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Questionnaire NameThe Healthy Indiana Plan (HIP) 2.0 - Amendment
DescriptionOn May 25, 2017, Indiana submitted an amendment to the section 1115 demonstration, Health Indiana Plan (HIP) 2.0. The application requests, along with other technical revisions, to (1) require beneficiaries to participate in Gateway to Work, the HIP job training and employment services program, (2) change the monthly premium contributions from two percent of a beneficiary's income to income tiers that are about two percent of income, (3) phasing out the HIP Employer Link employer sponsored insurance program. On July 20, 2017, the state submitted a slightly revised amendment that addresses public comments received. The federal comment period opened on July 25, 2017 and closes on August 31, 2017.
Response FromID: #228325 on Jun 22nd 2017 12:37 pm
The Healthy Indiana Plan (HIP) 2.0 - Amendment

The Healthy Indiana Plan (HIP) 2.0 - Amendment

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

The federal comment period opened on June 9, 2017.

Please provide your comments here and/or attach below:

I have some concerns regarding the proposed Medicaid changes. I am wondering how many Medicaid recipients have been talked with as stakeholders in this program and if their concerns are actually being heard.

Here are the changes as I understand them and my concerns:

(1) require beneficiaries to participate in Gateway to Work, the HIP job training and employment services program

Many Medicaid recipients are already employed. To require a job training program might interfere with their work. Additionally, a number of recipients are babies, foster children or adopted children who receive Medicaid as a subsidy - a secondary insurance plan for parents who provide primary policies. Will these children or their parents be required to do job training? For the most disabled of Hoosiers, working is simply not an option. Many are bedridden or require 24 hour care. These are not people who should be asked to join the workforce.

Caring for a disabled person is a full-time, unpaid job - people do not wish to see their loved ones institutionalized. Before placing time requirements upon families, these realities should be taken into account.

(2) change the monthly premium contributions from two percent of a beneficiary's income to income tiers that are about two percent of income

This proposed change is unclear. It suggests that people will need to pay more for their insurance to offset costs. Has anyone performed any kind of study to see how people already living below the poverty line will be affected? In households where every penny counts, it seems very wrong to insist on higher premiums without consulting these families as stakeholders.

(3) phasing out the HIP Employer Link employer sponsored insurance program

What would this program be replaced with? Or are we to allow people to become underinsured again?

Frankly, these proposals leave us with more questions than answers.
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