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TennCare II - Amendment 38

DateResponseResponse
Jan 8th 2019 7:31 pm Response: #397005 I think it may need to be a case by case basis with review quarterly. I'd like to offer more strategies f4om my own history, but without knowledge of unique projected budget plans, it is not ideal for me to advise until the whole spectrum plans are reviewed. This Industry plays a large Role first hand up front with the long term commitment to our legacies
Jan 9th 2019 10:10 am Response: #397017 There should not be any work requirements attached to TennCare. Access to healthcare should be a right, and not attached to work. Thank you.
Jan 9th 2019 12:00 pm Response: #397025 The definition of "condition of eligibility for certain individuals" is unclear, but in a general sense, community involvement for those able is a GREAT idea. This is one step in the right direction for the unity of a currently divided country. This is one possible solution, as are the current administration proposals, in the effort to cut Medicaid Program costs for "lifetime" welfare recipients. I have accepted community healthcare and food services for approximately 4 years following a crisis currently seeking employment, but during this chapter of my life, I have witnessed a high percentage of "welfare" recipients that have settled into public funding support as a way of life. That is not why the programs were originally created and the healthcare system is overloaded with takers who are capable of giving back in some way. Carry on. I hope the proposal is successful.
Jan 16th 2019 9:36 pm Response: #397557 My comments are related to the fact that most people on Tenncare are disabled and not able to hold employment due their disability. No one should be penalized for getting Tenncare. That work requirement should be tailored to abled body people be who apply for Tenncare.
Jan 16th 2019 10:23 pm Response: #397561 In response to your proposed work requirements for Medicaid, put simply, no, no, no. It may sound good but there is so much that is faulty. How will the work requirements be recorded? Will people be told to log hours into a website? Although it may seem simple, esp in today’s world, not everyone has easy access to the internet. Cell phones have internet. I’m typing from my phone right now. The problem is not everyone has a grandfathered unlimited data program that I have. Buy more data! With limited funds that may not be feasible. Most Medicaid patients are not the top tier earners. In fact, I would say that’s basically a requirement to be eligible. Life is not black and white. I’m not on Medicaid. Hopefully, I won’t be in the position the need Medicaid but it’s not a sign of faulty character. Without going on and on about the flaws that may pop up when we look at new job statistics, I will sign off. This proposal isn’t some big money saver. We shouldn’t take away from our most vulnerable people. We should do what we can to help keep these people healthy.
Jan 17th 2019 6:37 am Response: #397565 Tennessee legislature should not enact the work requirements to Tenncare. It didn't work well in Arkansas and for the same reasons, may not work well here, plus TN didn't take the money could have from Federal government, so already hurting from this with many rural hospitals having to close. People need healthcare regardless of work status.
Jan 17th 2019 8:33 pm Response: #398549 Tenncare has submitted a waiver proposal to the CMS to add work requirements as a condition to receiving Tenncare, a program that benefits 1,.5 Million Tennesseans of whom 73% are already engaged in the work force. Proposed work requirements will have very limited exemptions: they do not define the medically frail and chronically mentally disabled, and do not exempt victims of domestic violence and recipients of the Supplemental Nutrition Assistance Program (SNAP). Many elderly family members will have to assume greater caregiving duties. Additionally, implementing and administering this program will be costly and frought with error. The proposal will create harm to vulnerable populations.
Jan 18th 2019 3:18 pm Response: #398633 Our state does not have a working computer system, and there is no sign that issue will improve anytime soon. People are already being kicked off their coverage erroneously because of clerical errors. Adding this extra administrative burden will only serve to limit coverage for Tennessee families that need it most.
Jan 21st 2019 10:50 am Response: #399581 TennCare benefits 1.5 Million Tennesseans, and almost 3/4 of them are already in the work force. Proposed work requirements will have very limited exemptions: they do not define the medically frail and chronically mentally disabled, and do not exempt victims of domestic violence and recipients of the Supplemental Nutrition Assistance Program (SNAP). Many elderly family members will have to assume greater caregiving duties. This expensive proposal will create harm to vulnerable populations. How can TennCare recipients fairly respond to such monthly notices when their health literacy rates are so low?
Jan 21st 2019 11:00 am Response: #399585 Thank you for the opportunity to comment on this important waiver proposal from Tennessee's Medicaid agency, TennCare. I am writing to oppose this proposal for the reasons below.

The waiver proposal which TennCare submitted to the CMS adds work requirements as a condition to receiving TennCare. The reality is, however, that TennCare is a program that 73% of its total 1.5 million members are already engaged in the work force. So I have to question why the need for this amendment.

Additionally, I have friends who struggle now to provide caregiving to family members, some of whom are elderly, while still working themselves. These proposed work requirements do not provide definitions for those who are medically frail and chronically mentally disabled. Therefore, it is unclear if my friends' family members have to "work" or not or if they may be exempt from these requirements due to the fact that they are not able to physically work as a result of their medical conditions.

I do not think that this makes either good sense or good public policy.

Thank you for your time.
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