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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: #388597 on Dec 13th 2018 2:47 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:

I submit to you the following comment on Virginia’s Medicaid Waiver application, called Virginia COMPASS (Creating Opportunities for Medicaid Participants to Achieve Self-Sufficiency). COMPASS includes the Medicaid “work requirement” attached to Medicaid expansion, and also adds certain NEW Medicaid services to benefit individuals with serious mental health conditions.

I very strongly support the following elements of the COMPASS application:

Supported Employment Services: These services are proven to help individuals with serious mental illness get and maintain competitive employment. People with mental health conditions are disproportionately unemployed. These services are available in some areas of the state but not everywhere they are needed and Medicaid reimbursement would ensure more people could access them.

Housing Support Services: Lack of access to safe and stable and affordable housing in their communities for those with complex medical conditions, including those with serious mental illness, causes a cycle of homelessness, institutionalization and long-term inappropriate incarceration .All of these problems are also quite costly to the state to deal with. Supported housing would save a lot of taxpayer money. Low income, poor health and housing instability are interconnected, and the Housing Support Services proposed in Virginia COMPASS would ensure that people with complex medical conditions remain stably housed. These services are not widely available in Virginia but are greatly needed.

Addiction Recovery Treatment Services. In addition to the services mentioned above, the Virginia COMPASS application also requests the federal government's approval to continue the delivery of essential Addiction Recovery Treatment Services (ARTS) to Medicaid enrollees. ARTS provides a full continuum of treatment needed to address the urgent, costly substance use crisis and reverse the opioid epidemic in Virginia. These are essential services for many individuals experiencing substance addiction, including those with mental health conditions.

Medicaid services for youth transitioning out of foster care could also be continued until age 26 if this application is successful.

I appreciate the opportunity to submit my comments on the COMPASS application. I urge you to approve these provisions of the application.
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