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Hypotheses Methodology Performance Measure and training. education activities for their community engagement hour requirements. Members reporting vocational education and training activities for their community engagement hour requirements. Individuals participating in community engagement activities will transition to commercial health care. coverage. Monthly, SCDHHS will track the number of individuals enrolled in the demonstration eligibility group who have commercial health insurance using information from the eligibility system and data matches through information used to identify third party liability. The number of individuals enrolled in the demonstration PCR eligibility groups who have obtained commercial health insurance. As a result of adding eligibility for this group, the demonstration will improve enrollment continuity for current members who experience an increase in income or change in circumstance. SCDHHS will track patterns of Medicaid enrollment for members who transition from existing Medicaid categories into this category as they experience an increase in income or other change in circumstance. The number of members who transition from existing Medicaid categories into this category. Waiver and Expenditure Authorities The following authorities are requested to implement the demonstration waiver: 1. Eligibility SSA Sections 1902(a)(8) and 1902(a)(10) To the extent necessary to require qualifying hours and activities as a condition of eligibility as described in this application and to the extent necessary to limit enrollment to parents and caretaker relative adults aged 19-64. 2. Provision of Medical Assistance SSA Section 1902(a)(8) To the extent necessary to suspend and terminate eligibility for individuals who fail to comply with the qualifying hours and activities requirement as described in this application. 3. Hospital Presumptive Eligibility SSA Section 1902(a)(47)(B) To permit the state not to provide hospital presumptive eligibility to individuals in the demonstration. 4. 133% Income Level SSA Section 1902(a)(10)(A)(i)(VIII) To the extent necessary to enable South Carolina to implement a lower income level for the demonstration group. To provide medical assistance to individuals who meet the definition of parents and caretaker relatives between 67% and 95% of the FPL with a 5% income disregard. 29