SCDHHS Accountability Report: Fiscal Year 2018-2019 South Carolina Department of Health and Human Services SCDHHS Organization_d0cb71e8-6cce-4864-9ecf-182e536d8bba Joshua D. Baker Agency Director [To be named] To be a responsive and innovative organization that continuously improves the health of South Carolina. Vision_751f61ec-3982-4836-82b4-446f68643bea To purchase the most health for our citizens in need at the least possible cost for taxpayers. Mission_751f61ec-3982-4836-82b4-446f68643bea unnamed value Medicaid Provide better health outcomes for Medicaid beneficiaries Goal_bd3215a4-423d-4aaf-9321-b1f4a2df0585 1 Department of Health and Environmental Control DHEC is an important service provider and information source for Medicaid beneficiaries. Associated Goal(s): 1.2.1; 3.1.1; 3.2.1 Data Data used in program development and management (obesity, immunizations, etc.) Managed Care Organizations Coordination & Cost Control The 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; 3.2.1 Medicaid Beneficiaries Medicaid 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] Providers Roughly 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; 3.2.1 Telemedicine Use of telemedicine treatments and services; cost of Graduate Medical Education/Supplemental Teaching Payments programs. Payments Expand the use of value-based payment methodologies Objective_cc154eaa-46db-4c6a-b5ed-5b2da8609b31 1 Managed Care Organizations Coordination & Cost Control The 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; 3.2.1 Providers Roughly 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; 3.2.1 Telemedicine Use of telemedicine treatments and services; cost of Graduate Medical Education/Supplemental Teaching Payments programs. Birth Outcomes Build upon the success of the Birth Outcomes Initiative Objective_93a54e0a-7e3b-4242-b611-85040b6ee8ad 2 Department of Health and Environmental Control DHEC is an important service provider and information source for Medicaid beneficiaries. Associated Goal(s): 1.2.1; 3.1.1; 3.2.1 Data Data used in program development and management (obesity, immunizations, etc.) Member Services Provide outstanding member services Goal_b7581a17-aaa6-4da6-bd47-6f870c013443 2 [To be named] [To be named] [To be named] [To be named] [To be named] [To be named] Technology Use new technologies to improve the member service experience Objective_5bb6797f-b79f-45af-b68a-b2acfeebb0bd 1 [To be named] [To be named] Applications & Reviews Improve processing time and resolution rates for applications and reviews Objective_1a119110-f902-4741-9ddc-b7bc49f3787e 2 [To be named] [To be named] Fiscal Stewardship Promote sound fiscal stewardship Goal_42491c0b-fa03-4f03-b29a-8a10fa2453ac 3 Department of Alcohol and Other Drug Abuse Services DAODAS receives significant funding from HHS and the agencies collaborate to discuss/design Medicaid service offerings. Associated Goal(s): 3.1.1; 3.2.1 Cost & Quality Control Cost, quantity, and quality of services provided to D&A clients. Department of Mental Health DMH is a major provider of behavioral health services for Medicaid beneficiaries. Associated Goal(s): 3.1.1; 3.2.1 Behavioral Health Services Access to and cost of behavioral health services Data data on the sponsored housing program for chronically mentally ill individuals. Department of Education Associated Goal(s): 3.1.1; 3.2.1 Cost & Quality Control Cost, quantity, and quality of services provided in school-based settings or for PreK-12 students. Intermediary SCDE has traditionally served as an intermediary between HHS and the school districts that provide Medicaid-funded services. Continuum of Care Associated Goal(s): 3.1.1; 3.2.1 Service Management Continuum manages services for children needing the most intensive behavioral health assistance; these services are often Medicaid-funded. Cost & Quality Control Cost, quantity, and quality of services provided to children needing the most intensive behavioral health assistance. Lt. Governor's Office Associated Goal(s): 3.1.1; 3.2.1 Data Enrollment and eligibility data for elderly and vulnerable adults pursuing Medicaid eligibility to receive long term care or nursing facility services. Collaboration The 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 Needs Associated Goal(s): 3.1.1; 3.2.1 Waivers DDSN administers certain waiver programs on behalf of HHS; DDSN is primarily financed through HHS. Financing Administrative