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Response Details

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: #310421 on Aug 23rd 2017 11:36 am


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

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I am not on Medicaid, but many of those who are lack access to a computer or would not feel comfortable about writing a comment on this proposal or do not even know of the possibility. So I am here to speak for them. I live in Maine, in a rural area with a high rate of poverty, very few jobs, and of course no public transportation. I know that many people around me are on Medicaid because when I am in medical offices, I often hear the conversations about billing and insurance when other patients are at the desk. I am extremely concerned about these proposed changes because it's clear that the impact would be that many, many of my fellow citizens and fellow Mainers would lose their insurance. I am especially concerned about those who have children and especially those with disabled children who need more parental time and attention. Childcare is not free, and this new plan would force many parents to leave their children at home alone (with all the attendant risks of physical danger like leaving stoves on, etc., but also higher possibility of drug use and delinquent activity from lack of adult supervision) or lose their insurance. Those are cruel and inhumane choices to give our fellow human beings. For parents with children with disabilities, the risks would be even higher because finding childcare would be that much more difficult. Also, I know from teaching at a local university that many people around here do not have reliable transportation. People living on a very tight budget typically have old cars, which break down frequently, and they do not always have the money to have them repaired. Due to the general lack of jobs around here and the need to travel to get to any that exist, compliance with these new requirements would be impossible for many people -- even many people who ARE hard working (I know that stereotype out there that the poor are all lazy) and DO want to work and don't have children. These new rules would be cruel and would worsen the health and economic issues in Maine, which are bad enough as it is. For the longer term, failure to address the health care needs of our population, especially those of children, will cost the state more money, both in direct costs and in loss of potential and productivity in our work force down the road. Please do not proceed with these proposed changes.
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