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South Carolina Medicaid Community Engagement June 23, 2025 Table of Contents Section 01: Background ........................................................................................................................................................... 4 Section 02: Program Description ............................................................................................................................................ 5 Enrollment Standards ........................................................................................................................................................... 7 Verification Methodology .................................................................................................................................................... 7 Program Participation .......................................................................................................................................................... 8 Section 03: Demonstration Waiver Goals .............................................................................................................................. 8 Section 04: Hypotheses and Evaluation ................................................................................................................................. 9 Section 05: Demonstration Eligibility ..................................................................................................................................10 Section 06: Demonstration Benefits and Cost Sharing Requirements .............................................................................. .11 Section 07: Delivery System and Payment Rates for Services ........................................................................................... 11 Section 08: Implementation of Demonstration .................................................................................................................... 11 Section 09: Demonstration Financing and Budget Neutrality ........................................................................................... .11 Enrollment ......................................................................................................................................................................... .12 Section 10: List of Proposed Waivers and Expenditure Authorities ................................................................................ ..14 Section 11: Public Notice and Comments ........................................................................................................................... ..15 Public Notice....................................................................................................................................................................... 15 Tribal Consultation ............................................................................................................................................................ 16 Public Comment Summary ................................................................................................................................................. 17 Public Comment Summary and Themes ............................................................................................................................. 17 State Response to Comments ............................................................................................................................................. 18 Section 12: Demonstration Administration .......................................................................................................................... 21 Appendix A. Budget Neutrality Calculation ....................................................................................................................... ..22 Appendix B. Abbreviated Public Notice ............................................................................................................................. ..23 Appendix C. Full Public Notice ........................................................................................................................................... ..24 Appendix D. Tribal Notice Letters ........................................................................................................................................... 31 Initial Tribal Notice Letter .....................................................................................................................................................32 Second Tribal Notice Letter ...................................................................................................................................................35