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Link to Healthy Connections Community Engagement Initiative Resource page

South Carolina's Healthy Connections Community Engagement Initiative is a public health initiative. Its purpose is to utilize a tailored approach to promote better health outcomes and financial independence by providing access to resources to the most vulnerable South Carolinians while incentivizing able-bodied South Carolinians to achieve self-sustainability or the opportunity to serve one's community.

The initiative includes the Healthy Connections Works waiver and the Palmetto Pathways to Independence waiver, both of which were approved by the Centers for Medicare and Medicaid Services.

No action is required by current Medicaid members at this time. The South Carolina Department of Health and Human Services (SCDHHS) will provide updates on reporting requirement timelines for those who are impacted by community engagement requirements and coverage implementation dates for those who will be made eligible through this initiative as it implements the waivers.

Resources

SCDHHS is partnering with other state agencies, non-profits and the private sector to help South Carolinians achieve self-sustainability, continue their education, learn a job skill and/or serve their community. Resources on how to find community engagement opportunities are available under the resources tab here.

Fact Sheet

A fact sheet is available that contains up-to-date information about the initiative. The fact sheet is available to download here.

 

Who- Full-benefit, non-disabled adults, ages 19 to 64, enrolled in the Medicaid program, and who do not have a qualified exemption, will need to meet the community engagement requirements. Some parents, caretakers and relatives of dependent children and some of the state's most vulnerable populations will be newly eligible for coverage through the Healthy Connections Community Engagement Initiative. Those who have a qualifying exemption and are not required to participate in community engagement activities include:

  • Children enrolled in Medicaid or CHIP;
  • Members of federally recognized tribal organizations;
  • Pregnant women and Medicaid members who are 365 days or less post-partum;
  • Disabled individuals, including individuals who have a medical condition that would prevent them from participation in this project;
  • Individuals 65 or older;
  • Individuals who are the primary caregiver of a child or someone who is disabled;
  • Individuals receiving Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI);
  • Individuals participating in a Medicaid covered treatment program for alcohol or substance abuse addiction, including opioid addiction;
  • Individuals compliant with or exempt from the Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF) requirements related to employment;
  • Individuals who are determined by SCDHHS to be exempt on a case-specific basis. This includes certain individuals with medically complex conditions that require multidisciplinary specialized care or would otherwise be precluded from employment or community engagement activities due to their health status; and,
  • Members residing in regional areas that experience an unemployment rate of 8% or greater or when the statewide unemployment rate is 8% or greater.

 

When- No action is required by current Medicaid members at this time. SCDHHS will provide updates on reporting requirement timelines for those who are impacted by community engagement requirements and coverage implementation dates for those who will be made eligible through this initiative as it implements the waivers.

How- Full-benefit, non-disabled adults, ages 19 to 64, enrolled in the Medicaid program or made eligible through the Palmetto Pathways to Independence waiver, and who do not have a qualified exemption, must meet the community engagement requirements. Examples of how to comply with the initiative include:

  • Participation in an adult secondary education program through a public-school district or technical college;
  • At least half-time (as defined by the South Carolina Commission on Higher Education) participation in a degree or certificate-seeking program in an accredited institution of higher education;
  • Compliance with unemployment insurance (UI) work-search requirements (first 16 weeks of UI benefits);
  • For dual Medicaid-SNAP/TANF beneficiaries, demonstrated compliance with SNAP community engagement standards;
  • Employment for an average of at least 80 hours per month over a three-month period; or,
  • Volunteering for at least 80 hours per month over a three-month period with a qualified public entity or qualified charitable organization.

Updates RSS icon

Register for the Thursday, March 21, 2019, webinar on the agency's demonstration waiver...
SCDHHS extends the public comment period for its Community Engagement Section 1115 Demonstration...
SCDHHS will host additional public hearings, to include one weekend and one evening, in January on...
Register for the Community Engagement Section 1115 Demonstration Waiver public webinar Dec. 12, at...
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