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Mississippi Medicaid Workforce Training Initiative

Jan 23rd 2018 3:26 pm Response: #312701 Are there actual living wages jobs available in the State of Mississippi for this Program. Are Necessary State Agencies staffed and prepared to deal with Program? Do Mississippi Companies committed to this Program?

Are recipients agreeable to Program? If the answer is No to any of these questions this Program will be a failure. Both economically and Politically.
Jan 23rd 2018 3:33 pm Response: #312705 1) Medicaid work requirements have often proven to be unnecessary and counterproductive. Most adult medicaid enrollees who can work already do. In fact, Medicaid already helps enrollees gain and maintain employment.

2) Studies on other benefit programs that have work requirements such as TANF have shown little or no impact on long-term employment.

3) The up front costs for the new administrative processes are an inefficient use of federal and state funds.

4) Medicaid work requirements will drive up the rate of uninsured Mississippians, which will ultimately result in increased health care costs for everyone.

5) Most Mississippi counties have very high unemployment rates and 50 out of Mississippi’s 82 counties are labor surplus areas, proving jobs are not readily available in Mississippi.
Jan 23rd 2018 8:16 pm Response: #312713 This is antithetical to the core values of Medicaid. Absolutely not.
Feb 6th 2018 11:52 am Response: #315125 MISSISSIPPI HUMAN SERVICES AGENDA
736 N. Congress, Jackson, MS 39202


The Mississippi Division of Medicaid has submitted a request called the "Workforce Training Initiative" that essentially requires every able- bodied adult to work (or be in another approved activity) for 20 hours per week in order to maintain their Medicaid eligibility. As a long-time community advocate and policy analyst, I see the major result of this waiver will be a significant reduction in the number of people who continue to be eligible for Medicaid.
There are many currently eligible Medicaid recipients . They will be saddled with new reporting requirements that will endanger their continued eligibility. For example: Many work in restaurants. In January, Jackson , MS had a breakdown of its water systems and almost all restaurants closed for several days. Had the work requirement been in place at that time, many recipients would have been unable to complete their work requirements, and would have lost their eligibility on the first day of the next month (as stated in the Waiver Application). There are other reasons that other people who regularly work 20 hours per week may on occasion fail to meet that goal (e.g., They may have to take a sick day; their child may get sick; their child's school may call for them to come in; etc.) The Waiver request does not have any provisions or allowances for such personal problems.Therefore, recipients would lose eligibility for reasons beyond their control.
I would lift up the 23,000 women who are on an existing waiver, whose only benefit is Family Planning. These women have a higher income eligibility level and are most likely working at least 20 hours per week now. Under the waiver, they will face new reporting requirements that will burden them and may cause them to lose eligibility. It would be tragic if they lost their Family Planning services and then became pregnant which would make both them and their new baby Medicaid eligible
The remainder of those impacted by this Waiver would be primarily caretaker relatives whose income is far below the federal poverty level (and also below the income that a 20 hour work wage brings in for a month This would not fulfill the purpose of the waiver to move people off of Medicaid and onto private insurance. Rims Barber
Feb 13th 2018 2:41 pm Response: #315157 See attached comments from MS Chapter, American Academy of Pediatrics
Feb 21st 2018 3:40 pm Response: #315197 Hello, Please find attached Community Catalyst's comments in response to Mississippi's Medicaid Workforce Training Initiative 1115 Demonstration. If you have any questions or need assistance, please contact Rachelle Brill at 617-275-2916. Sincerely, Rachelle Brill
Feb 22nd 2018 12:06 pm Response: #315229 Please see the attached comments from the Guttmacher Institute.
Feb 22nd 2018 2:30 pm Response: #315241 Please see the attached comments.
Feb 22nd 2018 2:58 pm Response: #315257 NHeLP submits these comments to the Mississippi 1115 waiver application. Our comments are attached. We thank you for your consideration.
Feb 22nd 2018 3:35 pm Response: #315273 Please find attached comments from the American Society of Addiction Medicine. Thank you.
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