CLTC is part of SCDHHS and administers Medicaid long-term care programs in South Carolina. From The Heart Home Care is an independent non-medical home care agency. Contact CLTC or your case manager for eligibility, authorization, coverage, and approved-provider information; contact our team separately to discuss private-pay availability.
Community Long Term Care is a division of the South Carolina Department of Health and Human Services (SCDHHS) -- not a private agency, and not a waiver itself. CLTC administers several Medicaid Home and Community-Based Services (HCBS) waivers, the most common being the Community Choices Waiver, which allows people who would otherwise need nursing-facility-level care to receive that same level of support at home.
Easy to mix up: CLTC is often confused with DDSN (now BHDD-OIDD), which manages a separate set of waivers for intellectual disabilities, head and spinal cord injuries, and related conditions. If your family's situation is disability-related rather than age or physical-care related, our DDSN Home Care Services page is the better starting point.
A quick side-by-side, since the two get confused constantly:
| CLTC (Community Long Term Care) | DDSN / BHDD-OIDD |
| Administered by SCDHHS | Administered by SC Dept. of Behavioral Health & Developmental Disabilities |
| Serves frail elderly (65+) and adults 21-64 with physical disabilities | Serves individuals with intellectual disabilities, head/spinal cord injuries, autism |
| Core program: Community Choices Waiver | Core programs: ID/RD, HASCI, Community Supports Waivers |
| Requires nursing-facility level of care | Requires a qualifying developmental or intellectual disability |
Eligibility for the Community Choices Waiver generally requires:
Because Community Choices is not an entitlement program, approved slots are limited and a waitlist can form. CLTC Centralized Intake is the authoritative source for a formal eligibility determination.
Once approved, Community Choices services are arranged according to the participant's authorized service plan and available approved providers. Ask your CLTC case manager to confirm covered services and provider options.
| Covered Service | What It Looks Like | Delivered By |
| Personal Care | Bathing, dressing, hygiene, mobility assistance | Personal Care |
| Respite Care | Short-term relief for family caregivers | Respite In-Home Care |
| Companion Care | Supervision, meal prep, daily support | Companion Care |
| Home Modifications | Grab bars, ramps, accessibility upgrades | Coordinated through the waiver program |
| Transportation Support | Trips tied to medical and care needs | Coordinated through the waiver program |
Each of these is delivered as part of an individualized care plan built around your loved one's actual daily needs -- not a fixed package.
Our non-medical services are tailored to each client's needs, schedule, location, and current caregiver availability. Contact our team to confirm whether private-pay care is a fit.
We take on the difficult cases
Behavioral complexities, high acuity needs, and rural coverage gaps are exactly where other agencies tend to say no. See our Difficult Case Staffing page.
We bridge the waitlist gap
While a CLTC application or authorization is pending, families may contact our team to discuss private-pay non-medical care. Availability depends on location, care needs, schedule, and caregiver staffing.
We match caregivers thoughtfully
We pair your loved one with a caregiver suited to their personality, routine, and specific care needs -- not just whoever is next on a schedule.
We serve families statewide
Greenville, Anderson, Spartanburg, Beaufort, Columbia, Sumter, Charleston, Greenwood, Kingstree, and the surrounding counties.
CLTC and From The Heart Home Care have separate intake processes. Here is a safe way to explore your options:
We bridge the wait
Call us at (864) 520-1131. Contact us to discuss private-pay care while your CLTC application is pending. Availability is confirmed after intake.
Get approved
If Community Choices is approved, ask your CLTC case manager to confirm authorized services and the approved providers available to you.
Ongoing care
For private-pay services, ongoing care depends on the agreed care plan, schedule, and caregiver availability.
➤ What does CLTC mean in South Carolina home care?
CLTC stands for Community Long Term Care, a division of the South Carolina Department of Health and Human Services. It administers Medicaid home and community-based service waivers, including the Community Choices Waiver, which helps eligible seniors and adults with disabilities receive in-home care instead of moving into a nursing facility.
➤ Is From The Heart Home Care part of CLTC?
No. From The Heart Home Care is an independent non-medical home care agency, not part of CLTC. Confirm current program participation and provider eligibility with your CLTC case manager before arranging waiver-funded services. Private-pay home care may be available based on location, care needs, and caregiver availability.
➤ Who qualifies for CLTC home care in South Carolina?
Generally, applicants must be 65 or older, or between 21-64 with a qualifying physical disability, be enrolled in SC Healthy Connections Medicaid, and meet a nursing-facility level of care as determined by a CLTC assessor. Contact CLTC Centralized Intake directly to confirm your specific eligibility.
➤ What if I'm on the CLTC waitlist -- can I still get home care?
Private-pay non-medical home care may be available while a CLTC application is pending. Availability depends on location, care needs, schedule, completion of intake, and caregiver staffing. Your CLTC case manager remains the source for waiver status and approved-provider information.
➤ What services does CLTC home care cover?
Community Choices may authorize services such as personal care, attendant assistance, respite, transportation support, or home modifications. Covered services vary by the participant's assessment and care plan. Ask your CLTC case manager to confirm coverage and approved providers.
➤ How do I start CLTC home care with From The Heart?
Contact CLTC or SCDHHS about eligibility and program enrollment. For separate private-pay home care options, call our team at (864) 520-1131. We will review your needs, service area, schedule, and caregiver availability.
Our team can explain current private-pay options while your CLTC case manager handles eligibility, authorization, coverage, and provider selection.
From the Heart Home Care · 811 Pendleton St Ste 14, Greenville, SC 29601