SCDHHS Accountability Report: Fiscal Year 2018-2019South Carolina Department of Health and Human Services
SCDHHS
Organization_d0cb71e8-6cce-4864-9ecf-182e536d8bbaJoshua D. BakerAgency Director[To be named]To be a responsive and innovative organization that continuously improves the health of South Carolina.Vision_751f61ec-3982-4836-82b4-446f68643beaTo purchase the most health for our citizens in need at the least possible cost for taxpayers.Mission_751f61ec-3982-4836-82b4-446f68643beaunnamed valueMedicaidProvide better health outcomes for Medicaid beneficiariesGoal_bd3215a4-423d-4aaf-9321-b1f4a2df05851Department of Health and Environmental ControlDHEC is an important service provider and information source for Medicaid beneficiaries. Associated Goal(s): 1.2.1; 3.1.1; 3.2.1DataData used in program development and management (obesity, immunizations, etc.)Managed Care OrganizationsCoordination & Cost ControlThe program's five managed care organizations are responsible for coordinating care and controlling costs for most Medicaid beneficiaries. Associated Goal(s): 1.1.1; 1.1.2; 3.1.1; 3.2.1Medicaid BeneficiariesMedicaid members and/or applicants -- Division/Program: Eligibility and Health Services Service/Product Provided to Customers: Health coverage for members Customer Segment: Public Demographic: Low-income and/or disabled residents who meet categorical requirements.[To be named]ProvidersRoughly 48,000 individuals and organizations are currently enrolled to provide services to Medicaid beneficiaries, including physicians, dentists, and countless other classes. Associated Goal(s): 1.1.1; 1.1.2; 3.1.1; 3.2.1TelemedicineUse of telemedicine treatments and services; cost of Graduate Medical Education/Supplemental Teaching Payments programs.PaymentsExpand the use of value-based payment methodologiesObjective_cc154eaa-46db-4c6a-b5ed-5b2da8609b311Managed Care OrganizationsCoordination & Cost ControlThe program's five managed care organizations are responsible for coordinating care and controlling costs for most Medicaid beneficiaries. Associated Goal(s): 1.1.1; 1.1.2; 3.1.1; 3.2.1ProvidersRoughly 48,000 individuals and organizations are currently enrolled to provide services to Medicaid beneficiaries, including physicians, dentists, and countless other classes. Associated Goal(s): 1.1.1; 1.1.2; 3.1.1; 3.2.1TelemedicineUse of telemedicine treatments and services; cost of Graduate Medical Education/Supplemental Teaching Payments programs.Birth OutcomesBuild upon the success of the Birth Outcomes InitiativeObjective_93a54e0a-7e3b-4242-b611-85040b6ee8ad2Department of Health and Environmental ControlDHEC is an important service provider and information source for Medicaid beneficiaries. Associated Goal(s): 1.2.1; 3.1.1; 3.2.1DataData used in program development and management (obesity, immunizations, etc.)Member ServicesProvide outstanding member servicesGoal_b7581a17-aaa6-4da6-bd47-6f870c0134432[To be named][To be named][To be named][To be named][To be named][To be named]TechnologyUse new technologies to improve the member service experienceObjective_5bb6797f-b79f-45af-b68a-b2acfeebb0bd1[To be named][To be named]Applications & ReviewsImprove processing time and resolution rates for applications and reviewsObjective_1a119110-f902-4741-9ddc-b7bc49f3787e2[To be named][To be named]Fiscal StewardshipPromote sound fiscal stewardshipGoal_42491c0b-fa03-4f03-b29a-8a10fa2453ac3Department of Alcohol and Other Drug Abuse ServicesDAODAS receives significant funding from HHS and the agencies collaborate to discuss/design Medicaid service offerings. Associated Goal(s): 3.1.1; 3.2.1Cost & Quality ControlCost, quantity, and quality of services provided to D&A clients.Department of Mental HealthDMH is a major provider of behavioral health services for Medicaid beneficiaries. Associated Goal(s): 3.1.1; 3.2.1Behavioral Health ServicesAccess to and cost of behavioral health servicesDatadata on the sponsored housing program for chronically mentally ill individuals.Department of EducationAssociated Goal(s): 3.1.1; 3.2.1Cost & Quality ControlCost, quantity, and quality of services provided in school-based settings or for PreK-12 students.IntermediarySCDE has traditionally served as an intermediary between HHS and the school districts that provide Medicaid-funded services.Continuum of CareAssociated Goal(s): 3.1.1; 3.2.1Service ManagementContinuum manages services for children needing the most intensive behavioral health assistance; these services are often Medicaid-funded.Cost & Quality ControlCost, quantity, and quality of services provided to children needing the most intensive behavioral health assistance.Lt. Governor's OfficeAssociated Goal(s): 3.1.1; 3.2.1DataEnrollment and eligibility data for elderly and vulnerable adults pursuing Medicaid eligibility to receive long term care or nursing facility services.CollaborationThe agencies collaborate on enrollment and eligibility data for elderly and vulnerable adults pursuing Medicaid eligibility to receive long-term care or nursing