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Questionnaire NameMaineCare
DescriptionMaine is requesting to implement work requirements as a condition of eligibility, monthly premiums for specific populations, and requiring co-pays for certain procedures that qualify as non-emergency usage of emergency rooms. In addition, Maine proposes to use asset tests in eligibility determinations and applying a transfer penalty to Medicaid-compliant annuities. Finally, Maine proposes to terminate the hospital presumptive eligibility policy option and providing initial non-long-term retroactive eligibility. The federal public comment period will be open from August 17, 2017 through September 16, 2017.
Response FromID: #310401 on Aug 22nd 2017 6:20 pm


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 – 8/17/17 – 9/16/17

Please provide your comments here and/or attach below:

Re: Maine's request for a 1115 Medicaid Waiver

As a Clinical Psychologist in Maine who works with many families on MaineCare, I believe that Gov. LePage's proposal to require all able-bodied adults ages 19-64 (including those with children over the age of 6 who have a disability that requires ongoing care) to work at least 20 hours per week does not consider the realities of Maine. Maine is a large rural state with very little public transportation and few supportive services for parents and children. With the significant increase in autism spectrum disorders and children with special needs, parents are being called upon to provide therapeutic services to supplement the meager services provided by rural school systems. These parents cannot find appropriate childcare for special needs children and must be at home when school is not in session or when their children are sick. Finding a job with a flexible work schedule, obtaining childcare, arranging transportation to work and childcare (not covered by MaineCare), and paying the cost of childcare (also not covered by MaineCare) are often impossible for Mainers on MaineCare. Please reject Maine's 1115 Medicaid Waiver.

Stephen Koscherak, Ph.D.
Clinical Psychologist
Bar Harbor, Maine
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