South Carolina Signs Memorandum of Understanding with CMS - Becoming the Eighth State to Adopt Medicare-Medicaid Dual Eligibles Initiative
The National Council on Medicaid Home Care – a NAHC Affiliate – Issues In-Depth Issue Brief on the South Carolina Program
On October 25, 2013, the Centers for Medicare and Medicaid Services (CMS) and the South Carolina Department of Health and Human Services (SCDHHS) signed a Memorandum of Understanding (MOU) establishing the Medicare-Medicaid Alignment Initiative (MMAI) in South Carolina (the Demonstration). South Carolina is now the eighth state to implement the MMAI, after Massachusetts, Washington, Ohio, Illinois, California, Virginia, and New York.
Fifteen other states have active proposals submitted to CMS. The MMAI is a joint federal and state project that seeks to improve care and reduce costs associated with beneficiaries eligible for both Medicare and Medicaid, or “dual eligibles.” Minnesota has signed a dual eligibles demonstration independent of the MMAI.
In South Carolina, the Demonstration is called the Health Connections Prime program. It functions to enroll dual eligibles into managed care plans called Coordinated and Integrated Care Organizations (CICOs), and provide long-term care services and supports (LTSS). Starting no earlier than July 1, 2014, the Demonstration will eventually coordinate care to approximately 54,000 dual eligibles and encompass all counties of the state.