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Individuals who do not meet the work or community engagement requirements will be disenrolled from the Palmetto Pathways to Independence waiver program. Members and Eligibility The demonstration waiver will create a new eligibility pathway for adults aged 19 to 64 who: • Meet the definition of a PCR at 42 CFR § 435.110; • Have an income above 67% and below 95% FPL with a 5% income disregard; and • Meet work and/or community engagement requirements. Eligibility Group Social Security Act and CFR Citation Income Level PCR SSA §1931; SSA §1902(a)(10)(A)(i); and 42 CFR §435.110 Over 67% and under 95% of FPL with a 5% disregard Enrollment and Fiscal Projections Current data indicates that up to 17,700 individuals are potentially eligible for the demonstration. However, the state intends to limit the number of individuals who can be served under the demonstration, based upon available state funding, to no more than 11,400 members. If the total enrollment of 11,400 members is reached, a demonstration-eligible individual will be placed on a waiting list for enrollment in the program. If a waiting list is in place, the state will enroll individuals from the waiting list based on their application date. A chronological list will be maintained, and individuals will be targeted for enrollment in the order of application. Before an individual can move from the waiting list into the waiver demonstration, they must demonstrate compliance with community engagement qualifying activities in the most recent month prior to the start of eligibility. The table below illustrates year one through five enrollment projections for the Palmetto Pathways to Independence waiver population. The estimated enrollment is reflective of unique members per year and includes an enrollment cap of 11,400 members. Palmetto Pathways to Independence Waiver Projected Enrollment The base eligible population includes South Carolina residents ages 19-64 who fit PCR eligibility criteria with income between 67% and 100% of the FPL. The American Community Survey (ACS) census data from the U.S. Census Bureau for South Carolina for calendar year 2023 was utilized to project the base population eligible for the Palmetto Pathways to Independence waiver. 26