (all disabilities).
-5.86%
Change from
2013 to 2014
29.03%
2014 Percentage of working age people who are employed (NO disabilities).
1.85%
Change from
2013 to 2014
74.04%

General

2012 2013 2014
Population. 4,723,723 4,774,839 4,832,482
Number of people with disabilities (all disabilities, ages 18-64). 354,289 367,570 375,543
Number of people with disabilities who are employed (all disabilities, ages 18-64). 95,775 112,971 109,012
Number of people without disabilities who are employed (ages 18-64). 1,795,694 1,835,729 1,875,518
Percentage of working age people who are employed (all disabilities). 27.03% 30.73% 29.03%
Percentage of working age people who are employed (NO disabilities). 71.42% 72.67% 74.04%
Overall unemployment rate. 9.20% 7.60% 6.40%
Poverty Rate (all disabilities). 23.60% 23.80% 23.90%
Poverty Rate (NO disabilities). 17.50% 17.70% 17.00%
Number of males with disabilities (all ages). 305,440 331,142 339,600
Number of females with disabilities (all ages). 343,513 348,896 361,493
Number of Caucasians with disabilities (all ages). 440,956 458,100 471,949
Number of African Americans with disabilities (all ages). 186,827 200,596 205,126
Number of Hispanic/Latinos with disabilities (all ages). 12,437 13,431 14,661
Number of American Indians/Alaska Natives with disabilities (all ages). 3,426 3,446 3,458
Number of Asians with disabilities (all ages). 4,006 3,627 5,514
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 10,089 10,262 12,056
Number of others with disabilities (all ages). 3,649 3,818 2,907

 

SSA OUTCOMES

2012 2013 2014
Number of SSI recipients with disabilities who work. 4,245 4,162 4,221
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 3.90% 3.80% 3.80%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 177,534 179,893 179,872

 

MENTAL HEALTH OUTCOMES

2012 2013 2014
Number of mental health services consumers who are employed. 5,286 5,724 5,654
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 27,109 28,730 28,306
Number of adults served who have a known employment status. 42,714 45,273 45,105
Percentage of all state mental health agency consumers served in the community who are employed. 12.40% 12.60% 12.50%
Percentage of supported employment services evidence based practices (EBP). 0.70% 0.70% 0.70%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.40% N/A N/A
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 320 368 339
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 658 N/A N/A
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2012 2013 2014
Number of registered job seekers with a disability. 10,498 102,867 10,232
Proportion of registered job seekers with a disability. 0.03 0.30 0.03

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2011 2012 2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 144 84 113
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 65 39 64
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 45.00% 46.00% 57.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 1.39 0.83 1.34

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
9,038
N/A
N/A
Number of people with visual impairments served under VR. 26 N/A N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 554 N/A N/A
Number of people with physical impairments served under VR. 1,913 N/A N/A
Number of people cognitive impairments served under VR. 1,729 N/A N/A
Number of people psychosocial impairments served under VR. 3,143 N/A N/A
Number of people with mental impairments served under VR. 1,673 N/A N/A
Percentage of overall closures into employment under VR. 38.60% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 4,877 4,918
Number of eligible ticket to work beneficiaries. N/A 254,597 25,222
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 107 N/A N/A
Total number of ID competitive labor market closures. 190 N/A N/A

 

IDD OUTCOMES

2011 2012 2013
Dollars spent on day/employment services for integrated employment funding. $11,237,000 $11,028,000 $11,616,000
Dollars spent on day/employment services for facility-based work funding. $18,065,000 $18,743,000 $18,954,000
Dollars spent on day/employment services for facility-based non-work funding. $19,949,000 $20,754,000 $20,902,000
Dollars spent on day/employment services for community based non-work funding. $5,769,000 $5,880,000 $5,639,000
Percentage of people served in integrated employment. 30.00% 29.00% 29.00%
Number of people served in community based non-work. 891 886 845
Number of people served in facility based work. 2,790 2,824 2,840
Number of people served in facility based non-work. 3,081 3,127 3,132
Number supported in integrated employment per 100,000 individuals in the general state population. 46.80 45.00 45.30

 

EDUCATION OUTCOMES

2011 2012 2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 58.10% 57.30% 57.59%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 19.10% 18.60% 18.48%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.78% 1.71% 1.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 90.00% 92.00% 80.23%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 36.30% 26.02% 15.11%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 62.40% 46.96% 43.20%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 73.30% 64.32% 50.24%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 26.10% 20.94% 28.09%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,561,788
Number of overall total blind and SD workers. 3,877
Number of AbilityOne blind and SD hours (products). 14,767
Number of AbilityOne blind and SD hours (services). 510,687
Number of AbilityOne blind and SD hours (combined). 525,454
Number of AbilityOne blind and SD workers (products). 143
Number of AbilityOne blind and SD workers (services). 743
Number of AbilityOne blind and SD workers (combined). 886
AbilityOne wages (products). $80,150
AbilityOne wages (services). $5,233,265

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015
Number of 14(c) certificate-holding private businesses. 0 1
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 71 71
Number of 14(c) certificate holding patient workers. N/A 3
Total Number of 14(c) certificate holding entities. N/A 75
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 1
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 9,038
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 133
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 9,172

 


South Carolina HB 3768 (ABLE legislation) - 04/29/2015

“A BILL TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING ARTICLE 3 TO CHAPTER 5, TITLE 11 SO AS TO ESTABLISH THE "SOUTH CAROLINA ABLE SAVINGS PROGRAM", TO ALLOW INDIVIDUALS WITH A DISABILITY AND THEIR FAMILIES TO SAVE PRIVATE FUNDS TO SUPPORT THE INDIVIDUAL WITH A DISABILITY, TO PROVIDE GUIDELINES TO THE STATE TREASURER FOR THE MAINTENANCE OF THESE ACCOUNTS, AND TO ESTABLISH THE SAVINGS PROGRAM TRUST FUND AND SAVINGS EXPENSE TRUST FUND; AND TO DESIGNATE THE EXISTING SECTIONS OF CHAPTER 5, TITLE 11 AS ARTICLE 1 AND ENTITLE THEM "GENERAL PROVISIONS".”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

S 0704 General Bill (referred to the Committee on Medical Affairs 4/2015) - 04/22/2015

 “A BILL TO AMEND CHAPTER 28, TITLE 44 OF THE 1976 CODE, RELATING TO THE SELF-SUFFICIENCY TRUST FUND; DISABILITY TRUST FUND; AID FOR DEVELOPMENTALLY DISABLED, MENTALLY ILL, AND PHYSICALLY HANDICAPPED PERSONS, BY ADDING ARTICLE 5 TO PROVIDE FOR THE ESTABLISHMENT OF THE DISABLED SELF-EMPLOYMENT DEVELOPMENT TRUST FUND FOR THE CREATION OF A PROGRAM WHICH WILL ASSIST INDIVIDUALS WITH DISABILITIES TO PURSUE ENTREPRENEURSHIP AND SELF-EMPLOYMENT OPPORTUNITIES, BY PROVIDING BUSINESS DEVELOPMENT GRANTS FOR THE STARTUP, EXPANSION OR ACQUISITION OF A BUSINESS OPERATED WITHIN THE STATE…”

Systems
  • Other
Topics
  • Self-Employment

Executive Order, 2015-16 - 07/01/2015

“Governor Nikki Haley reestablishes the South Carolina Developmental Disabilities Council, which is the State's forum for developmental disabilities matters and will advocate for persons with those disabilities.”

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

South Carolina VR “About Us” - 02/01/2016

“In collaboration with community partners and agencies, technical colleges and universities, and non-profit organizations, VR offers a customized approach to employing people with disabilities. Please join us in our mission to help South Carolinians attain independence and success through employment.” 

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment

South Carolina Department of Disabilities and Special Needs “Employment First Directive” 700-07-DD - 10/28/2015

“Policy: Employment Services – Individual, provided in integrated settings, is the first and preferred Day Service option to be offered to working age youth and adults (ages 16-64) who have exited school and are eligible for DDSN services. No other DDSN Day Service,  including Career Preparation, should be considered, or implied to be, a  prerequisite to receiving Employment Services….”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Employer Engagement

Employment First In South Carolina

One of the greatest challenges faced by people with disabilities has been securing and maintaining meaningful employment . SCDDSN believes that most people who want a job should be able to have one and regardless of his or her disability, can work if provided with necessary and appropriate supports. Employment First Assumes the following: 1) Assumes employment is the preferred day services option for adults with disability 2) Assumes people with disabilities require/ want services/support to obtain or maintain employment 3) Promotes Employment rather than non-work services options as the primary option for adults from the first contracts through all contracts 4) Arms Staff with a thorough knowledge of employment service/ supports and of employment related solutions/issues, 5) Ensures that the selection of non-work service options are made based on informed choice, after careful considerations and after attempts to remove barriers to employment have been unsuccessful 6) Responds quickly to those choosing employment without extending waiting periods for service and without first being subjected to non-works options. 7) Has in place well qualified providers who can readily: - Assess readiness and preferences - Match people to and place people in appropriate jobs selected from and array of possibility - Provide on the job training and coaching - Provide support as needed to sustain employment

Systems
  • Other

State Plan: South Carolina Developmental Disability (2007-2011)

Employment Goal 1: People with disabilities who want to work, work in places of their own choosing. Formal/Informal Community Supporters Goal 1: Individuals will have access to services they need to exercise choice. Goal 2: Individuals and their families know and understand their rights to make informed choices. Quality Assurances Goal 1: People with developmental disabilities and their families are strong advocates for themselves, their families, and all individuals with disabilities. Goal 2: Increase opportunities for social capital, financially supporting advocacy organizations. Goal 3: Council funded projects include consumer participation in the planning, design and implementation of the project. Goal 4: People have the information, skills, opportunities, and support to live free of abuse, neglect, financial and sexual exploitation, and violation of their human and legal rights. Health Goal 1: Improve the wellness of people with developmental disabilities in South Carolina and prevent the occurrence of secondary debilitating conditions. Goal 2: Promote primary prevention of developmental disabilities.

