On November 5, 2025, the South Carolina Department of Health and Human Services (SCDHHS) released the results of a critical audit on adult day care facilities participating in the Medicaid waiver program. The audit, conducted by the Office of Inspector General (OIG), uncovered a shocking level of non-compliance — with 19 out of 20 adult day care facilities failing to meet federal and state requirements.
This audit highlights significant gaps in areas such as staffing standards, health and safety compliance, and proper documentation. With the Medicaid program under increasing scrutiny, these findings could mean major regulatory changes and stricter oversight for adult day care and home care providers in South Carolina.
What Does This Mean for Adult Day Care and Home Care Providers?
The implications of the November 5, 2025 audit are far-reaching for South Carolina’s home care and adult day care sectors. As an agency or provider, you could face:
- Increased inspections and audits from regulatory bodies like SCDHHS and the OIG.
- Stricter compliance requirements — including comprehensive documentation, up-to-date staff training, and facility inspections.
- Potential financial penalties if you fail to meet Medicaid billing requirements or compliance standards.
With 18 out of 20 facilities failing to meet one or more regulatory requirements, the likelihood of heightened scrutiny is now a certainty.
What You Can Do to Stay Ahead
In light of this audit, it is more important than ever to ensure that your adult day care or home care agency is fully prepared for audits and inspections. Here’s how myEZcare can help:
- Automated Compliance and Documentation
myEZcare’s platform ensures that your staffing records, training logs, and patient care documentation are always accurate and up-to-date. With built-in Medicaid compliance features, you’ll be ready for any inspection. - EVV (Electronic Visit Verification)
With EVV automation, myEZcare tracks all patient visits and activities, ensuring your billing and records align with Medicaid standards and help prevent costly claim denials. - Simplified Reporting and Audits
Stay audit-ready with easy-to-generate reports that meet regulatory standards. Whether it’s Medicaid billing, staff certifications, or compliance checks, myEZcare automates the process so you never miss a requirement. - Preventive Alerts and Notifications
myEZcare sends timely alerts on staff training expiration, missing documentation, or non-compliant entries. By proactively addressing gaps, you reduce the risk of fines and reputational damage.
Whether you own an Adult day care agency or a Home care agency, myEZcare Adult day care software & Home care software are especially designed for you.
Take Action Now
Don’t wait for an audit to catch you off guard. Book a free demo today and see how myEZcare can streamline your agency’s operations, reduce administrative burden, and ensure you stay compliant with state and federal regulations.
