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Medicaid Program - Palmetto SeniorCare (PSC) HCBW - South Carolina

The Palmetto SeniorCare (PSC) Home and Community Based Waiver (HCBW) is a Federal Medicaid and Medicare program serving recipients in the greater Columbia area (Richland and Lexington counties) who are age 55 or older, are certified by the Department of Health and Human Services to have met the nursing home requirements for the State of South Carolina, and wish to remain in the community. Palmetto SeniorCare is the only PACE Program (Programs of All-inclusive Care for the Elderly) in the state, and the only project directly structured as part of a hospital organization. Palmetto Health Richland Hospital, the South Carolina Department of Health and Environmental Control and the State's Department of Health and Human Services jointly sponsor the program. Participants receive all services either directly from PSC staff health care professionals or through subcontracted health care providers. Many of the services provided are centered in five Adult Day Health Centers.

Once enrolled in the program, all services are provided by Palmetto SeniorCare rather than by individual providers under the traditional fee-for-service system. If the participant is eligible for Medicare and/or Medicaid, Palmetto SeniorCare takes the place of the standard Medicare and/or Medicaid programs. This is made possible through a special agreement Palmetto SeniorCare has with Medicare and Medicaid. The only payment made by Medicare and/or Medicaid for the care the participant needs will be one payment each month to Palmetto SeniorCare. A participant's special monthly payments will depend on eligibility for Medicare and/or Medicaid or their eligibility for Veterans Affairs (VA) PACE.

A participant's personal care team will work with the participant and family members to decide what services best meet his or her needs. All services offered through Palmetto SeniorCare are planned and authorized through an inter-disciplinary team. The team assesses each participant individually, develops and implements the care plan, and monitors progress, modifying the plan as necessary.

Services may include the following

          Adult Day Healthcare - Services such as nursing, social work, physical, occupational and speech therapy, nutritional and personal care are provided in our community-based centers. There also are meals and snacks, and recreational and social activities. Transportation is provided.

          Primary and Specialty Medical Care - Palmetto SeniorCare provides direct physician services. Primary care services are provided by Palmetto SeniorCare physicians. In addition, a variety of medical and surgical specialists are available to assure that all of the participant's healthcare needs are met.

          Women's Care Specialist Services are available when needed.

          Outpatient Medical Services - Outpatient services such as laboratory tests, X-rays, and other tests are provided as part of Palmetto SeniorCare's program. Prescribed medicines, artificial limbs, durable medical equipment, vision care, psychiatric care and hearing services are available when needed.

          Hospital Patient Care - Hospital services are provided by Palmetto Health Richland. These include a broad range of semi-private medical, surgical, intensive care and coronary care programs, and testing and support services required for appropriate care.

          Home Health Care - This special set of services provided in the home includes skilled nursing and doctor visits; physical, occupational and speech therapy; medical social services; home health aide; homemaker/chore assistance; and home delivered meals.

          Nursing Home Care - Nursing home services include semi-private room and board, doctor's visits, medical social services, and medical supplies and appliances.

          Health-Related Services - Transportation, escort services and help with financial management are available.

Additional Information

Additional information is available from the Palmetto SeniorCare website at, or call (803) 931-8175.

Point of entry for the program is through the Community Long Term Care (CLTC) Area Office. A list of contact information for each CLTC area office is available at

Also see:

Medicaid Program - Home and Community Based Waivers Overview

Medicaid Program - Services

Medicaid Program - Non-Financial Eligibility

Medicaid Program - Financial Eligibility

Medicaid Program - Overview

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