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Questionnaire NameAlabama Medicaid Workforce Initiative
DescriptionAlabama requests a new 5-year section 1115 demonstration which seeks to require community engagement as a condition of continued Medicaid eligibility for able-bodied parent or caretaker relative beneficiaries to improve beneficiary health outcomes and economic stability. Beneficiaries will be required to participate in 35 hours a week of community engagement activities unless the beneficiary is a parent or caretaker relative with a child under 6 years of age, lowering the requirement to 20 hours per week. Failure to comply with the requirements will result in termination of Medicaid benefits. The state is proposing a number of exemptions and exceptions. The federal public comment period will be open from September 21, 2018 through October 21, 2018.
Response FromID: #377913 on Sep 21st 2018 6:06 pm
Alabama Medicaid Workforce Initiative

Alabama Medicaid Workforce 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 – 9/21/18 – 10/21/18

Please provide your comments here and/or attach below:

If one has been proven to be able to receive Medicaid, and continues to be able to have it -- then why would the Government take it away if the person who has the Medicaid is taking care of a relative, i.e., their Grandmother/Grandfather, Mother/Father, Aunt/Uncle, etc. My son takes care of me 24-7, and I honestly can tell you that if it were not for him being here 24 hours a day, seven days a week -- I would have already been dead! Unfortunately my son is ill as well and he is trying very hard to get his Disability. The other downside is that because he is a man (with no children), he has of this date and time not been successful in getting even Medicaid, much less his Disability. The Government (whether it be Federal or State) needs to revisit this law of requirement for Medicaid. I am retired and my bring home pay from Social Security and Office of Personnel Management is $2,659.82 and my monthly outgoing payments are for a Condo, HOA Fees, one (1) car payment, insurance for the car, the Electric Bill, two (2) credit card bills, a storage unit bill, Spectrum Cable Bill (for TV's and Computer), insurance on my son's Service Animal, Medications for myself, my son, my son's Service Animal, gasoline for the Car, upkeep on the car, any maintenance issues with the Condo unit, Groceries, Dental issues, clothing, shoes, and all the other things each of us (including the Federal Group who is trying to change this Alabama Medicaid Workforce Initiative) need on a daily basis. I sincerely doubt that any of you could provide all of that sustained on a monthly income such of mine. We do not go out to eat, neither of us drink, neither of us smoke, and yet we continually run out of money long before the pay period ends. I just do not understand why my son cannot get Medicaid at least due to the fact that he does have to help me because of my many health problems 24 hours a day, 7 days a week, and 12 months out of the year. He rarely has any free time -- except to walk his Service Animal 4 or 5 times a day. We do not have a garbage disposal, a dishwasher, or a washer/dryer either. It just seems so unfair because when my son takes care of me and has to go to a laundromat to do our laundry, then he has to find someone in this Condo building to stay with me while he is gone. The same thing also is true when he goes grocery shopping. I was fortunate to retain my Federal Blue/Cross and Blue Shield Health Insurance. I also elected to get both Medicare A/B.
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