Can a spouse be paid?
SometimesSometimes — it depends on the program and the care needed.
The fine print: limited — spouses cannot provide companion care but may provide attendant care services; legal guardians excluded
South Carolina
South Carolina has real Medicaid programs that pay family members to care for a loved one at home. Here's what they pay, who can be paid, and how to start.
Rates vary — check with the program.
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: South Carolina Medicaid program data · Updated September 2026
Some programs here have no waitlist. Others can have one.
not an entitlement — limited slots (~25,401/yr) and a waitlist forms when full
Sometimes — it depends on the program and the care needed.
The fine print: limited — spouses cannot provide companion care but may provide attendant care services; legal guardians excluded
Yes — South Carolina has a path for parents of children who need care.
The fine print: yes for minors via the separate MCC Waiver — parents/relatives/guardians paid hourly for children's attendant care (ages 1-21, max 40 hrs/wk per caregiver, from 7/1/2025); Community Choices itself serves adults 18+
Run by: South Carolina Department of Health and Human Services (SCDHHS), Community Long Term Care (CLTC) — Healthy Connections 888-549-0820
A program that can pay a family member for care at home.
2-min check →A path for children who need extra care.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
Contact the regional Community Long Term Care (CLTC) office or Healthy Connections at 888-549-0820 and file the Application for Nursing Home, Residential or In-Home Care; MCC families request self-direction through their Waiver Nurse Case Manager.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In South Carolina, they are overseen by the South Carolina Department of Health and Human Services (SCDHHS). We help you enroll — applying costs you nothing.
Care at home costs Medicaid far less than a nursing home. So states pay family members to give that care at home. It's good for your loved one, and it's the law working the way it should.
Sometimes — it depends on the program and the care needed. The fine print: limited — spouses cannot provide companion care but may provide attendant care services; legal guardians excluded
Yes — South Carolina has a path for parents of children who need care. The fine print: yes for minors via the separate MCC Waiver — parents/relatives/guardians paid hourly for children's attendant care (ages 1-21, max 40 hrs/wk per caregiver, from 7/1/2025); Community Choices itself serves adults 18+
South Carolina doesn't publish one flat rate — rates vary and the program sets your exact pay. We'll tell you your real number before you enroll.
Some programs here have no waitlist. Others can have one. Details: not an entitlement — limited slots (~25,401/yr) and a waitlist forms when full
It depends on the program. In South Carolina: self-directed with a required financial management services agency handling payroll/taxes (FMS vendor name not confirmed)
Sources: medicaidplanningassistance.org · scdhhs.gov · scdhhs.gov · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across South Carolina. Pick your county to see how they work where you live.
Answer 5 easy questions. See your programs and pay before you share any contact info.