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Questionnaire NameRhode Island Comprehensive Demonstration - 2018 Extension
DescriptionOn July 11, 2018, Rhode Island requested a five-year extension of its Comprehensive Section 1115 Demonstration requesting additional authorities that will allow the state to continue to improve its Medicaid program. The demonstration will build on the development of the Health System Transformation Project and will seek opportunities to implement reforms that will focus on paying for value and coordinating physical, behavioral, and long-term healthcare; with the goal of making Medicaid more effective, efficient, and sustainable in the future. The federal public comment period will be open from July 18, 2018 through August 17, 2018.
Response FromID: #352593 on Aug 16th 2018 11:17 am
Rhode Island Comprehensive Demonstration - 2018 Extension

Rhode Island Comprehensive Demonstration - 2018 Extension

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 – 7/18/18 – 8/17/18

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First, this public comment is not in any way meant to show any disrespect whatsoever to the very wonderful and gifted people who have worked so hard and so sincerely on this Rhode Island Medicaid Section 1115 extension request and who (like the Medicaid patients they intend to help) are all created by God in His image and deserve the kind of lifesaving critical information included in this public comment so they can truly be equipped to properly achieve CMS Quality Strategy Goal 1 and even to properly achieve the medical moral imperative which is, of course, to first do no harm in the delivery of care. For indeed, this Rhode Island Section 1115 extension will not properly achieve Rhode Island’s goal of making Medicaid more effective, efficient, and sustainable and, likewise, will not properly achieve CMS Quality Strategy Goal 1 (nor properly achieve the other five CMS Quality Strategy Goals as well as CMS vision and mission and values), because the very psychiatric standards of care for which Rhode Island is planning on “paying for value” and coordinating with physical and long-term healthcare under this Section 1115 extension, are proven by the best evidence-based research to be simply bad science and bad medicine including to be deceptively causing significant amounts of iatrogenic human morbidity and mortality as well as disability. A proper epidemiological understanding of psychiatric iatrogenesis from even just the ten best-in-class expert witness references and my ethics teaching in my recent 5/2/18 letter to the editor of the British Medical Journal as well as my attached more specific critique of this Section 1115 extension with Adobe PDF File Name "Dr. Thomas Steven Roth’s RI 1115 ER Comments," will scientifically prove my above comments. This letter to the editor of the British Medical Journal is available for free at the following URL address:

Thomas Steven Roth, MBA, MD
Christian Minister for Biblical Medical Ethics,
and therefore,
Religious and Scientific Refugee from the Clinical Practice of Psychiatric Standards of Care
P.O. Box 24211
Louisville, KY 40224
August 16, 2018
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