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Questionnaire NameHealthy Michigan - Amendment Request
DescriptionMichigan proposes to amend its demonstration, "Healthy Michigan Plan." The state is requesting that in order for beneficiaries with income between 100 percent and 133 percent of the federal poverty level (FPL) to maintain eligibility after 48 months of cumulative enrollment, they must engage in annual healthy behaviors and non-exempt beneficiaries must pay a monthly 5 percent of income premium as a condition of continued Medicaid eligibility. The state is also requesting the authority to require beneficiaries to participate in community engagement requirements as a condition of continued Medicaid eligibility. Michigan is no longer seeking to implement the "Marketplace Option" and is no longer seeking continuation of the corresponding authorities. The federal comment period will be open from September 26, 2018 through October 26, 2018.
Response FromID: #383897 on Oct 10th 2018 8:55 am
Healthy Michigan - Amendment Request

Healthy Michigan - Amendment Request

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 – 9/26/18 – 10/26/18

Please provide your comments here and/or attach below:

Thank you for providing the opportunity to comment on this possible waiver. I work for community action in Lincoln NE.
• Taking Medicaid health insurance away from otherwise eligible Michigan residents will not promote Medicaid’s objectives under any analysis. Michigan asserts that it will make all efforts to ensure that enrollment is not negatively affected by the proposed programs. However, a hallmark of the requested work, healthy behavior and premium requirements is disenrollment of individuals who do not meet those requirements. Given that, it is difficult to imagine that the programs will not result in substantial disenrollment.
o Lost coverage is both inconsistent with Medicaid’s objectives and will have a negative impact on health. By cutting people off coverage and increasing the uninsured in the state, the program is the opposite of “furnishing medical assistance.” It will deepen individuals’ poverty, increase financial strain, worsen health outcomes and ultimately make it harder for people to stay health so that they can work.
• Cutting people off health coverage because they don’t meet certain “healthy behaviors” will not make them healthier—it will make it more difficult for them to access medical care and maintain their health. The objective of Medicaid is to furnish medical assistance, not take medical assistance away from enrollees who are not healthy enough. The program designed is intrusive, and designed to be progressively so. It is government micro-management of the lives of Medicaid enrollees, masquerading as a health improvement program. That is not consistent with Medicaid’s objectives.
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