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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: #229033 on Jul 23rd 2017 9:36 am
Kentucky HEALTH - Proposed Modifications to Application

Kentucky HEALTH - Proposed Modifications to Application

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 – 7/3/17 – 8/2/17

Please provide your comments here and/or attach below:

When I read the governor’s 1115 Medicaid Waiver proposal, I am reminded of the rich man who will pay millions to his accountant to avoid paying some federal tax, even if he has to pay the accountant more than the tax would have cost. He is acting illogically, unless you see that he is acting on the belief that he must do everything in his power to avoid paying taxes.
Governor Bevin is willing to create a new bureaucracy in Kentucky, with all the costs and confusion this implies, in order to avoid providing health care to citizens of this state who receive Medicaid. For example, recipients will have 10 days to report change in income, even though income from part time employment can vary constantly. Fail to report, you are off the program for six months, and then go through a ‘retraining’ process to reapply, probably at some new government office. The governor is acting illogically, unless you see that he is acting on the belief that it is his role to educate the citizens of Kentucky on the operation of free market forces. Disenrollment is a “learning tool for enrollees”.

There is no doubt that tens of thousands of Kentucky citizens will lose health care when they fail to meet one or other requirement. Where is someone in Pineville going to find 20 hours of work each week to keep his Medicaid benefit, for example? Perhaps he should just check into a prison, which has employment opportunities for any number of unskilled laborers.

Christine Perlin-Gump
2003 Winston Avenue
Louisville, KY 40205
(502) 454-0264
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