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

South Carolina Department of Disabilities and Special Needs: Employment First Position

“…SCDDSN embraces the principle of ‘employment first” as an approach to service delivery. As such “employment first’:

1. Assumes employment is the preferred day service option for adults with disabilities;2. Assumes people with disabilities require/want services/support to obtain and/or maintain employment3. Promotes employment, rather than non-work service options, as the primary option for adults from the first contact and through all contacts. Arms staff with a thorough knowledge of employment services/supports and of employment related issues/solutions;4. Ensures that the selection of non-work service options are made based on informed choice, after careful consideration and after attempts to remove barriers to employment have been unsuccessful;,5. Responds quickly to those choosing employment, without extended waiting periods for service and without first being subjected to non-work options6. Has in place well-qualified providers…”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement

South Carolina Supported Employment Programs - 05/30/2013

• “Individual Placement and Support (IPS) is an evidenced-based supported employment best practice model. IPS is collaboration between South Carolina Department of Mental Health (SCDMH) and South Carolina Vocational Rehabilitation Department (SCVRD). Since 2005 these state agencies have combined resources and personnel to implement the IPS Supported Employment model. The goal of this partnership is to place people with serve mental illness in competitive employment. Through the collaboration of this Supported Employment model, SCVRD and SCDMH are able to provide an integrated and seamless employment service delivery that results in improved employment outcomes for people with severe mental illness.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Mental Health
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

The Transition Alliance of South Carolina (TASC)

“The Transition Alliance of South Carolina (TASC) is spearheaded by the Center for Disability Resources (CDR) at the University of South Carolina’s School of Medicine. Utilizing funding and support from TASC partners, project staff housed at the Center for Disability Resources developed an infrastructure to support local interagency transition teams.  Project activities are focused on providing interagency teams the resources to increase their capacity to collaboratively and effectively serve young adults with intellectual and developmental disabilities who are transitioning from high school to adult life.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

South Carolina Disability Employment Coalition

The SC Disability Employment Coalition (SCDEC) formed in the fall of 2014 to address employment barriers for individuals with disabilities in South Carolina. SCDEC stakeholders represent SC employers, state, and private agencies. SCDEC members meet quarterly. The SCDEC currently has three work committees that meet on a monthly basis. The Coalition is currently comprised of over 20 stakeholder organizations and individuals. The organizations below are currently represented on the Coalition. The South Carolina Disability Employment Coalition is made possible by funding from the Southeast ADA Center and SC Developmental Disabilities Council

Systems
  • Department of Mental Health
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Association of People Supporting Employment First (APSE)

“People with all types of disabilities are employed, pursuing careers and building assets just like people without disabilities… Through advocacy and education, APSE advances employment and self-sufficiency for all people with disabilities.”

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement

South Carolina Employment Development Initiative - 10/01/2012

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project." South Carolina received an EDI award for its program Integration Peer Support into Supported Employment.

Systems
  • Department of Mental Health
Topics
  • Mental Health

South Carolina Youth Employment Services (YES)

“South Carolina was awarded a federal Rehabilitation Services Administration (RSA) transition demonstration grant in 2007 to fund the Youth Employment Services (YES) program in several schools. SCVRD used the Guideposts to design the YES program activities led by SCVRD’s transition staff… As a part of the demonstration project, SCVRD created agreements with the project schools to locate SCVRD’s transition staff within the school. This provided SCVRD’s staff with greater access to the VR-eligible students and opportunities to develop relationships with the youth, families, and school personnel.”

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Sourh Carolina SAMHSA Grant - "Health Mind Body Alliance"

“The integration model brings primary care into state community mental health clinics. Clinics are located in the underserved rural counties of Marlboro, Dillon, and Chesterfield South Carolina and the initial strategy included an FQHC [Federal Qualified Health Center]. Year two enrollment target is to serve 150 unduplicated clients (During the first quarters of year two for the grant 194 clients unduplicated clients were enrolled). Services are accessible to all consenting adult clients of TCCMHC [Tri-County Community Mental Health Center] with serious mental illness (Excepting incarcerated clients).”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows the Person/Home Again

“Home Again is a program assisting seniors, individuals with disabilities, and children with severe emotional disturbances who currently live in facilities to transition back into their communities and receive appropriate services and supports.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

No Training/Capacity Building have been entered for this state.

No Enforcement have been entered for this state.


South Carolina Department of Health and Human Services (SCDHHS) Home and Community-Based Services (HCBS) Statewide Transition Plan - 03/31/2016

The Center for Medicare and Medicaid Services (CMS) issued a final rule on Home and Community-Based Services (HCBS) establishing certain requirements for services that are provided through Medicaid waivers. There are specific requirements for where home and community-based services are received which will be referred to as the “settings requirements.” CMS required that each state submit a “Statewide Transition Plan” by March 17, 2015. The Statewide Transition Plan outlines how the state will come into conformance and compliance with the HCBS Rule settings requirements. States must come into full compliance with the HCBS Rule requirements by March 17, 2019. The South Carolina Department of Health and Human services (SCDHHS) has branded this effort for HCBS with the tagline: Independent•Integrated•Individual. This tagline was developed because home and community-based services help our members be independent, be integrated in the community, and are based on what is best for the individual.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina DDSN Individual Employment Services Pilot - 12/20/2013

“SCDDSN intends to prioritize Employment Services – Individual across the state and increase the capacity to support consumers with ID/RD in obtaining and maintaining individual, integrated employment. To that end, the agency proposes to pilot a new funding structure with a combination of providers currently serving consumers AND at least one provider not currently serving any consumers in Employment Services – Individual. Preferably, there will be at least one public and one private provider participating, as well as one serving an urban area and one serving exclusively rural areas. The purpose is to determine how successful and sustainable the proposed structure is (1) for starting up a program and (2) for improving/expanding an existing program. Participating providers will be partnering with SCDDSN to increase employment outcomes for consumers exiting school; to maintain employment for consumers placed by the provider, schools and/or the SC Vocational Rehabilitation Department (VR); and to demonstrate what level of support is required to maintain employment and to regain employment when employment is lost.”

Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
Topics
  • Customized Employment
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

SC Community Supports (0676.R01.00) - 07/01/2012

Provides adult day health care, personal care, respite care, waiver case management, incontinence supplies, adult day health care-nursing, adult day health care-transportation, assistive technology and appliances, behavior support, career preparation, community services, day activity, employment services, environmental mods, in-home support, PERS, private vehicle mods, support center services for individuals w/IID ages 0 - no max age.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina ESEA Flexibility Request - 02/28/2012

“South Carolina’s college and career readiness aspirations extend to all students, including those who need additional support and consideration because English is not their first language or due to a disability. To help ensure that we effectively analyze the linguistic demands of the CCSS to inform development of corresponding standards specific to these students that enable their success.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

South Carolina Statewide Transition Plan – Revised (HCBS)

The South Carolina Department of Health and Human Services (SCDHHS) gives notice that the revised draft Statewide Transition Plan, required per Centers for Medicare and Medicaid Services (CMS) Home and Community-Based Services (HCBS) Rule (42 CFR 441.301(c)(6)),was submitted on March 31, 2016 to CMS for review. It will be effective upon CMS approval.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina Medicaid State Plan

Medicaid is a federal-state partnership. Federal regulations provide a framework for each state to build a unique Medicaid program. States must all comply with some basic requirements such as:  • Serving certain mandatory populations like poverty-level children and low-income pregnant women; • Providing certain mandatory services like hospital care and physician services; • Providing services that are “sufficient in amount, duration, and scope to reasonably achieve (their) purpose;” and, • Providing services throughout the state.
Systems
  • Medicaid Agencies

South Carolina Community Choices Medicaid Waiver

“This Medicaid program is also referred to as the Elderly and Disabled Waiver. It allows individuals who require nursing home level care and assistance with their activities of daily living to receive care in their communities or homes instead of in nursing homes. There is a condition associated with the waiver which states that the cost of the care at home cannot exceed a certain percentage of the cost for the same care in a nursing home.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina Medicaid Money Follows the Person/Home Again

“Home Again is a program assisting seniors, individuals with disabilities, and children with severe emotional disturbances who currently live in facilities to transition back into their communities and receive appropriate services and supports.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

States - Large Tablet

Snapshot

The Palmetto State is "Prepared in Mind and Resources" when it comes to improving supports for individuals with disabilities to increase access to competitive, integrated employment and socioeconomic advancement in South Carolina.

2014 State Population.
1.19%
Change from
2013 to 2014
4,832,482
2014 Number of people with disabilities (all disabilities, ages 18-64).
2.12%
Change from
2013 to 2014
375,543
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-3.63%
Change from
2013 to 2014
109,012
2014 Percentage of working age people who are employed (all disabilities).
-5.86%
Change from
2013 to 2014
29.03%
2014 Percentage of working age people who are employed (NO disabilities).
1.85%
Change from
2013 to 2014
74.04%

State Data

General

2012 2013 2014
Population. 4,723,723 4,774,839 4,832,482
Number of people with disabilities (all disabilities, ages 18-64). 354,289 367,570 375,543
Number of people with disabilities who are employed (all disabilities, ages 18-64). 95,775 112,971 109,012
Number of people without disabilities who are employed (ages 18-64). 1,795,694 1,835,729 1,875,518
Percentage of working age people who are employed (all disabilities). 27.03% 30.73% 29.03%
Percentage of working age people who are employed (NO disabilities). 71.42% 72.67% 74.04%
Overall unemployment rate. 9.20% 7.60% 6.40%
Poverty Rate (all disabilities). 23.60% 23.80% 23.90%
Poverty Rate (NO disabilities). 17.50% 17.70% 17.00%
Number of males with disabilities (all ages). 305,440 331,142 339,600
Number of females with disabilities (all ages). 343,513 348,896 361,493
Number of Caucasians with disabilities (all ages). 440,956 458,100 471,949
Number of African Americans with disabilities (all ages). 186,827 200,596 205,126
Number of Hispanic/Latinos with disabilities (all ages). 12,437 13,431 14,661
Number of American Indians/Alaska Natives with disabilities (all ages). 3,426 3,446 3,458
Number of Asians with disabilities (all ages). 4,006 3,627 5,514
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 10,089 10,262 12,056
Number of others with disabilities (all ages). 3,649 3,818 2,907

 

SSA OUTCOMES

2012 2013 2014
Number of SSI recipients with disabilities who work. 4,245 4,162 4,221
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 3.90% 3.80% 3.80%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 177,534 179,893 179,872

 

MENTAL HEALTH OUTCOMES

2012 2013 2014
Number of mental health services consumers who are employed. 5,286 5,724 5,654
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 27,109 28,730 28,306
Number of adults served who have a known employment status. 42,714 45,273 45,105
Percentage of all state mental health agency consumers served in the community who are employed. 12.40% 12.60% 12.50%
Percentage of supported employment services evidence based practices (EBP). 0.70% 0.70% 0.70%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.40% N/A N/A
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 320 368 339
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 658 N/A N/A
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2012 2013 2014
Number of registered job seekers with a disability. 10,498 102,867 10,232
Proportion of registered job seekers with a disability. 0.03 0.30 0.03

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2011 2012 2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 144 84 113
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 65 39 64
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 45.00% 46.00% 57.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 1.39 0.83 1.34

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
9,038
N/A
N/A
Number of people with visual impairments served under VR. 26 N/A N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 554 N/A N/A
Number of people with physical impairments served under VR. 1,913 N/A N/A
Number of people cognitive impairments served under VR. 1,729 N/A N/A
Number of people psychosocial impairments served under VR. 3,143 N/A N/A
Number of people with mental impairments served under VR. 1,673 N/A N/A
Percentage of overall closures into employment under VR. 38.60% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 4,877 4,918
Number of eligible ticket to work beneficiaries. N/A 254,597 25,222
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 107 N/A N/A
Total number of ID competitive labor market closures. 190 N/A N/A

 

IDD OUTCOMES

2011 2012 2013
Dollars spent on day/employment services for integrated employment funding. $11,237,000 $11,028,000 $11,616,000
Dollars spent on day/employment services for facility-based work funding. $18,065,000 $18,743,000 $18,954,000
Dollars spent on day/employment services for facility-based non-work funding. $19,949,000 $20,754,000 $20,902,000
Dollars spent on day/employment services for community based non-work funding. $5,769,000 $5,880,000 $5,639,000
Percentage of people served in integrated employment. 30.00% 29.00% 29.00%
Number of people served in community based non-work. 891 886 845
Number of people served in facility based work. 2,790 2,824 2,840
Number of people served in facility based non-work. 3,081 3,127 3,132
Number supported in integrated employment per 100,000 individuals in the general state population. 46.80 45.00 45.30

