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Questionnaire NameNorth Carolina's Medicaid Reform Demonstration
DescriptionNorth Carolina requests a new section 1115(a) demonstration to transform and re-organize North Carolina's Medicaid and NC Health Choice programs. The state intends under the requested demonstration to reform the Medicaid program through statewide managed care plans, transforming primary care medical homes (PCMHs) to person-centered health communities (PCHCs), integrating behavioral health and physical health, and lastly, by allowing managed care entities to provide long-term services and supports (LTSS) for Medicaid only individuals. The federal comment period will be open from June 20, 2016 through July 20, 2016.
Response FromID: #209001 on Jun 23rd 2016 9:07 am
North Carolina's Medicaid Reform Demonstration

North Carolina's Medicaid Reform Demonstration

We encourage the public to submit their comments on Medicaid.gov as they relate to demonstrations open for public comments. In support of transparency and open government, all public comments received are immediately posted and are in the public domain. Center for Medicaid and CHIP Services staff will review all public comments posted and we reserve the discretion to delete comments that are generally understood as any of the following: obscene, profane, threatening, or otherwise inappropriate.

Refer to the Application

Open for Public Comment – 6/20/16 – 7/20/16

Please provide your comments here and/or attach below:

As an employee of a Western North Carolina Community Health Center and also a Certified Application Counselor, I see firsthand the lives impacted by North Carolina's rejection of Medicaid Expansion. This affects the health and well-being of real people, such as a 63 year old retiree on a fixed income - too low for ACA subsidies but categorically ineligible for Medicaid in NC; a mother making minimum wage, whose income turns out to be higher than North Carolina's ridiculously low limit for parents yet under 100% FPL so again, ineligible for ACA subsidies; or a chronically ill middle-aged man who finds it difficult to work as he has gout, cannot afford out-of pocket healthcare that could ease his pain, and therefore cannot work enough to qualify for subsidies on the exchange. These are just a sampling of the likely half of a million people who are unable to access healthcare and are suffering as a result of living in the Medicaid Gap.

As the federal agency enabled to review the NC medicaid reform proposal, I believe that you should make Medicaid Expansion a condition of any reform proposal. People who really need medical assistance, our most vulnerable, poverty-stricken populations, should have access to life-saving medical care.
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