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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: #396897 on Jan 6th 2019 4:52 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:

I am writing with regard to Virginia’s 1115 waiver application and my opposition to certain components of it. The Medicaid population faces multiple challenges. They can face language barriers, disabilities, mental illness, insecure work, and homelessness. All these issues create difficulties when asked to comply with complicated government programs. The result of this can be that access is not improved at all.
If people are kept out of the Medicaid program because of the work requirement, that does not mean they will not need medical services. In fact, denying them care probably means that it will cost more to provide that care because it will probably be at an emergency room. Please take the public’s comments into consideration.
Work requirements won't help people with chronic conditions like diabetes or substance abuse get the treatment and medications they need to go back to work. And they won't help caregivers or people with disabilities take care of themselves and their families.
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