casey: next we will turn to ms. medina. you may begin. ms. medina: thank you, chairman casey, ricky member scott and members of the committee for the opportunity to participate in today's discussion. i currently serve as chief of staff and deputy director at the south carolina department of health and human services could part adjoining south carolina's agency, i spent 17 years working with florida's medicaid population in various capacities. i spent more than a decade of my career working with seniors in the foot department of elder affairs where i manage multiple programs. in 2013, i assisted the medicaid agency in transitioning medicaid beneficiaries into what is known as florida state statewide medicare managed program. the following year, i joined the florida agency where i worked to ensure health plans offering long-term services were doing so in accordance state and federal climates. ended up overseeing 15 -- 3.5 million beneficiaries. in 2020 when i joined south carolina's medicaid agency and i have spent much of my first year analyzi

next we will turn to ms. medina. >> thank you for the opportunity to participate in today's discussion. i spent -- community-based labor programs. traditionally medicare beneficiaries into now what is a state program. in june 20 21, i joined south carolina's medical agency. how does that help the state by evaluating medical programs and developing a plan to improve quality competency. according to summer 2021 data, -- 15 state program. over the age of 18 or the elderly. in 2015, better integrated services for seniors. this program was focused on --. this marks our anniversary since implementing this program. we have found in page -- in cases where beneficiaries -- medicare only covers a limited amount of -- we have a big exploring is the fact medicaid programs are -- looking to integrate care. consider the capacity to manage the program already submitted to. use the nursing facility level care. this is the approach that florida took. florida consolidated. if someone enrolled in one of these plans, they can re