 

EDUCATION OUTCOMES

2011 2012 2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 58.10% 57.30% 57.59%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 19.10% 18.60% 18.48%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.78% 1.71% 1.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 90.00% 92.00% 80.23%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 36.30% 26.02% 15.11%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 62.40% 46.96% 43.20%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 73.30% 64.32% 50.24%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 26.10% 20.94% 28.09%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,561,788
Number of overall total blind and SD workers. 3,877
Number of AbilityOne blind and SD hours (products). 14,767
Number of AbilityOne blind and SD hours (services). 510,687
Number of AbilityOne blind and SD hours (combined). 525,454
Number of AbilityOne blind and SD workers (products). 143
Number of AbilityOne blind and SD workers (services). 743
Number of AbilityOne blind and SD workers (combined). 886
AbilityOne wages (products). $80,150
AbilityOne wages (services). $5,233,265

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015
Number of 14(c) certificate-holding private businesses. 0 1
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 71 71
Number of 14(c) certificate holding patient workers. N/A 3
Total Number of 14(c) certificate holding entities. N/A 75
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 1
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 9,038
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 133
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 9,172

 

Legislation


South Carolina HB 3768 (ABLE legislation) - 04/29/2015

“A BILL TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING ARTICLE 3 TO CHAPTER 5, TITLE 11 SO AS TO ESTABLISH THE "SOUTH CAROLINA ABLE SAVINGS PROGRAM", TO ALLOW INDIVIDUALS WITH A DISABILITY AND THEIR FAMILIES TO SAVE PRIVATE FUNDS TO SUPPORT THE INDIVIDUAL WITH A DISABILITY, TO PROVIDE GUIDELINES TO THE STATE TREASURER FOR THE MAINTENANCE OF THESE ACCOUNTS, AND TO ESTABLISH THE SAVINGS PROGRAM TRUST FUND AND SAVINGS EXPENSE TRUST FUND; AND TO DESIGNATE THE EXISTING SECTIONS OF CHAPTER 5, TITLE 11 AS ARTICLE 1 AND ENTITLE THEM "GENERAL PROVISIONS".”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

S 0704 General Bill (referred to the Committee on Medical Affairs 4/2015) - 04/22/2015

 “A BILL TO AMEND CHAPTER 28, TITLE 44 OF THE 1976 CODE, RELATING TO THE SELF-SUFFICIENCY TRUST FUND; DISABILITY TRUST FUND; AID FOR DEVELOPMENTALLY DISABLED, MENTALLY ILL, AND PHYSICALLY HANDICAPPED PERSONS, BY ADDING ARTICLE 5 TO PROVIDE FOR THE ESTABLISHMENT OF THE DISABLED SELF-EMPLOYMENT DEVELOPMENT TRUST FUND FOR THE CREATION OF A PROGRAM WHICH WILL ASSIST INDIVIDUALS WITH DISABILITIES TO PURSUE ENTREPRENEURSHIP AND SELF-EMPLOYMENT OPPORTUNITIES, BY PROVIDING BUSINESS DEVELOPMENT GRANTS FOR THE STARTUP, EXPANSION OR ACQUISITION OF A BUSINESS OPERATED WITHIN THE STATE…”

Systems
  • Other
Topics
  • Self-Employment

Executive Orders


Executive Order, 2015-16 - 07/01/2015

“Governor Nikki Haley reestablishes the South Carolina Developmental Disabilities Council, which is the State's forum for developmental disabilities matters and will advocate for persons with those disabilities.”

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Policy


South Carolina VR “About Us” - 02/01/2016

“In collaboration with community partners and agencies, technical colleges and universities, and non-profit organizations, VR offers a customized approach to employing people with disabilities. Please join us in our mission to help South Carolinians attain independence and success through employment.” 

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment

South Carolina Department of Disabilities and Special Needs “Employment First Directive” 700-07-DD - 10/28/2015

“Policy: Employment Services – Individual, provided in integrated settings, is the first and preferred Day Service option to be offered to working age youth and adults (ages 16-64) who have exited school and are eligible for DDSN services. No other DDSN Day Service,  including Career Preparation, should be considered, or implied to be, a  prerequisite to receiving Employment Services….”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Employer Engagement

Employment First In South Carolina

One of the greatest challenges faced by people with disabilities has been securing and maintaining meaningful employment . SCDDSN believes that most people who want a job should be able to have one and regardless of his or her disability, can work if provided with necessary and appropriate supports. Employment First Assumes the following: 1) Assumes employment is the preferred day services option for adults with disability 2) Assumes people with disabilities require/ want services/support to obtain or maintain employment 3) Promotes Employment rather than non-work services options as the primary option for adults from the first contracts through all contracts 4) Arms Staff with a thorough knowledge of employment service/ supports and of employment related solutions/issues, 5) Ensures that the selection of non-work service options are made based on informed choice, after careful considerations and after attempts to remove barriers to employment have been unsuccessful 6) Responds quickly to those choosing employment without extending waiting periods for service and without first being subjected to non-works options. 7) Has in place well qualified providers who can readily: - Assess readiness and preferences - Match people to and place people in appropriate jobs selected from and array of possibility - Provide on the job training and coaching - Provide support as needed to sustain employment

Systems
  • Other

State Plan: South Carolina Developmental Disability (2007-2011)

Employment Goal 1: People with disabilities who want to work, work in places of their own choosing. Formal/Informal Community Supporters Goal 1: Individuals will have access to services they need to exercise choice. Goal 2: Individuals and their families know and understand their rights to make informed choices. Quality Assurances Goal 1: People with developmental disabilities and their families are strong advocates for themselves, their families, and all individuals with disabilities. Goal 2: Increase opportunities for social capital, financially supporting advocacy organizations. Goal 3: Council funded projects include consumer participation in the planning, design and implementation of the project. Goal 4: People have the information, skills, opportunities, and support to live free of abuse, neglect, financial and sexual exploitation, and violation of their human and legal rights. Health Goal 1: Improve the wellness of people with developmental disabilities in South Carolina and prevent the occurrence of secondary debilitating conditions. Goal 2: Promote primary prevention of developmental disabilities.

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

South Carolina Department of Disabilities and Special Needs: Employment First Position

“…SCDDSN embraces the principle of ‘employment first” as an approach to service delivery. As such “employment first’:

1. Assumes employment is the preferred day service option for adults with disabilities;2. Assumes people with disabilities require/want services/support to obtain and/or maintain employment3. Promotes employment, rather than non-work service options, as the primary option for adults from the first contact and through all contacts. Arms staff with a thorough knowledge of employment services/supports and of employment related issues/solutions;4. Ensures that the selection of non-work service options are made based on informed choice, after careful consideration and after attempts to remove barriers to employment have been unsuccessful;,5. Responds quickly to those choosing employment, without extended waiting periods for service and without first being subjected to non-work options6. Has in place well-qualified providers…”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Partnerships


South Carolina Supported Employment Programs - 05/30/2013

• “Individual Placement and Support (IPS) is an evidenced-based supported employment best practice model. IPS is collaboration between South Carolina Department of Mental Health (SCDMH) and South Carolina Vocational Rehabilitation Department (SCVRD). Since 2005 these state agencies have combined resources and personnel to implement the IPS Supported Employment model. The goal of this partnership is to place people with serve mental illness in competitive employment. Through the collaboration of this Supported Employment model, SCVRD and SCDMH are able to provide an integrated and seamless employment service delivery that results in improved employment outcomes for people with severe mental illness.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Mental Health
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

The Transition Alliance of South Carolina (TASC)

“The Transition Alliance of South Carolina (TASC) is spearheaded by the Center for Disability Resources (CDR) at the University of South Carolina’s School of Medicine. Utilizing funding and support from TASC partners, project staff housed at the Center for Disability Resources developed an infrastructure to support local interagency transition teams.  Project activities are focused on providing interagency teams the resources to increase their capacity to collaboratively and effectively serve young adults with intellectual and developmental disabilities who are transitioning from high school to adult life.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

South Carolina Disability Employment Coalition

The SC Disability Employment Coalition (SCDEC) formed in the fall of 2014 to address employment barriers for individuals with disabilities in South Carolina. SCDEC stakeholders represent SC employers, state, and private agencies. SCDEC members meet quarterly. The SCDEC currently has three work committees that meet on a monthly basis. The Coalition is currently comprised of over 20 stakeholder organizations and individuals. The organizations below are currently represented on the Coalition. The South Carolina Disability Employment Coalition is made possible by funding from the Southeast ADA Center and SC Developmental Disabilities Council

Systems
  • Department of Mental Health
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Association of People Supporting Employment First (APSE)

“People with all types of disabilities are employed, pursuing careers and building assets just like people without disabilities… Through advocacy and education, APSE advances employment and self-sufficiency for all people with disabilities.”

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Systems-Change Funding


South Carolina Employment Development Initiative - 10/01/2012

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project." South Carolina received an EDI award for its program Integration Peer Support into Supported Employment.

Systems
  • Department of Mental Health
Topics
  • Mental Health

South Carolina Youth Employment Services (YES)

“South Carolina was awarded a federal Rehabilitation Services Administration (RSA) transition demonstration grant in 2007 to fund the Youth Employment Services (YES) program in several schools. SCVRD used the Guideposts to design the YES program activities led by SCVRD’s transition staff… As a part of the demonstration project, SCVRD created agreements with the project schools to locate SCVRD’s transition staff within the school. This provided SCVRD’s staff with greater access to the VR-eligible students and opportunities to develop relationships with the youth, families, and school personnel.”

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Sourh Carolina SAMHSA Grant - "Health Mind Body Alliance"

“The integration model brings primary care into state community mental health clinics. Clinics are located in the underserved rural counties of Marlboro, Dillon, and Chesterfield South Carolina and the initial strategy included an FQHC [Federal Qualified Health Center]. Year two enrollment target is to serve 150 unduplicated clients (During the first quarters of year two for the grant 194 clients unduplicated clients were enrolled). Services are accessible to all consenting adult clients of TCCMHC [Tri-County Community Mental Health Center] with serious mental illness (Excepting incarcerated clients).”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows the Person/Home Again

“Home Again is a program assisting seniors, individuals with disabilities, and children with severe emotional disturbances who currently live in facilities to transition back into their communities and receive appropriate services and supports.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Training/Capacity Building

No Training/Capacity Building have been entered for this state.

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


South Carolina Department of Health and Human Services (SCDHHS) Home and Community-Based Services (HCBS) Statewide Transition Plan - 03/31/2016

The Center for Medicare and Medicaid Services (CMS) issued a final rule on Home and Community-Based Services (HCBS) establishing certain requirements for services that are provided through Medicaid waivers. There are specific requirements for where home and community-based services are received which will be referred to as the “settings requirements.” CMS required that each state submit a “Statewide Transition Plan” by March 17, 2015. The Statewide Transition Plan outlines how the state will come into conformance and compliance with the HCBS Rule settings requirements. States must come into full compliance with the HCBS Rule requirements by March 17, 2019. The South Carolina Department of Health and Human services (SCDHHS) has branded this effort for HCBS with the tagline: Independent•Integrated•Individual. This tagline was developed because home and community-based services help our members be independent, be integrated in the community, and are based on what is best for the individual.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina DDSN Individual Employment Services Pilot - 12/20/2013

“SCDDSN intends to prioritize Employment Services – Individual across the state and increase the capacity to support consumers with ID/RD in obtaining and maintaining individual, integrated employment. To that end, the agency proposes to pilot a new funding structure with a combination of providers currently serving consumers AND at least one provider not currently serving any consumers in Employment Services – Individual. Preferably, there will be at least one public and one private provider participating, as well as one serving an urban area and one serving exclusively rural areas. The purpose is to determine how successful and sustainable the proposed structure is (1) for starting up a program and (2) for improving/expanding an existing program. Participating providers will be partnering with SCDDSN to increase employment outcomes for consumers exiting school; to maintain employment for consumers placed by the provider, schools and/or the SC Vocational Rehabilitation Department (VR); and to demonstrate what level of support is required to maintain employment and to regain employment when employment is lost.”

Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
Topics
  • Customized Employment
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

SC Community Supports (0676.R01.00) - 07/01/2012

Provides adult day health care, personal care, respite care, waiver case management, incontinence supplies, adult day health care-nursing, adult day health care-transportation, assistive technology and appliances, behavior support, career preparation, community services, day activity, employment services, environmental mods, in-home support, PERS, private vehicle mods, support center services for individuals w/IID ages 0 - no max age.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina ESEA Flexibility Request - 02/28/2012

“South Carolina’s college and career readiness aspirations extend to all students, including those who need additional support and consideration because English is not their first language or due to a disability. To help ensure that we effectively analyze the linguistic demands of the CCSS to inform development of corresponding standards specific to these students that enable their success.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

South Carolina Statewide Transition Plan – Revised (HCBS)

The South Carolina Department of Health and Human Services (SCDHHS) gives notice that the revised draft Statewide Transition Plan, required per Centers for Medicare and Medicaid Services (CMS) Home and Community-Based Services (HCBS) Rule (42 CFR 441.301(c)(6)),was submitted on March 31, 2016 to CMS for review. It will be effective upon CMS approval.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina Medicaid State Plan

Medicaid is a federal-state partnership. Federal regulations provide a framework for each state to build a unique Medicaid program. States must all comply with some basic requirements such as:  • Serving certain mandatory populations like poverty-level children and low-income pregnant women; • Providing certain mandatory services like hospital care and physician services; • Providing services that are “sufficient in amount, duration, and scope to reasonably achieve (their) purpose;” and, • Providing services throughout the state.
Systems
  • Medicaid Agencies

South Carolina Community Choices Medicaid Waiver

“This Medicaid program is also referred to as the Elderly and Disabled Waiver. It allows individuals who require nursing home level care and assistance with their activities of daily living to receive care in their communities or homes instead of in nursing homes. There is a condition associated with the waiver which states that the cost of the care at home cannot exceed a certain percentage of the cost for the same care in a nursing home.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina Medicaid Money Follows the Person/Home Again

“Home Again is a program assisting seniors, individuals with disabilities, and children with severe emotional disturbances who currently live in facilities to transition back into their communities and receive appropriate services and supports.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

States - Small Tablet

Snapshot

The Palmetto State is "Prepared in Mind and Resources" when it comes to improving supports for individuals with disabilities to increase access to competitive, integrated employment and socioeconomic advancement in South Carolina.

2014 State Population.
1.19%
Change from
2013 to 2014
4,832,482
2014 Number of people with disabilities (all disabilities, ages 18-64).
2.12%
Change from
2013 to 2014
375,543
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-3.63%
Change from
2013 to 2014
109,012
2014 Percentage of working age people who are employed (all disabilities).
-5.86%
Change from
2013 to 2014
29.03%
2014 Percentage of working age people who are employed (NO disabilities).
1.85%
Change from
2013 to 2014
74.04%

State Data

General

2012 2013 2014
Population. 4,723,723 4,774,839 4,832,482
Number of people with disabilities (all disabilities, ages 18-64). 354,289 367,570 375,543
Number of people with disabilities who are employed (all disabilities, ages 18-64). 95,775 112,971 109,012
Number of people without disabilities who are employed (ages 18-64). 1,795,694 1,835,729 1,875,518
Percentage of working age people who are employed (all disabilities). 27.03% 30.73% 29.03%
Percentage of working age people who are employed (NO disabilities). 71.42% 72.67% 74.04%
Overall unemployment rate. 9.20% 7.60% 6.40%
Poverty Rate (all disabilities). 23.60% 23.80% 23.90%
Poverty Rate (NO disabilities). 17.50% 17.70% 17.00%
Number of males with disabilities (all ages). 305,440 331,142 339,600
Number of females with disabilities (all ages). 343,513 348,896 361,493
Number of Caucasians with disabilities (all ages). 440,956 458,100 471,949
Number of African Americans with disabilities (all ages). 186,827 200,596 205,126
Number of Hispanic/Latinos with disabilities (all ages). 12,437 13,431 14,661
Number of American Indians/Alaska Natives with disabilities (all ages). 3,426 3,446 3,458
Number of Asians with disabilities (all ages). 4,006 3,627 5,514
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 10,089 10,262 12,056
Number of others with disabilities (all ages). 3,649 3,818 2,907

 

SSA OUTCOMES

2012 2013 2014
Number of SSI recipients with disabilities who work. 4,245 4,162 4,221
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 3.90% 3.80% 3.80%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 177,534 179,893 179,872

 

MENTAL HEALTH OUTCOMES

2012 2013 2014
Number of mental health services consumers who are employed. 5,286 5,724 5,654
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 27,109 28,730 28,306
Number of adults served who have a known employment status. 42,714 45,273 45,105
Percentage of all state mental health agency consumers served in the community who are employed. 12.40% 12.60% 12.50%
Percentage of supported employment services evidence based practices (EBP). 0.70% 0.70% 0.70%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.40% N/A N/A
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 320 368 339
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 658 N/A N/A
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2012 2013 2014
Number of registered job seekers with a disability. 10,498 102,867 10,232
Proportion of registered job seekers with a disability. 0.03 0.30 0.03

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2011 2012 2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 144 84 113
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 65 39 64
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 45.00% 46.00% 57.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 1.39 0.83 1.34

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
9,038
N/A
N/A
Number of people with visual impairments served under VR. 26 N/A N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 554 N/A N/A
Number of people with physical impairments served under VR. 1,913 N/A N/A
Number of people cognitive impairments served under VR. 1,729 N/A N/A
Number of people psychosocial impairments served under VR. 3,143 N/A N/A
Number of people with mental impairments served under VR. 1,673 N/A N/A
Percentage of overall closures into employment under VR. 38.60% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 4,877 4,918
Number of eligible ticket to work beneficiaries. N/A 254,597 25,222
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 107 N/A N/A
Total number of ID competitive labor market closures. 190 N/A N/A

 

IDD OUTCOMES

2011 2012 2013
Dollars spent on day/employment services for integrated employment funding. $11,237,000 $11,028,000 $11,616,000
Dollars spent on day/employment services for facility-based work funding. $18,065,000 $18,743,000 $18,954,000
Dollars spent on day/employment services for facility-based non-work funding. $19,949,000 $20,754,000 $20,902,000
Dollars spent on day/employment services for community based non-work funding. $5,769,000 $5,880,000 $5,639,000
Percentage of people served in integrated employment. 30.00% 29.00% 29.00%
Number of people served in community based non-work. 891 886 845
Number of people served in facility based work. 2,790 2,824 2,840
Number of people served in facility based non-work. 3,081 3,127 3,132
Number supported in integrated employment per 100,000 individuals in the general state population. 46.80 45.00 45.30

 

EDUCATION OUTCOMES

2011 2012 2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 58.10% 57.30% 57.59%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 19.10% 18.60% 18.48%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.78% 1.71% 1.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 90.00% 92.00% 80.23%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 36.30% 26.02% 15.11%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 62.40% 46.96% 43.20%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 73.30% 64.32% 50.24%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 26.10% 20.94% 28.09%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,561,788
Number of overall total blind and SD workers. 3,877
Number of AbilityOne blind and SD hours (products). 14,767
Number of AbilityOne blind and SD hours (services). 510,687
Number of AbilityOne blind and SD hours (combined). 525,454
Number of AbilityOne blind and SD workers (products). 143
Number of AbilityOne blind and SD workers (services). 743
Number of AbilityOne blind and SD workers (combined). 886
AbilityOne wages (products). $80,150
AbilityOne wages (services). $5,233,265

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015
Number of 14(c) certificate-holding private businesses. 0 1
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 71 71
Number of 14(c) certificate holding patient workers. N/A 3
Total Number of 14(c) certificate holding entities. N/A 75
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 1
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 9,038
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 133
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 9,172

 

Legislation


South Carolina HB 3768 (ABLE legislation) - 04/29/2015

“A BILL TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING ARTICLE 3 TO CHAPTER 5, TITLE 11 SO AS TO ESTABLISH THE "SOUTH CAROLINA ABLE SAVINGS PROGRAM", TO ALLOW INDIVIDUALS WITH A DISABILITY AND THEIR FAMILIES TO SAVE PRIVATE FUNDS TO SUPPORT THE INDIVIDUAL WITH A DISABILITY, TO PROVIDE GUIDELINES TO THE STATE TREASURER FOR THE MAINTENANCE OF THESE ACCOUNTS, AND TO ESTABLISH THE SAVINGS PROGRAM TRUST FUND AND SAVINGS EXPENSE TRUST FUND; AND TO DESIGNATE THE EXISTING SECTIONS OF CHAPTER 5, TITLE 11 AS ARTICLE 1 AND ENTITLE THEM "GENERAL PROVISIONS".”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

S 0704 General Bill (referred to the Committee on Medical Affairs 4/2015) - 04/22/2015

 “A BILL TO AMEND CHAPTER 28, TITLE 44 OF THE 1976 CODE, RELATING TO THE SELF-SUFFICIENCY TRUST FUND; DISABILITY TRUST FUND; AID FOR DEVELOPMENTALLY DISABLED, MENTALLY ILL, AND PHYSICALLY HANDICAPPED PERSONS, BY ADDING ARTICLE 5 TO PROVIDE FOR THE ESTABLISHMENT OF THE DISABLED SELF-EMPLOYMENT DEVELOPMENT TRUST FUND FOR THE CREATION OF A PROGRAM WHICH WILL ASSIST INDIVIDUALS WITH DISABILITIES TO PURSUE ENTREPRENEURSHIP AND SELF-EMPLOYMENT OPPORTUNITIES, BY PROVIDING BUSINESS DEVELOPMENT GRANTS FOR THE STARTUP, EXPANSION OR ACQUISITION OF A BUSINESS OPERATED WITHIN THE STATE…”

Systems
  • Other
Topics
  • Self-Employment

Executive Orders


Executive Order, 2015-16 - 07/01/2015

“Governor Nikki Haley reestablishes the South Carolina Developmental Disabilities Council, which is the State's forum for developmental disabilities matters and will advocate for persons with those disabilities.”

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Policy


South Carolina VR “About Us” - 02/01/2016

“In collaboration with community partners and agencies, technical colleges and universities, and non-profit organizations, VR offers a customized approach to employing people with disabilities. Please join us in our mission to help South Carolinians attain independence and success through employment.” 

