In its mission to purchase the most health for our citizens in need at the least possible cost to the taxpayers, the South Carolina Department of Health and Human Services (SCDHHS) has rigorously transformed itself from a payor of service claims to purchaser of health care.

The 2014 budget currently includes Proviso 33.34 which-for the first time-provides funds that may only be accessed if hospitals and clinics serving the uninsured work together and adhere to health improvement initiatives outlined in the proviso. Proviso 33.34, Medicaid Accountability & Quality Improvement Initiative, is a plan to increase value and transparency in the current system, invest in hotspots of poor health, reduce per capita costs and improve health outcomes.

Through managing care for the chronically ill uninsured and ensuring access, SCDHHS will collaborate with other providers and health organizations to improve health care value in South Carolina by improving outcomes and reducing per capita costs.

SCDHHS separated this proviso into seven segments:

• Hospital & Clinic Innovations (sections A(1), C, D)
• Hospital Transparency (section A(2))
• Disproportionate Share Hospital (DSH) Accountability (section B)
• Graduate Medical Education (GME) Payments (section E(1))
• Telemedicine & OB/GYN (section E(2))
• Optional State Supplement (OSS) (section F)
• Reporting (section G)

Use this website to read updates on proviso planning and implementation, weigh-in on collaborative efforts and processes and read quarterly reports.