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Questionnaire NameVirginia GAP and ARTS Delivery System Transformation - Extension Request
DescriptionVirginia requests an extension to the 1115 demonstration Virginia GAP ARTS Delivery System Transformation, renamed, Virginia COMPASS: Creating Opportunities for Medicaid Participants to Achieve Self-Sufficiency. The application requests to extend the current demonstration as well as implement a community engagement program for eligible adult populations. Beneficiaries will initially be required to work 20 hours per month, increasing to 80 hours per month after one year. Failure to comply with the requirements will result in suspension of Medicaid benefits. The state proposes including a number of exemptions and exceptions. The state will also require eligible beneficiaries with incomes 100 to 138 percent of the federal poverty level to pay monthly premiums. The premium amount will be based on a sliding income scale. Beneficiaries will make monthly premium payments of $5 to $10. The federal comment period will be open from December 7, 2018 through January 6, 2019.
Response FromID: #388569 on Dec 12th 2018 3:53 pm
Virginia GAP and ARTS Delivery System Transformation - Extension Request

Virginia GAP and ARTS Delivery System Transformation - Extension Request

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 – 12/7/18 – 1/6/19

Please provide your comments here and/or attach below:

Please note that I support the following services to be added due to the needs of many Virginia individuals suffering from MH:-Add Supported Employment Services: These are services that are proven to help individuals with serious mental illness get and maintain competitive employment. I support the goal of employment, and recognizes that people with mental illness are disproportionately unemployed. Medicaid reimbursement for these services would ensure more people with serious mental illness could access them.
-Add Housing Support Services: These are new, innovative services designed to assist individuals with complex medical conditions, including those with serious mental illness, to obtain and maintain housing in the community. Many people with serious mental illness cycle in and out of homelessness and institutionalization because they lack safe and stable housing in their communities. Low income, poor health and housing instability are interconnected, and the Housing Support Services proposed in Virginia COMPASS would assist individuals with medical complexities to remain stably housed. These services are greatly needed in Virginia, and are not widely available.
-Create the Training, Education and Employment Opportunity Program: This program comprises the "work requirement" provision of Medicaid expansion. It would require able-bodied, low-income adults, with certain exceptions detailed in the application, to participate work and community engagement in order to maintain Medicaid coverage. The goal of this provision is "to improve Medicaid enrolled adults' health, well-being, and financial stability, and provide those subject to the requirement with assistance in finding and maintaining work and community engagement."
-Create the Health and Wellness Program: This program would require Medicaid enrollees with incomes between 100% and 138% of the federal poverty level (between about $20,700 and $28,000 per year for a family of three) to pay monthly premiums of between $5 and $10 per month, depending on income, and pay co-payments for non-emergency medical services. It would also reward members who regularly pay their premiums and participate in certain healthy behaviors by creating a "health and wellness account." The health and wellness account would be in the form of a limited-use Health Rewards gift card which could be used to pay for non-covered medical or other health related services such as eyeglasses or vitamins
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