costs, service delivery costs, time required to move individuals off of waiting lists and into services Department of Social Services Many Medicaid beneficiaries also receive some form of services through DSS (SNAP, TANF, foster care, etc.). Associated Goal(s): 3.1.1; 3.2.1 Collaboration The agencies collaborate on eligibility and to serve certain populations. Cost Control Cost/quantity of services authorized for and/or care coordinated for children in therapeutic foster care Metrics metrics 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 Carolina Associated Goal(s): 3.1.1; 3.2.1 Telemedicine Administration MUSC 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] Budget Develop reliable budget forecasts and mid-year correction mechanisms Objective_02e854cc-4285-4946-b88c-78df2000194b 1 Continuum of Care Associated Goal(s): 3.1.1; 3.2.1 Service Management Continuum manages services for children needing the most intensive behavioral health assistance; these services are often Medicaid-funded. Cost & Quality Control Cost, quantity, and quality of services provided to children needing the most intensive behavioral health assistance. Medical University of South Carolina Associated Goal(s): 3.1.1; 3.2.1 Telemedicine Administration MUSC 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 Needs Associated Goal(s): 3.1.1; 3.2.1 Financing Administrative costs, service delivery costs, time required to move individuals off of waiting lists and into services Waivers DDSN administers certain waiver programs on behalf of HHS; DDSN is primarily financed through HHS. Department of Alcohol and Other Drug Abuse Services DAODAS receives significant funding from HHS and the agencies collaborate to discuss/design Medicaid service offerings. Associated Goal(s): 3.1.1; 3.2.1 Cost & Quality Control Cost, quantity, and quality of services provided to D&A clients. Department of Social Services Many Medicaid beneficiaries also receive some form of services through DSS (SNAP, TANF, foster care, etc.). Associated Goal(s): 3.1.1; 3.2.1 Cost Control Cost/quantity of services authorized for and/or care coordinated for children in therapeutic foster care Collaboration The agencies collaborate on eligibility and to serve certain populations. Metrics metrics tied to Medicaid administrative activities and DSS activities related to carrying out the Medicaid State Plan; capitation rates for foster children. Department of Mental Health DMH is a major provider of behavioral health services for Medicaid beneficiaries. Associated Goal(s): 3.1.1; 3.2.1 Data data on the sponsored housing program for chronically mentally ill individuals. Behavioral Health Services Access to and cost of behavioral health services Department of Education Associated Goal(s): 3.1.1; 3.2.1 Cost & Quality Control Cost, quantity, and quality of services provided in school-based settings or for PreK-12 students. Intermediary SCDE has traditionally served as an intermediary between HHS and the school districts that provide Medicaid-funded services. Lt. Governor's Office Associated Goal(s): 3.1.1; 3.2.1 Collaboration The agencies collaborate on enrollment and eligibility data for elderly and vulnerable adults pursuing Medicaid eligibility to receive long-term care or nursing facility services. Data Enrollment and eligibility data for elderly and vulnerable adults pursuing Medicaid eligibility to receive long term care or nursing facility services. Healthcare Spending Control increases in healthcare spending Objective_bec40b63-b278-4048-92a8-d63b93ba0df8 2 [To be named] [To be named] Waste, Fraud & Abuse Prevent waste, fraud and abuse Objective_0f1f2399-25c3-4720-ada1-5ed34d552fe6 3 [To be named] [To be named] Management Provide responsive and responsible management of health and human service programs Goal_faeb432e-3ab0-4905-933b-81d1f41ccf21 4 [To be named] [To be named] [To be named] [To be named] [To be named] [To be named] Provider Relations Ensure timely handling of provider relations Objective_240e8752-a945-48ea-b7d6-9c7f1b7792ac 1 [To be named] [To be named] Workforce Engagement Develop and maintain a committed and engaged workforce Objective_aca05049-35e4-4028-963b-48ae5a38b366 2 [To be named] [To be named] StrategyPlan_751f61ec-3982-4836-82b4-446f68643bea 2018-07-01 2019-06-30 2025-12-23 https://www.stratnavapp.com/StratML/Part1/751f61ec-3982-4836-82b4-446f68643bea/Styled Submitter_751f61ec-3982-4836-82b4-446f68643bea Owen Ambur