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment

South Carolina Department of Disabilities and Special Needs “Employment First Directive” 700-07-DD - 10/28/2015

“Policy: Employment Services – Individual, provided in integrated settings, is the first and preferred Day Service option to be offered to working age youth and adults (ages 16-64) who have exited school and are eligible for DDSN services. No other DDSN Day Service,  including Career Preparation, should be considered, or implied to be, a  prerequisite to receiving Employment Services….”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Employer Engagement

Employment First In South Carolina

One of the greatest challenges faced by people with disabilities has been securing and maintaining meaningful employment . SCDDSN believes that most people who want a job should be able to have one and regardless of his or her disability, can work if provided with necessary and appropriate supports. Employment First Assumes the following: 1) Assumes employment is the preferred day services option for adults with disability 2) Assumes people with disabilities require/ want services/support to obtain or maintain employment 3) Promotes Employment rather than non-work services options as the primary option for adults from the first contracts through all contracts 4) Arms Staff with a thorough knowledge of employment service/ supports and of employment related solutions/issues, 5) Ensures that the selection of non-work service options are made based on informed choice, after careful considerations and after attempts to remove barriers to employment have been unsuccessful 6) Responds quickly to those choosing employment without extending waiting periods for service and without first being subjected to non-works options. 7) Has in place well qualified providers who can readily: - Assess readiness and preferences - Match people to and place people in appropriate jobs selected from and array of possibility - Provide on the job training and coaching - Provide support as needed to sustain employment

Systems
  • Other

State Plan: South Carolina Developmental Disability (2007-2011)

Employment Goal 1: People with disabilities who want to work, work in places of their own choosing. Formal/Informal Community Supporters Goal 1: Individuals will have access to services they need to exercise choice. Goal 2: Individuals and their families know and understand their rights to make informed choices. Quality Assurances Goal 1: People with developmental disabilities and their families are strong advocates for themselves, their families, and all individuals with disabilities. Goal 2: Increase opportunities for social capital, financially supporting advocacy organizations. Goal 3: Council funded projects include consumer participation in the planning, design and implementation of the project. Goal 4: People have the information, skills, opportunities, and support to live free of abuse, neglect, financial and sexual exploitation, and violation of their human and legal rights. Health Goal 1: Improve the wellness of people with developmental disabilities in South Carolina and prevent the occurrence of secondary debilitating conditions. Goal 2: Promote primary prevention of developmental disabilities.

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

South Carolina Department of Disabilities and Special Needs: Employment First Position

“…SCDDSN embraces the principle of ‘employment first” as an approach to service delivery. As such “employment first’:

1. Assumes employment is the preferred day service option for adults with disabilities;2. Assumes people with disabilities require/want services/support to obtain and/or maintain employment3. Promotes employment, rather than non-work service options, as the primary option for adults from the first contact and through all contacts. Arms staff with a thorough knowledge of employment services/supports and of employment related issues/solutions;4. Ensures that the selection of non-work service options are made based on informed choice, after careful consideration and after attempts to remove barriers to employment have been unsuccessful;,5. Responds quickly to those choosing employment, without extended waiting periods for service and without first being subjected to non-work options6. Has in place well-qualified providers…”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Partnerships


South Carolina Supported Employment Programs - 05/30/2013

• “Individual Placement and Support (IPS) is an evidenced-based supported employment best practice model. IPS is collaboration between South Carolina Department of Mental Health (SCDMH) and South Carolina Vocational Rehabilitation Department (SCVRD). Since 2005 these state agencies have combined resources and personnel to implement the IPS Supported Employment model. The goal of this partnership is to place people with serve mental illness in competitive employment. Through the collaboration of this Supported Employment model, SCVRD and SCDMH are able to provide an integrated and seamless employment service delivery that results in improved employment outcomes for people with severe mental illness.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Mental Health
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

The Transition Alliance of South Carolina (TASC)

“The Transition Alliance of South Carolina (TASC) is spearheaded by the Center for Disability Resources (CDR) at the University of South Carolina’s School of Medicine. Utilizing funding and support from TASC partners, project staff housed at the Center for Disability Resources developed an infrastructure to support local interagency transition teams.  Project activities are focused on providing interagency teams the resources to increase their capacity to collaboratively and effectively serve young adults with intellectual and developmental disabilities who are transitioning from high school to adult life.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

South Carolina Disability Employment Coalition

The SC Disability Employment Coalition (SCDEC) formed in the fall of 2014 to address employment barriers for individuals with disabilities in South Carolina. SCDEC stakeholders represent SC employers, state, and private agencies. SCDEC members meet quarterly. The SCDEC currently has three work committees that meet on a monthly basis. The Coalition is currently comprised of over 20 stakeholder organizations and individuals. The organizations below are currently represented on the Coalition. The South Carolina Disability Employment Coalition is made possible by funding from the Southeast ADA Center and SC Developmental Disabilities Council

Systems
  • Department of Mental Health
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Association of People Supporting Employment First (APSE)

“People with all types of disabilities are employed, pursuing careers and building assets just like people without disabilities… Through advocacy and education, APSE advances employment and self-sufficiency for all people with disabilities.”

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Systems-Change Funding


South Carolina Employment Development Initiative - 10/01/2012

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project." South Carolina received an EDI award for its program Integration Peer Support into Supported Employment.

Systems
  • Department of Mental Health
Topics
  • Mental Health

South Carolina Youth Employment Services (YES)

“South Carolina was awarded a federal Rehabilitation Services Administration (RSA) transition demonstration grant in 2007 to fund the Youth Employment Services (YES) program in several schools. SCVRD used the Guideposts to design the YES program activities led by SCVRD’s transition staff… As a part of the demonstration project, SCVRD created agreements with the project schools to locate SCVRD’s transition staff within the school. This provided SCVRD’s staff with greater access to the VR-eligible students and opportunities to develop relationships with the youth, families, and school personnel.”

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Sourh Carolina SAMHSA Grant - "Health Mind Body Alliance"

“The integration model brings primary care into state community mental health clinics. Clinics are located in the underserved rural counties of Marlboro, Dillon, and Chesterfield South Carolina and the initial strategy included an FQHC [Federal Qualified Health Center]. Year two enrollment target is to serve 150 unduplicated clients (During the first quarters of year two for the grant 194 clients unduplicated clients were enrolled). Services are accessible to all consenting adult clients of TCCMHC [Tri-County Community Mental Health Center] with serious mental illness (Excepting incarcerated clients).”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows the Person/Home Again

“Home Again is a program assisting seniors, individuals with disabilities, and children with severe emotional disturbances who currently live in facilities to transition back into their communities and receive appropriate services and supports.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Training/Capacity Building

No Training/Capacity Building have been entered for this state.

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


South Carolina Department of Health and Human Services (SCDHHS) Home and Community-Based Services (HCBS) Statewide Transition Plan - 03/31/2016

The Center for Medicare and Medicaid Services (CMS) issued a final rule on Home and Community-Based Services (HCBS) establishing certain requirements for services that are provided through Medicaid waivers. There are specific requirements for where home and community-based services are received which will be referred to as the “settings requirements.” CMS required that each state submit a “Statewide Transition Plan” by March 17, 2015. The Statewide Transition Plan outlines how the state will come into conformance and compliance with the HCBS Rule settings requirements. States must come into full compliance with the HCBS Rule requirements by March 17, 2019. The South Carolina Department of Health and Human services (SCDHHS) has branded this effort for HCBS with the tagline: Independent•Integrated•Individual. This tagline was developed because home and community-based services help our members be independent, be integrated in the community, and are based on what is best for the individual.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina DDSN Individual Employment Services Pilot - 12/20/2013

“SCDDSN intends to prioritize Employment Services – Individual across the state and increase the capacity to support consumers with ID/RD in obtaining and maintaining individual, integrated employment. To that end, the agency proposes to pilot a new funding structure with a combination of providers currently serving consumers AND at least one provider not currently serving any consumers in Employment Services – Individual. Preferably, there will be at least one public and one private provider participating, as well as one serving an urban area and one serving exclusively rural areas. The purpose is to determine how successful and sustainable the proposed structure is (1) for starting up a program and (2) for improving/expanding an existing program. Participating providers will be partnering with SCDDSN to increase employment outcomes for consumers exiting school; to maintain employment for consumers placed by the provider, schools and/or the SC Vocational Rehabilitation Department (VR); and to demonstrate what level of support is required to maintain employment and to regain employment when employment is lost.”

Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
Topics
  • Customized Employment
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

SC Community Supports (0676.R01.00) - 07/01/2012

Provides adult day health care, personal care, respite care, waiver case management, incontinence supplies, adult day health care-nursing, adult day health care-transportation, assistive technology and appliances, behavior support, career preparation, community services, day activity, employment services, environmental mods, in-home support, PERS, private vehicle mods, support center services for individuals w/IID ages 0 - no max age.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina ESEA Flexibility Request - 02/28/2012

“South Carolina’s college and career readiness aspirations extend to all students, including those who need additional support and consideration because English is not their first language or due to a disability. To help ensure that we effectively analyze the linguistic demands of the CCSS to inform development of corresponding standards specific to these students that enable their success.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

South Carolina Statewide Transition Plan – Revised (HCBS)

The South Carolina Department of Health and Human Services (SCDHHS) gives notice that the revised draft Statewide Transition Plan, required per Centers for Medicare and Medicaid Services (CMS) Home and Community-Based Services (HCBS) Rule (42 CFR 441.301(c)(6)),was submitted on March 31, 2016 to CMS for review. It will be effective upon CMS approval.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina Medicaid State Plan

Medicaid is a federal-state partnership. Federal regulations provide a framework for each state to build a unique Medicaid program. States must all comply with some basic requirements such as:  • Serving certain mandatory populations like poverty-level children and low-income pregnant women; • Providing certain mandatory services like hospital care and physician services; • Providing services that are “sufficient in amount, duration, and scope to reasonably achieve (their) purpose;” and, • Providing services throughout the state.
Systems
  • Medicaid Agencies

South Carolina Community Choices Medicaid Waiver

“This Medicaid program is also referred to as the Elderly and Disabled Waiver. It allows individuals who require nursing home level care and assistance with their activities of daily living to receive care in their communities or homes instead of in nursing homes. There is a condition associated with the waiver which states that the cost of the care at home cannot exceed a certain percentage of the cost for the same care in a nursing home.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina Medicaid Money Follows the Person/Home Again

“Home Again is a program assisting seniors, individuals with disabilities, and children with severe emotional disturbances who currently live in facilities to transition back into their communities and receive appropriate services and supports.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

States - Phablet

Snapshot

The Palmetto State is "Prepared in Mind and Resources" when it comes to improving supports for individuals with disabilities to increase access to competitive, integrated employment and socioeconomic advancement in South Carolina.

