CMI briefingSC BHDD OIDDLeadership & Compliance

SC BHDD OIDD provider review cycle and key indicators

How BHDD OIDD's licensing and quality review system actually works — including the performance-linked review frequency most providers don't realize exists.

BHDD OIDD MAPS Provider Guide and Executive Memo (Jan. 12, 2024); ACIS reviews page · Updated Nov 5, 2026

This page is CMI's own briefing on the topic, written by CMI. It is not the text of the regulation. Read the regulation itself in the Regulatory hub or at the official source.

How it works: BHDD OIDD contracts with a federally certified Quality Improvement Organization (Alliant ASO, contract signed December 2023) to conduct ACIS (Administrative Compliance and Individual Services) Reviews for all contracted services, including case management, day, employment, in-home supports and residential habilitation, and Licensing Reviews for Day Facilities, CTH I and II, and SLP II settings. Key Indicators include Administrative Indicators (staff qualifications, training, committee reviews) and Services Indicators.

Timing and notice:

ItemTiming or notice
Typical ACIS review cycle18 months for most providers (OIDD describes initial reviews as 12 to 18 months based on prior performance)
New providersReviewed 3 to 6 months after delivering their first service
Follow-up reviewsUsually 4 to 6 months after the prior review; cover prior-cited indicators
Administrative Indicator reviews48 hours' notice
Individual record reviewsNo prior notice
Licensing renewals: Day Facilities, CTH II, SLP II2 hours' notice
Licensing renewals: CTH I, Respite24 hours' notice
New applications24 hours' notice

After a review:

StepDeadline
Final report posted in the QIO PortalWithin 45 calendar days of the review start
Plan of Correction dueWithin 30 days of the report
Corrections completedWithin 90 days of posting
AppealsThrough the QIO to OIDD

Not published: OIDD sources reviewed do not publish numeric score thresholds that decide between cycles.

Practical takeaway: Keep a standing response protocol for short-notice reviews and track Plan of Correction deadlines.

Last verified against agency sources on October 30, 2026.

View the official source ↗

General information, not legal advice. Requirements change; confirm against the official source before you act, or ask us how this applies to your organization.