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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: #209013 on Jun 25th 2016 6:30 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:

Please do you job and respect and protect the health of all North Carolinians for some of the following reasons:
Here are some bullet points for the costs of not expanding Medicaid:
1 in 5 adults under 65 remains uninsured in NC (around 500,000)
Not expanding Medicaid is already hindering job creation and economic growth because NC is not capturing billions in federal matching dollars that would otherwise flow into the state economy to make expansion more affordable.
If NC does not expand Medicaid by 2016, $21 billion in federal matching funds will be lost between 2016 and 2020.
Statewide, about half the jobs not created would be in health care (hospitals and clinics); almost half would be in other sectors such as construction or retail and wholesale trade.
Small hospitals and clinics have had to close–particularly affecting rural poor.
Non-economic reasons to expand Medicaid:
When parents are insured, their children are more likely to be insured and they are better able to care for their children.
By not closing the gap, the cycle of poverty and sickness continues. Consequences of families falling into crisis because of a lack of health coverage and a medical crisis include foreclosures and evictions- having to make the decision to pay the rent or pay for much needed medication.
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