2014 State Population.
1.19%
Change from
2013 to 2014
4,832,482
2014 Number of people with disabilities (all disabilities, ages 18-64).
2.12%
Change from
2013 to 2014
375,543
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-3.63%
Change from
2013 to 2014
109,012
2014 Percentage of working age people who are employed (all disabilities).
-5.86%
Change from
2013 to 2014
29.03%
2014 Percentage of working age people who are employed (NO disabilities).
1.85%
Change from
2013 to 2014
74.04%

State Data

General

2014
Population. 4,832,482
Number of people with disabilities (all disabilities, ages 18-64). 375,543
Number of people with disabilities who are employed (all disabilities, ages 18-64). 109,012
Number of people without disabilities who are employed (ages 18-64). 1,875,518
Percentage of working age people who are employed (all disabilities). 29.03%
Percentage of working age people who are employed (NO disabilities). 74.04%
Overall unemployment rate. 6.40%
Poverty Rate (all disabilities). 23.90%
Poverty Rate (NO disabilities). 17.00%
Number of males with disabilities (all ages). 339,600
Number of females with disabilities (all ages). 361,493
Number of Caucasians with disabilities (all ages). 471,949
Number of African Americans with disabilities (all ages). 205,126
Number of Hispanic/Latinos with disabilities (all ages). 14,661
Number of American Indians/Alaska Natives with disabilities (all ages). 3,458
Number of Asians with disabilities (all ages). 5,514
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A
Number of with multiple races disabilities (all ages). 12,056
Number of others with disabilities (all ages). 2,907

 

SSA OUTCOMES

2014
Number of SSI recipients with disabilities who work. 4,221
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 3.80%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 179,872

 

MENTAL HEALTH OUTCOMES

2014
Number of mental health services consumers who are employed. 5,654
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 28,306
Number of adults served who have a known employment status. 45,105
Percentage of all state mental health agency consumers served in the community who are employed. 12.50%
Percentage of supported employment services evidence based practices (EBP). 0.70%
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). N/A
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. 339
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. N/A
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2014
Number of registered job seekers with a disability. 10,232
Proportion of registered job seekers with a disability. 0.03

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 113
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 64
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 57.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 1.34

 

VR OUTCOMES

2015
Total Number of people served under VR.
N/A
Number of people with visual impairments served under VR. N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. N/A
Number of people with physical impairments served under VR. N/A
Number of people cognitive impairments served under VR. N/A
Number of people psychosocial impairments served under VR. N/A
Number of people with mental impairments served under VR. N/A
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 4,918
Number of eligible ticket to work beneficiaries. 25,222
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2013
Dollars spent on day/employment services for integrated employment funding. $11,616,000
Dollars spent on day/employment services for facility-based work funding. $18,954,000
Dollars spent on day/employment services for facility-based non-work funding. $20,902,000
Dollars spent on day/employment services for community based non-work funding. $5,639,000
Percentage of people served in integrated employment. 29.00%
Number of people served in community based non-work. 845
Number of people served in facility based work. 2,840
Number of people served in facility based non-work. 3,132
Number supported in integrated employment per 100,000 individuals in the general state population. 45.30

 

EDUCATION OUTCOMES

2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 57.59%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 18.48%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 80.23%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 15.11%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 43.20%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 50.24%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 28.09%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,561,788
Number of overall total blind and SD workers. 3,877
Number of AbilityOne blind and SD hours (products). 14,767
Number of AbilityOne blind and SD hours (services). 510,687
Number of AbilityOne blind and SD hours (combined). 525,454
Number of AbilityOne blind and SD workers (products). 143
Number of AbilityOne blind and SD workers (services). 743
Number of AbilityOne blind and SD workers (combined). 886
AbilityOne wages (products). $80,150
AbilityOne wages (services). $5,233,265

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2015
Number of 14(c) certificate-holding private businesses. 1
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 71
Number of 14(c) certificate holding patient workers. 3
Total Number of 14(c) certificate holding entities. 75
Reported number of people with disabilities working under 14(c) certificate holding private businesses. 1
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 9,038
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 133
Total reported number of people with disabilities working under 14(c) certificate holding entities. 9,172

 

Legislation


South Carolina HB 3768 (ABLE legislation) - 04/29/2015

“A BILL TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING ARTICLE 3 TO CHAPTER 5, TITLE 11 SO AS TO ESTABLISH THE "SOUTH CAROLINA ABLE SAVINGS PROGRAM", TO ALLOW INDIVIDUALS WITH A DISABILITY AND THEIR FAMILIES TO SAVE PRIVATE FUNDS TO SUPPORT THE INDIVIDUAL WITH A DISABILITY, TO PROVIDE GUIDELINES TO THE STATE TREASURER FOR THE MAINTENANCE OF THESE ACCOUNTS, AND TO ESTABLISH THE SAVINGS PROGRAM TRUST FUND AND SAVINGS EXPENSE TRUST FUND; AND TO DESIGNATE THE EXISTING SECTIONS OF CHAPTER 5, TITLE 11 AS ARTICLE 1 AND ENTITLE THEM "GENERAL PROVISIONS".”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

S 0704 General Bill (referred to the Committee on Medical Affairs 4/2015) - 04/22/2015

 “A BILL TO AMEND CHAPTER 28, TITLE 44 OF THE 1976 CODE, RELATING TO THE SELF-SUFFICIENCY TRUST FUND; DISABILITY TRUST FUND; AID FOR DEVELOPMENTALLY DISABLED, MENTALLY ILL, AND PHYSICALLY HANDICAPPED PERSONS, BY ADDING ARTICLE 5 TO PROVIDE FOR THE ESTABLISHMENT OF THE DISABLED SELF-EMPLOYMENT DEVELOPMENT TRUST FUND FOR THE CREATION OF A PROGRAM WHICH WILL ASSIST INDIVIDUALS WITH DISABILITIES TO PURSUE ENTREPRENEURSHIP AND SELF-EMPLOYMENT OPPORTUNITIES, BY PROVIDING BUSINESS DEVELOPMENT GRANTS FOR THE STARTUP, EXPANSION OR ACQUISITION OF A BUSINESS OPERATED WITHIN THE STATE…”

Systems
  • Other
Topics
  • Self-Employment

Executive Orders


Executive Order, 2015-16 - 07/01/2015

“Governor Nikki Haley reestablishes the South Carolina Developmental Disabilities Council, which is the State's forum for developmental disabilities matters and will advocate for persons with those disabilities.”

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Policy


South Carolina VR “About Us” - 02/01/2016

“In collaboration with community partners and agencies, technical colleges and universities, and non-profit organizations, VR offers a customized approach to employing people with disabilities. Please join us in our mission to help South Carolinians attain independence and success through employment.” 

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment

South Carolina Department of Disabilities and Special Needs “Employment First Directive” 700-07-DD - 10/28/2015

“Policy: Employment Services – Individual, provided in integrated settings, is the first and preferred Day Service option to be offered to working age youth and adults (ages 16-64) who have exited school and are eligible for DDSN services. No other DDSN Day Service,  including Career Preparation, should be considered, or implied to be, a  prerequisite to receiving Employment Services….”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Employer Engagement

Employment First In South Carolina

One of the greatest challenges faced by people with disabilities has been securing and maintaining meaningful employment . SCDDSN believes that most people who want a job should be able to have one and regardless of his or her disability, can work if provided with necessary and appropriate supports. Employment First Assumes the following: 1) Assumes employment is the preferred day services option for adults with disability 2) Assumes people with disabilities require/ want services/support to obtain or maintain employment 3) Promotes Employment rather than non-work services options as the primary option for adults from the first contracts through all contracts 4) Arms Staff with a thorough knowledge of employment service/ supports and of employment related solutions/issues, 5) Ensures that the selection of non-work service options are made based on informed choice, after careful considerations and after attempts to remove barriers to employment have been unsuccessful 6) Responds quickly to those choosing employment without extending waiting periods for service and without first being subjected to non-works options. 7) Has in place well qualified providers who can readily: - Assess readiness and preferences - Match people to and place people in appropriate jobs selected from and array of possibility - Provide on the job training and coaching - Provide support as needed to sustain employment

Systems
  • Other

State Plan: South Carolina Developmental Disability (2007-2011)

Employment Goal 1: People with disabilities who want to work, work in places of their own choosing. Formal/Informal Community Supporters Goal 1: Individuals will have access to services they need to exercise choice. Goal 2: Individuals and their families know and understand their rights to make informed choices. Quality Assurances Goal 1: People with developmental disabilities and their families are strong advocates for themselves, their families, and all individuals with disabilities. Goal 2: Increase opportunities for social capital, financially supporting advocacy organizations. Goal 3: Council funded projects include consumer participation in the planning, design and implementation of the project. Goal 4: People have the information, skills, opportunities, and support to live free of abuse, neglect, financial and sexual exploitation, and violation of their human and legal rights. Health Goal 1: Improve the wellness of people with developmental disabilities in South Carolina and prevent the occurrence of secondary debilitating conditions. Goal 2: Promote primary prevention of developmental disabilities.

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

South Carolina Department of Disabilities and Special Needs: Employment First Position

“…SCDDSN embraces the principle of ‘employment first” as an approach to service delivery. As such “employment first’:

1. Assumes employment is the preferred day service option for adults with disabilities;2. Assumes people with disabilities require/want services/support to obtain and/or maintain employment3. Promotes employment, rather than non-work service options, as the primary option for adults from the first contact and through all contacts. Arms staff with a thorough knowledge of employment services/supports and of employment related issues/solutions;4. Ensures that the selection of non-work service options are made based on informed choice, after careful consideration and after attempts to remove barriers to employment have been unsuccessful;,5. Responds quickly to those choosing employment, without extended waiting periods for service and without first being subjected to non-work options6. Has in place well-qualified providers…”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Partnerships


South Carolina Supported Employment Programs - 05/30/2013

• “Individual Placement and Support (IPS) is an evidenced-based supported employment best practice model. IPS is collaboration between South Carolina Department of Mental Health (SCDMH) and South Carolina Vocational Rehabilitation Department (SCVRD). Since 2005 these state agencies have combined resources and personnel to implement the IPS Supported Employment model. The goal of this partnership is to place people with serve mental illness in competitive employment. Through the collaboration of this Supported Employment model, SCVRD and SCDMH are able to provide an integrated and seamless employment service delivery that results in improved employment outcomes for people with severe mental illness.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Mental Health
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

The Transition Alliance of South Carolina (TASC)

“The Transition Alliance of South Carolina (TASC) is spearheaded by the Center for Disability Resources (CDR) at the University of South Carolina’s School of Medicine. Utilizing funding and support from TASC partners, project staff housed at the Center for Disability Resources developed an infrastructure to support local interagency transition teams.  Project activities are focused on providing interagency teams the resources to increase their capacity to collaboratively and effectively serve young adults with intellectual and developmental disabilities who are transitioning from high school to adult life.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

South Carolina Disability Employment Coalition

The SC Disability Employment Coalition (SCDEC) formed in the fall of 2014 to address employment barriers for individuals with disabilities in South Carolina. SCDEC stakeholders represent SC employers, state, and private agencies. SCDEC members meet quarterly. The SCDEC currently has three work committees that meet on a monthly basis. The Coalition is currently comprised of over 20 stakeholder organizations and individuals. The organizations below are currently represented on the Coalition. The South Carolina Disability Employment Coalition is made possible by funding from the Southeast ADA Center and SC Developmental Disabilities Council

Systems
  • Department of Mental Health
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Association of People Supporting Employment First (APSE)

“People with all types of disabilities are employed, pursuing careers and building assets just like people without disabilities… Through advocacy and education, APSE advances employment and self-sufficiency for all people with disabilities.”

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Systems-Change Funding


South Carolina Employment Development Initiative - 10/01/2012

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project." South Carolina received an EDI award for its program Integration Peer Support into Supported Employment.

