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Questionnaire NameKentucky Health - Proposed Modifications to Application
DescriptionOn August 24, 2016, Kentucky submitted an application for a five year section 1115 demonstration, entitled "Kentucky HEALTH." On July 3, 2017, Kentucky submitted modifications to the pending HEALTH demonstration application, which removes their request to expand presumptive eligibility sites, removes the graduated hour requirements for the community engagement and employment requirement, and requests authority to implement a lockout for failure to report a change in circumstance. The federal public comment period will be open from July 3, 2017 through August 2, 2017.
Response FromID: #228689 on Jul 13th 2017 11:10 am
Kentucky HEALTH - Proposed Modifications to Application

Kentucky HEALTH - Proposed Modifications to Application

We encourage the public to submit their comments on 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 – 7/3/17 – 8/2/17

Please provide your comments here and/or attach below:

1) Will individuals who work jobs with varying wages that fluctuate over/under 138% on a regular basis, but annually remain under 138%, report changes?
2) Does the Presumptive Eligibility fast tracking process apply to those seeking emergency coverage at hospitals? Will backdating coverage be allowed for emergency/same day medical service needs while the person is under PRESUMED coverage?
3) Will residents of counties where SNAP work requirements are waived due to a lack of opportunity for work/volunteer hours (waived in 100 of 120 Ky counties) also receive a waiver for the CE requirement, particularly since the modification states it is being modeled after the SNAP work requirement?
4) Can someone earn My Rewards Credits for health related activities beyond education such as medical appts, screenings and behavior modification (i.e., quits smoking, loses weight)?
5) Will experienced, subject matter experts, be able to attain accredidation to offer health or financial literacy courses (particularly those already accustomed to providing such)? How do community entities attain accreditation to offer volunteer hours? If so, how?
6) Can members attain a service credit instead of a specific amount for their My Rewards Credit due to fluctuation in charges for services or access to participating providers? For instance, attend 3 classes to earn a dental exam and xrays. Can members make monetary deposits, in addition to earning credits, to their My Rewards account for services such as dental?
7: Will at least a 1x grace be offered for anyone who doesn’t understand the new guidelines, particularly those who are illiterate (English or any language) or have learning or language/cultural barriers/comprehension difficulties? Most Medicaid notices are sent in English with terms or phrasing difficult to understand, even for English speaking, native residents. There are limited Spanish language and nearly no other language/cultural translated items currently. Will this change or will there any grace or exceptions for those with comprehension difficulties?
8. When will consumers, front line enrollment staff or Providers (these are not the same as MCO Insurance Carriers) be allowed to participate, provide input in development of the proposed changes? This is in addition to being a communication or educational component after assumed waiver approval.
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