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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: #383445 on Oct 2nd 2018 12:37 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:

• The proposed work requirements would create a “catch-22” that would remove thousands of parents and caretaker relatives from Medicaid coverage whether they comply or not. Alabama has the strictest Medicaid income cap in the nation (18% of the Federal Poverty Level, or $20,780 a year for a family of three). Even if a single mother of two earned only minimum wage ($7.25/hr in Alabama), she would earn too much to qualify for Medicaid by meeting the proposed 20 hours a week requirement. Initial estimates by the Alabama Medicaid Agency stated that at least 17,365 parents or caretaker relatives would be removed from Medicaid over as a result of the proposed changes.
• Alabama has failed to expand Medicaid, so the vast majority of individuals removed from the program won’t have affordable alternatives for health care coverage. Individuals who earn less than the Federal Poverty Level don’t qualify for subsidies to assist the costs of purchasing individual health plans through the ACA. Since many employers do not provide affordable health care coverage for their workers, only 15% of Alabamians living below the poverty line receive health insurance through their work. Ultimately, this means that most of the families removed from Medicaid as a result of the work requirements will have no other coverage options to turn to.
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