Systems
  • Department of Mental Health
Topics
  • Mental Health

South Carolina Youth Employment Services (YES)

“South Carolina was awarded a federal Rehabilitation Services Administration (RSA) transition demonstration grant in 2007 to fund the Youth Employment Services (YES) program in several schools. SCVRD used the Guideposts to design the YES program activities led by SCVRD’s transition staff… As a part of the demonstration project, SCVRD created agreements with the project schools to locate SCVRD’s transition staff within the school. This provided SCVRD’s staff with greater access to the VR-eligible students and opportunities to develop relationships with the youth, families, and school personnel.”

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Sourh Carolina SAMHSA Grant - "Health Mind Body Alliance"

“The integration model brings primary care into state community mental health clinics. Clinics are located in the underserved rural counties of Marlboro, Dillon, and Chesterfield South Carolina and the initial strategy included an FQHC [Federal Qualified Health Center]. Year two enrollment target is to serve 150 unduplicated clients (During the first quarters of year two for the grant 194 clients unduplicated clients were enrolled). Services are accessible to all consenting adult clients of TCCMHC [Tri-County Community Mental Health Center] with serious mental illness (Excepting incarcerated clients).”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows the Person/Home Again

“Home Again is a program assisting seniors, individuals with disabilities, and children with severe emotional disturbances who currently live in facilities to transition back into their communities and receive appropriate services and supports.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Training/Capacity Building

No Training/Capacity Building have been entered for this state.

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


South Carolina Department of Health and Human Services (SCDHHS) Home and Community-Based Services (HCBS) Statewide Transition Plan - 03/31/2016

The Center for Medicare and Medicaid Services (CMS) issued a final rule on Home and Community-Based Services (HCBS) establishing certain requirements for services that are provided through Medicaid waivers. There are specific requirements for where home and community-based services are received which will be referred to as the “settings requirements.” CMS required that each state submit a “Statewide Transition Plan” by March 17, 2015. The Statewide Transition Plan outlines how the state will come into conformance and compliance with the HCBS Rule settings requirements. States must come into full compliance with the HCBS Rule requirements by March 17, 2019. The South Carolina Department of Health and Human services (SCDHHS) has branded this effort for HCBS with the tagline: Independent•Integrated•Individual. This tagline was developed because home and community-based services help our members be independent, be integrated in the community, and are based on what is best for the individual.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina DDSN Individual Employment Services Pilot - 12/20/2013

“SCDDSN intends to prioritize Employment Services – Individual across the state and increase the capacity to support consumers with ID/RD in obtaining and maintaining individual, integrated employment. To that end, the agency proposes to pilot a new funding structure with a combination of providers currently serving consumers AND at least one provider not currently serving any consumers in Employment Services – Individual. Preferably, there will be at least one public and one private provider participating, as well as one serving an urban area and one serving exclusively rural areas. The purpose is to determine how successful and sustainable the proposed structure is (1) for starting up a program and (2) for improving/expanding an existing program. Participating providers will be partnering with SCDDSN to increase employment outcomes for consumers exiting school; to maintain employment for consumers placed by the provider, schools and/or the SC Vocational Rehabilitation Department (VR); and to demonstrate what level of support is required to maintain employment and to regain employment when employment is lost.”

Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
Topics
  • Customized Employment
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

SC Community Supports (0676.R01.00) - 07/01/2012

Provides adult day health care, personal care, respite care, waiver case management, incontinence supplies, adult day health care-nursing, adult day health care-transportation, assistive technology and appliances, behavior support, career preparation, community services, day activity, employment services, environmental mods, in-home support, PERS, private vehicle mods, support center services for individuals w/IID ages 0 - no max age.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina ESEA Flexibility Request - 02/28/2012

“South Carolina’s college and career readiness aspirations extend to all students, including those who need additional support and consideration because English is not their first language or due to a disability. To help ensure that we effectively analyze the linguistic demands of the CCSS to inform development of corresponding standards specific to these students that enable their success.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

South Carolina Statewide Transition Plan – Revised (HCBS)

The South Carolina Department of Health and Human Services (SCDHHS) gives notice that the revised draft Statewide Transition Plan, required per Centers for Medicare and Medicaid Services (CMS) Home and Community-Based Services (HCBS) Rule (42 CFR 441.301(c)(6)),was submitted on March 31, 2016 to CMS for review. It will be effective upon CMS approval.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina Medicaid State Plan

Medicaid is a federal-state partnership. Federal regulations provide a framework for each state to build a unique Medicaid program. States must all comply with some basic requirements such as:  • Serving certain mandatory populations like poverty-level children and low-income pregnant women; • Providing certain mandatory services like hospital care and physician services; • Providing services that are “sufficient in amount, duration, and scope to reasonably achieve (their) purpose;” and, • Providing services throughout the state.
Systems
  • Medicaid Agencies

South Carolina Community Choices Medicaid Waiver

“This Medicaid program is also referred to as the Elderly and Disabled Waiver. It allows individuals who require nursing home level care and assistance with their activities of daily living to receive care in their communities or homes instead of in nursing homes. There is a condition associated with the waiver which states that the cost of the care at home cannot exceed a certain percentage of the cost for the same care in a nursing home.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina Medicaid Money Follows the Person/Home Again

“Home Again is a program assisting seniors, individuals with disabilities, and children with severe emotional disturbances who currently live in facilities to transition back into their communities and receive appropriate services and supports.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

States - Phone

Snapshot

The Palmetto State is "Prepared in Mind and Resources" when it comes to improving supports for individuals with disabilities to increase access to competitive, integrated employment and socioeconomic advancement in South Carolina.

2014 State Population.
1.19%
Change from
2013 to 2014
4,832,482
2014 Number of people with disabilities (all disabilities, ages 18-64).
2.12%
Change from
2013 to 2014
375,543
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-3.63%
Change from
2013 to 2014
109,012
2014 Percentage of working age people who are employed (all disabilities).
-5.86%
Change from
2013 to 2014
29.03%
2014 Percentage of working age people who are employed (NO disabilities).
1.85%
Change from
2013 to 2014
74.04%

State Data

General

2014
Population. 4,832,482
Number of people with disabilities (all disabilities, ages 18-64). 375,543
Number of people with disabilities who are employed (all disabilities, ages 18-64). 109,012
Number of people without disabilities who are employed (ages 18-64). 1,875,518
Percentage of working age people who are employed (all disabilities). 29.03%
Percentage of working age people who are employed (NO disabilities). 74.04%
Overall unemployment rate. 6.40%
Poverty Rate (all disabilities). 23.90%
Poverty Rate (NO disabilities). 17.00%
Number of males with disabilities (all ages). 339,600
Number of females with disabilities (all ages). 361,493
Number of Caucasians with disabilities (all ages). 471,949
Number of African Americans with disabilities (all ages). 205,126
Number of Hispanic/Latinos with disabilities (all ages). 14,661
Number of American Indians/Alaska Natives with disabilities (all ages). 3,458
Number of Asians with disabilities (all ages). 5,514
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A
Number of with multiple races disabilities (all ages). 12,056
Number of others with disabilities (all ages). 2,907

 

SSA OUTCOMES

2014
Number of SSI recipients with disabilities who work. 4,221
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 3.80%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 179,872

 

MENTAL HEALTH OUTCOMES

2014
Number of mental health services consumers who are employed. 5,654
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 28,306
Number of adults served who have a known employment status. 45,105
Percentage of all state mental health agency consumers served in the community who are employed. 12.50%
Percentage of supported employment services evidence based practices (EBP). 0.70%
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). N/A
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. 339
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. N/A
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2014
Number of registered job seekers with a disability. 10,232
Proportion of registered job seekers with a disability. 0.03

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 113
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 64
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 57.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 1.34

 

VR OUTCOMES

2015
Total Number of people served under VR.
N/A
Number of people with visual impairments served under VR. N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. N/A
Number of people with physical impairments served under VR. N/A
Number of people cognitive impairments served under VR. N/A
Number of people psychosocial impairments served under VR. N/A
Number of people with mental impairments served under VR. N/A
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 4,918
Number of eligible ticket to work beneficiaries. 25,222
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2013
Dollars spent on day/employment services for integrated employment funding. $11,616,000
Dollars spent on day/employment services for facility-based work funding. $18,954,000
Dollars spent on day/employment services for facility-based non-work funding. $20,902,000
Dollars spent on day/employment services for community based non-work funding. $5,639,000
Percentage of people served in integrated employment. 29.00%
Number of people served in community based non-work. 845
Number of people served in facility based work. 2,840
Number of people served in facility based non-work. 3,132
Number supported in integrated employment per 100,000 individuals in the general state population. 45.30

 

EDUCATION OUTCOMES

2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 57.59%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 18.48%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 80.23%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 15.11%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 43.20%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 50.24%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 28.09%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,561,788
Number of overall total blind and SD workers. 3,877
Number of AbilityOne blind and SD hours (products). 14,767
Number of AbilityOne blind and SD hours (services). 510,687
Number of AbilityOne blind and SD hours (combined). 525,454
Number of AbilityOne blind and SD workers (products). 143
Number of AbilityOne blind and SD workers (services). 743
Number of AbilityOne blind and SD workers (combined). 886
AbilityOne wages (products). $80,150
AbilityOne wages (services). $5,233,265

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2015
Number of 14(c) certificate-holding private businesses. 1
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 71
Number of 14(c) certificate holding patient workers. 3
Total Number of 14(c) certificate holding entities. 75
Reported number of people with disabilities working under 14(c) certificate holding private businesses. 1
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 9,038
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 133
Total reported number of people with disabilities working under 14(c) certificate holding entities. 9,172

 

Legislation


South Carolina HB 3768 (ABLE legislation) - 04/29/2015

“A BILL TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING ARTICLE 3 TO CHAPTER 5, TITLE 11 SO AS TO ESTABLISH THE "SOUTH CAROLINA ABLE SAVINGS PROGRAM", TO ALLOW INDIVIDUALS WITH A DISABILITY AND THEIR FAMILIES TO SAVE PRIVATE FUNDS TO SUPPORT THE INDIVIDUAL WITH A DISABILITY, TO PROVIDE GUIDELINES TO THE STATE TREASURER FOR THE MAINTENANCE OF THESE ACCOUNTS, AND TO ESTABLISH THE SAVINGS PROGRAM TRUST FUND AND SAVINGS EXPENSE TRUST FUND; AND TO DESIGNATE THE EXISTING SECTIONS OF CHAPTER 5, TITLE 11 AS ARTICLE 1 AND ENTITLE THEM "GENERAL PROVISIONS".”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

S 0704 General Bill (referred to the Committee on Medical Affairs 4/2015) - 04/22/2015

 “A BILL TO AMEND CHAPTER 28, TITLE 44 OF THE 1976 CODE, RELATING TO THE SELF-SUFFICIENCY TRUST FUND; DISABILITY TRUST FUND; AID FOR DEVELOPMENTALLY DISABLED, MENTALLY ILL, AND PHYSICALLY HANDICAPPED PERSONS, BY ADDING ARTICLE 5 TO PROVIDE FOR THE ESTABLISHMENT OF THE DISABLED SELF-EMPLOYMENT DEVELOPMENT TRUST FUND FOR THE CREATION OF A PROGRAM WHICH WILL ASSIST INDIVIDUALS WITH DISABILITIES TO PURSUE ENTREPRENEURSHIP AND SELF-EMPLOYMENT OPPORTUNITIES, BY PROVIDING BUSINESS DEVELOPMENT GRANTS FOR THE STARTUP, EXPANSION OR ACQUISITION OF A BUSINESS OPERATED WITHIN THE STATE…”

Systems
  • Other
Topics
  • Self-Employment

Executive Orders


Executive Order, 2015-16 - 07/01/2015

“Governor Nikki Haley reestablishes the South Carolina Developmental Disabilities Council, which is the State's forum for developmental disabilities matters and will advocate for persons with those disabilities.”

