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Benefits, Cost Sharing, and Delivery System Both the benefits provided under the demonstration and the cost-sharing requirements applicable to members will not differ from those provided under the Medicaid State Plan. South Carolina does not have cost-sharing requirements in the Medicaid State Plan. The delivery system used to provide benefits to the demonstration participants will not differ from the Medicaid State Plan. Participants will be enrolled into managed care. No deviation will be made for services furnished through fee-for-service Medicaid. Likewise, no deviations will be made for managed care capitation rates and contracting requirements. Current State Plan rules and internal procedures that govern mandatory assignment to managed care will continue to operate in their current form. Hypotheses and Evaluation During the approval period, SCDHHS proposes to test a series of hypotheses the state believes will lead to success in removing health-related barriers to employment, promote transition to commercial insurance, and increase the number of individuals seeking continued education and job training. A detailed evaluation design will be developed for review and approval by CMS. The chart below identifies the specific hypotheses, methodology, and potential performance measures associated with this demonstration. Hypotheses Methodology Performance Measure The demonstration will increase the number of adults above 67% and up to 100% of the FPL who are engaged in at least 80 hours a month of employment or employment related activities. SCDHHS will analyze patterns of application, enrollment, disenrollment, and qualifying hours and activities in the first 13 months of the demonstration. Qualifying hours and activities as determined. The demonstration will encourage members to participate in education and job training. Annually, SCDHHS will track members participating in a General Educational Development (GED) preparation program, participating in college education courses, and participating in vocational education Administrative data: Members reporting GED preparation-related activities for their community engagement hour requirements. Members reporting college 28