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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: #388617 on Dec 14th 2018 1:42 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:

This comment is directed toward certain aspects of Virginia’s Medicaid waiver application. In states with requirements like the ones in this proposal, the results were that nearly half of the new adults enrolled in Medicaid expansion ended up losing coverage. Virginia needs a program that has a better success rate than that. Removing some of the proposed restrictions would help to improve access.
Virginians with Medicaid coverage who can work are working. However, if a work requirement is implemented, the state would subject these people to more paperwork, more hurdles, and more loopholes to prove they are working and meeting the new proposed rules. The state can support work without adding more administrative burden. I appreciate the time you have taken to read my comments. I hope they result in improvements to the program.
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