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Policy


South Carolina VR “About Us” - 02/01/2016

“In collaboration with community partners and agencies, technical colleges and universities, and non-profit organizations, VR offers a customized approach to employing people with disabilities. Please join us in our mission to help South Carolinians attain independence and success through employment.” 

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment

South Carolina Department of Disabilities and Special Needs “Employment First Directive” 700-07-DD - 10/28/2015

“Policy: Employment Services – Individual, provided in integrated settings, is the first and preferred Day Service option to be offered to working age youth and adults (ages 16-64) who have exited school and are eligible for DDSN services. No other DDSN Day Service,  including Career Preparation, should be considered, or implied to be, a  prerequisite to receiving Employment Services….”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Employer Engagement

Employment First In South Carolina

One of the greatest challenges faced by people with disabilities has been securing and maintaining meaningful employment . SCDDSN believes that most people who want a job should be able to have one and regardless of his or her disability, can work if provided with necessary and appropriate supports. Employment First Assumes the following: 1) Assumes employment is the preferred day services option for adults with disability 2) Assumes people with disabilities require/ want services/support to obtain or maintain employment 3) Promotes Employment rather than non-work services options as the primary option for adults from the first contracts through all contracts 4) Arms Staff with a thorough knowledge of employment service/ supports and of employment related solutions/issues, 5) Ensures that the selection of non-work service options are made based on informed choice, after careful considerations and after attempts to remove barriers to employment have been unsuccessful 6) Responds quickly to those choosing employment without extending waiting periods for service and without first being subjected to non-works options. 7) Has in place well qualified providers who can readily: - Assess readiness and preferences - Match people to and place people in appropriate jobs selected from and array of possibility - Provide on the job training and coaching - Provide support as needed to sustain employment

Systems
  • Other

State Plan: South Carolina Developmental Disability (2007-2011)

Employment Goal 1: People with disabilities who want to work, work in places of their own choosing. Formal/Informal Community Supporters Goal 1: Individuals will have access to services they need to exercise choice. Goal 2: Individuals and their families know and understand their rights to make informed choices. Quality Assurances Goal 1: People with developmental disabilities and their families are strong advocates for themselves, their families, and all individuals with disabilities. Goal 2: Increase opportunities for social capital, financially supporting advocacy organizations. Goal 3: Council funded projects include consumer participation in the planning, design and implementation of the project. Goal 4: People have the information, skills, opportunities, and support to live free of abuse, neglect, financial and sexual exploitation, and violation of their human and legal rights. Health Goal 1: Improve the wellness of people with developmental disabilities in South Carolina and prevent the occurrence of secondary debilitating conditions. Goal 2: Promote primary prevention of developmental disabilities.

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

South Carolina Department of Disabilities and Special Needs: Employment First Position

“…SCDDSN embraces the principle of ‘employment first” as an approach to service delivery. As such “employment first’:

1. Assumes employment is the preferred day service option for adults with disabilities;2. Assumes people with disabilities require/want services/support to obtain and/or maintain employment3. Promotes employment, rather than non-work service options, as the primary option for adults from the first contact and through all contacts. Arms staff with a thorough knowledge of employment services/supports and of employment related issues/solutions;4. Ensures that the selection of non-work service options are made based on informed choice, after careful consideration and after attempts to remove barriers to employment have been unsuccessful;,5. Responds quickly to those choosing employment, without extended waiting periods for service and without first being subjected to non-work options6. Has in place well-qualified providers…”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Partnerships


South Carolina Supported Employment Programs - 05/30/2013

• “Individual Placement and Support (IPS) is an evidenced-based supported employment best practice model. IPS is collaboration between South Carolina Department of Mental Health (SCDMH) and South Carolina Vocational Rehabilitation Department (SCVRD). Since 2005 these state agencies have combined resources and personnel to implement the IPS Supported Employment model. The goal of this partnership is to place people with serve mental illness in competitive employment. Through the collaboration of this Supported Employment model, SCVRD and SCDMH are able to provide an integrated and seamless employment service delivery that results in improved employment outcomes for people with severe mental illness.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Mental Health
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

The Transition Alliance of South Carolina (TASC)

“The Transition Alliance of South Carolina (TASC) is spearheaded by the Center for Disability Resources (CDR) at the University of South Carolina’s School of Medicine. Utilizing funding and support from TASC partners, project staff housed at the Center for Disability Resources developed an infrastructure to support local interagency transition teams.  Project activities are focused on providing interagency teams the resources to increase their capacity to collaboratively and effectively serve young adults with intellectual and developmental disabilities who are transitioning from high school to adult life.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

South Carolina Disability Employment Coalition

The SC Disability Employment Coalition (SCDEC) formed in the fall of 2014 to address employment barriers for individuals with disabilities in South Carolina. SCDEC stakeholders represent SC employers, state, and private agencies. SCDEC members meet quarterly. The SCDEC currently has three work committees that meet on a monthly basis. The Coalition is currently comprised of over 20 stakeholder organizations and individuals. The organizations below are currently represented on the Coalition. The South Carolina Disability Employment Coalition is made possible by funding from the Southeast ADA Center and SC Developmental Disabilities Council

Systems
  • Department of Mental Health
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Association of People Supporting Employment First (APSE)

“People with all types of disabilities are employed, pursuing careers and building assets just like people without disabilities… Through advocacy and education, APSE advances employment and self-sufficiency for all people with disabilities.”

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Systems-Change Funding


South Carolina Employment Development Initiative - 10/01/2012

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project." South Carolina received an EDI award for its program Integration Peer Support into Supported Employment.

Systems
  • Department of Mental Health
Topics
  • Mental Health

South Carolina Youth Employment Services (YES)

“South Carolina was awarded a federal Rehabilitation Services Administration (RSA) transition demonstration grant in 2007 to fund the Youth Employment Services (YES) program in several schools. SCVRD used the Guideposts to design the YES program activities led by SCVRD’s transition staff… As a part of the demonstration project, SCVRD created agreements with the project schools to locate SCVRD’s transition staff within the school. This provided SCVRD’s staff with greater access to the VR-eligible students and opportunities to develop relationships with the youth, families, and school personnel.”

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Sourh Carolina SAMHSA Grant - "Health Mind Body Alliance"

“The integration model brings primary care into state community mental health clinics. Clinics are located in the underserved rural counties of Marlboro, Dillon, and Chesterfield South Carolina and the initial strategy included an FQHC [Federal Qualified Health Center]. Year two enrollment target is to serve 150 unduplicated clients (During the first quarters of year two for the grant 194 clients unduplicated clients were enrolled). Services are accessible to all consenting adult clients of TCCMHC [Tri-County Community Mental Health Center] with serious mental illness (Excepting incarcerated clients).”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows the Person/Home Again

“Home Again is a program assisting seniors, individuals with disabilities, and children with severe emotional disturbances who currently live in facilities to transition back into their communities and receive appropriate services and supports.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Training/Capacity Building

No Training/Capacity Building have been entered for this state.

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


South Carolina Department of Health and Human Services (SCDHHS) Home and Community-Based Services (HCBS) Statewide Transition Plan - 03/31/2016

The Center for Medicare and Medicaid Services (CMS) issued a final rule on Home and Community-Based Services (HCBS) establishing certain requirements for services that are provided through Medicaid waivers. There are specific requirements for where home and community-based services are received which will be referred to as the “settings requirements.” CMS required that each state submit a “Statewide Transition Plan” by March 17, 2015. The Statewide Transition Plan outlines how the state will come into conformance and compliance with the HCBS Rule settings requirements. States must come into full compliance with the HCBS Rule requirements by March 17, 2019. The South Carolina Department of Health and Human services (SCDHHS) has branded this effort for HCBS with the tagline: Independent•Integrated•Individual. This tagline was developed because home and community-based services help our members be independent, be integrated in the community, and are based on what is best for the individual.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina DDSN Individual Employment Services Pilot - 12/20/2013

“SCDDSN intends to prioritize Employment Services – Individual across the state and increase the capacity to support consumers with ID/RD in obtaining and maintaining individual, integrated employment. To that end, the agency proposes to pilot a new funding structure with a combination of providers currently serving consumers AND at least one provider not currently serving any consumers in Employment Services – Individual. Preferably, there will be at least one public and one private provider participating, as well as one serving an urban area and one serving exclusively rural areas. The purpose is to determine how successful and sustainable the proposed structure is (1) for starting up a program and (2) for improving/expanding an existing program. Participating providers will be partnering with SCDDSN to increase employment outcomes for consumers exiting school; to maintain employment for consumers placed by the provider, schools and/or the SC Vocational Rehabilitation Department (VR); and to demonstrate what level of support is required to maintain employment and to regain employment when employment is lost.”

Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
Topics
  • Customized Employment
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

SC Community Supports (0676.R01.00) - 07/01/2012

Provides adult day health care, personal care, respite care, waiver case management, incontinence supplies, adult day health care-nursing, adult day health care-transportation, assistive technology and appliances, behavior support, career preparation, community services, day activity, employment services, environmental mods, in-home support, PERS, private vehicle mods, support center services for individuals w/IID ages 0 - no max age.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina ESEA Flexibility Request - 02/28/2012

“South Carolina’s college and career readiness aspirations extend to all students, including those who need additional support and consideration because English is not their first language or due to a disability. To help ensure that we effectively analyze the linguistic demands of the CCSS to inform development of corresponding standards specific to these students that enable their success.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

South Carolina Statewide Transition Plan – Revised (HCBS)

The South Carolina Department of Health and Human Services (SCDHHS) gives notice that the revised draft Statewide Transition Plan, required per Centers for Medicare and Medicaid Services (CMS) Home and Community-Based Services (HCBS) Rule (42 CFR 441.301(c)(6)),was submitted on March 31, 2016 to CMS for review. It will be effective upon CMS approval.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina Medicaid State Plan

Medicaid is a federal-state partnership. Federal regulations provide a framework for each state to build a unique Medicaid program. States must all comply with some basic requirements such as:  • Serving certain mandatory populations like poverty-level children and low-income pregnant women; • Providing certain mandatory services like hospital care and physician services; • Providing services that are “sufficient in amount, duration, and scope to reasonably achieve (their) purpose;” and, • Providing services throughout the state.
Systems
  • Medicaid Agencies

South Carolina Community Choices Medicaid Waiver

“This Medicaid program is also referred to as the Elderly and Disabled Waiver. It allows individuals who require nursing home level care and assistance with their activities of daily living to receive care in their communities or homes instead of in nursing homes. There is a condition associated with the waiver which states that the cost of the care at home cannot exceed a certain percentage of the cost for the same care in a nursing home.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

South Carolina Medicaid Money Follows the Person/Home Again

“Home Again is a program assisting seniors, individuals with disabilities, and children with severe emotional disturbances who currently live in facilities to transition back into their communities and receive appropriate services and supports.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation