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Section 1115 Demonstration Waiver: Preconception Care Model

Program Summary

The South Carolina Department of Health and Human Services (SCDHHS) will submit a Section 1115 Demonstration Waiver application to the Centers for Medicare & Medicaid Services (CMS) to implement a preconception care (PCC) model to improve health, reduce or remove risk factors and identify disease as early as possible in women and men during their reproductive years. The demonstration project, or PCC model, requires the coordination of family planning and reproductive health care with primary care services and chronic disease management for both full- and limited-benefit Medicaid beneficiaries.





SCDHHS anticipates that adopting the PCC model and steering utilization of family planning and related services toward providers who routinely and expertly provide the full spectrum of care inherent to that model will improve the health outcomes of the population using family planning and related services. To evaluate the degree to which this transition in health care delivery models improves outcomes, SCDHHS anticipates the use of the following evaluation parameters:

  • NICU admission rates
  • Mean gestational age
  • Mean birth weight
  • Incidence of neonatal abstinence syndrome (NAS)
  • Maternal morbidity and mortality
  • Initiation of medically necessary caesarian
  • Diabetes
  • Hypertension
  • Depression
  • Maternal substance use

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The Centers for Medicare & Medicaid Services (CMS) determined South Carolina’s application for...
This second public notice incorporates initial feedback received and highlights, among other goals...
Register for the Preconception Care 1115 Demonstration Waiver Public Webinar May 24 at 1 p.m.
The South Carolina Department of Health and Human Services (SCDHHS) will submit a Section 1115...
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