The purpose of this SPA is to cover two optional eligibility groups under managed care: children under age 19 with income between 196% and 318% who have third-party liability and the work incentive group, pursuant to section 1902(a)(10)(A)(ii)(XIII) of the Social Security Act, which is limited to individuals aged 65 years and older.

This SPA proposes to add Intensive In-Home Services-Homebuilders to the South Carolina Rehabilitative Services Benefit.

This amendment expands the types of providers who can provide case management for children and pregnant women (CPW) services.