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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: #388613 on Dec 14th 2018 1:34 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 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:

The following comments are in regard to the proposed Medicaid waiver application to CMS. Losing health coverage for someone with a chronic illness would be devastating. Being locked out of health care due to failure to reporting work activities or being unable to pay monthly premiums could lead to terrible health outcomes for many Virginians.
A benefit of expanding Medicaid was to make it possible for people to access care and have a relationship with a doctor that allows them to receive treatment for simple health issues before they become more serious and difficult to treat. Adding monthly premiums, removes the opportunity for many people to get this benefit. Given the hard choices families living in poverty have to make, it is likely that premium payments could fall behind. I am thankful that the public was given this important opportunity to comment.
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