facility services.Department of Disabilities and Special NeedsAssociated Goal(s): 3.1.1; 3.2.1WaiversDDSN administers certain waiver programs on behalf of HHS; DDSN is primarily financed through HHS.FinancingAdministrative costs, service delivery costs, time required to move individuals off of waiting lists and into servicesDepartment of Social ServicesMany Medicaid beneficiaries also receive some form of services through DSS (SNAP, TANF, foster care, etc.). Associated Goal(s): 3.1.1; 3.2.1CollaborationThe agencies collaborate on eligibility and to serve certain populations.Cost ControlCost/quantity of services authorized for and/or care coordinated for children in therapeutic foster careMetricsmetrics tied to Medicaid administrative activities and DSS activities related to carrying out the Medicaid State Plan; capitation rates for foster children.Medical University of South CarolinaAssociated Goal(s): 3.1.1; 3.2.1Telemedicine AdministrationMUSC administers the statewide telemedicine system that is funded with resources from HHS. Use of telemedicine treatments and services; cost of Graduate Medical Education/Supplemental Teaching Payments programs.[To be named][To be named][To be named][To be named][To be named][To be named]BudgetDevelop reliable budget forecasts and mid-year correction mechanismsObjective_02e854cc-4285-4946-b88c-78df2000194b1Continuum of CareAssociated Goal(s): 3.1.1; 3.2.1Service ManagementContinuum manages services for children needing the most intensive behavioral health assistance; these services are often Medicaid-funded.Cost & Quality ControlCost, quantity, and quality of services provided to children needing the most intensive behavioral health assistance.Medical University of South CarolinaAssociated Goal(s): 3.1.1; 3.2.1Telemedicine AdministrationMUSC administers the statewide telemedicine system that is funded with resources from HHS. Use of telemedicine treatments and services; cost of Graduate Medical Education/Supplemental Teaching Payments programs.Department of Disabilities and Special NeedsAssociated Goal(s): 3.1.1; 3.2.1FinancingAdministrative costs, service delivery costs, time required to move individuals off of waiting lists and into servicesWaiversDDSN administers certain waiver programs on behalf of HHS; DDSN is primarily financed through HHS.Department of Alcohol and Other Drug Abuse ServicesDAODAS receives significant funding from HHS and the agencies collaborate to discuss/design Medicaid service offerings. Associated Goal(s): 3.1.1; 3.2.1Cost & Quality ControlCost, quantity, and quality of services provided to D&A clients.Department of Social ServicesMany Medicaid beneficiaries also receive some form of services through DSS (SNAP, TANF, foster care, etc.). Associated Goal(s): 3.1.1; 3.2.1Cost ControlCost/quantity of services authorized for and/or care coordinated for children in therapeutic foster careCollaborationThe agencies collaborate on eligibility and to serve certain populations.Metricsmetrics tied to Medicaid administrative activities and DSS activities related to carrying out the Medicaid State Plan; capitation rates for foster children.Department of Mental HealthDMH is a major provider of behavioral health services for Medicaid beneficiaries. Associated Goal(s): 3.1.1; 3.2.1Datadata on the sponsored housing program for chronically mentally ill individuals.Behavioral Health ServicesAccess to and cost of behavioral health servicesDepartment of EducationAssociated Goal(s): 3.1.1; 3.2.1Cost & Quality ControlCost, quantity, and quality of services provided in school-based settings or for PreK-12 students.IntermediarySCDE has traditionally served as an intermediary between HHS and the school districts that provide Medicaid-funded services.Lt. Governor's OfficeAssociated Goal(s): 3.1.1; 3.2.1CollaborationThe agencies collaborate on enrollment and eligibility data for elderly and vulnerable adults pursuing Medicaid eligibility to receive long-term care or nursing facility services.DataEnrollment and eligibility data for elderly and vulnerable adults pursuing Medicaid eligibility to receive long term care or nursing facility services.Healthcare SpendingControl increases in healthcare spendingObjective_bec40b63-b278-4048-92a8-d63b93ba0df82[To be named][To be named]Waste, Fraud & AbusePrevent waste, fraud and abuseObjective_0f1f2399-25c3-4720-ada1-5ed34d552fe63[To be named][To be named]ManagementProvide responsive and responsible management of health and human service programsGoal_faeb432e-3ab0-4905-933b-81d1f41ccf214[To be named][To be named][To be named][To be named][To be named][To be named]Provider RelationsEnsure timely handling of provider relationsObjective_240e8752-a945-48ea-b7d6-9c7f1b7792ac1[To be named][To be named]Workforce EngagementDevelop and maintain a committed and engaged workforceObjective_aca05049-35e4-4028-963b-48ae5a38b3662[To be named][To be named]StrategyPlan_751f61ec-3982-4836-82b4-446f68643bea2018-07-012019-06-302021-11-06Submitter_751f61ec-3982-4836-82b4-446f68643beaOwenAmbur