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Questionnaire NameMississippi Medicaid Workforce Training Initiative
DescriptionMississippi requests a new five-year section 1115 demonstration to implement workforce training requirements for Medicaid-eligible non-disabled adults, including low-income parents and caretakers and individuals eligible for transitional medical assistance. Mississippi's stated goal for this demonstration is to provide Medicaid members with tools to improve certain areas of their lives that have a direct impact on their health status. The federal comment period will be open from January 23, 2018 through February 22, 2018.
Response FromID: #315125 on Feb 6th 2018 11:52 am
Mississippi Medicaid Workforce Training Initiative

Mississippi Medicaid Workforce Training Initiative

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 – 1/23/18 – 2/22/18

Please provide your comments here and/or attach below:

MISSISSIPPI HUMAN SERVICES AGENDA
736 N. Congress, Jackson, MS 39202
(601-355-7495)

COMMENTS ON MISSISSIPPI'S 1115 Waiver Request

The Mississippi Division of Medicaid has submitted a request called the "Workforce Training Initiative" that essentially requires every able- bodied adult to work (or be in another approved activity) for 20 hours per week in order to maintain their Medicaid eligibility. As a long-time community advocate and policy analyst, I see the major result of this waiver will be a significant reduction in the number of people who continue to be eligible for Medicaid.
There are many currently eligible Medicaid recipients . They will be saddled with new reporting requirements that will endanger their continued eligibility. For example: Many work in restaurants. In January, Jackson , MS had a breakdown of its water systems and almost all restaurants closed for several days. Had the work requirement been in place at that time, many recipients would have been unable to complete their work requirements, and would have lost their eligibility on the first day of the next month (as stated in the Waiver Application). There are other reasons that other people who regularly work 20 hours per week may on occasion fail to meet that goal (e.g., They may have to take a sick day; their child may get sick; their child's school may call for them to come in; etc.) The Waiver request does not have any provisions or allowances for such personal problems.Therefore, recipients would lose eligibility for reasons beyond their control.
I would lift up the 23,000 women who are on an existing waiver, whose only benefit is Family Planning. These women have a higher income eligibility level and are most likely working at least 20 hours per week now. Under the waiver, they will face new reporting requirements that will burden them and may cause them to lose eligibility. It would be tragic if they lost their Family Planning services and then became pregnant which would make both them and their new baby Medicaid eligible
The remainder of those impacted by this Waiver would be primarily caretaker relatives whose income is far below the federal poverty level (and also below the income that a 20 hour work wage brings in for a month This would not fulfill the purpose of the waiver to move people off of Medicaid and onto private insurance. Rims Barber
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