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Public Comments Public Comments VA - Virginia The Virginia Governor's Access Plan (...

The Virginia Governor's Access Plan (GAP) Demonstration

  • The Virginia Governor's Access Plan (GAP) Demonstration (modified: 2 years ago)
    Virginia proposes to amend the Virginia Governor's Access Plan for the Seriously Mentally Ill (GAP) demonstration to reduce the income threshold for eligibility, but serve more lower income individuals in the demonstration, as required by state statute. Currently, eligibility goes to 100 percent of the federal poverty level (FPL). The legislature has allocated additional funding and the state proposes to target eligibility to people with income below 60 percent of the FPL, while increasing the total number of people served by the demonstration. The Federal public comment period will be open from April 14, 2015 through May 14, 2015.
  • VA GAP ARTS June 2017 Amendment (modified: 2 years ago)
    The GAP/ARTS section 1115 demonstration amendment increases the GAP income eligibility threshold criterion and adds additional SUD services to the GAP benefit package. Virginia is submitting this amendment in response to 2015 DMAS data that identified a significant number of individuals with serious mental illness (SMI) with processed substance use treatment claims; which was further supported by 2016 claims data that showed that seven percent of GAP enrollees utilized substance use treatment services, which is an increase of two percent from demonstration year (DY) one to DY two. The proposed effective date for this amendment is October 1, 2017. The federal public comment period will be open from June 2, 2017 through July 2, 2017.
  • Virginia GAP and ARTS Delivery System Transformation - Extension Request (modified: 9 months ago)
    Virginia 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.
  • Virginia Governor's Access Plan (GAP) ARTS/SUD (modified: 2 years ago)
    The Virginia Department of Medical Assistance (DMAS) identified a significant number of Medicaid members with processed Substance Use Disorder (SUD) claims and is requesting an amendment to include the Addiction and Recovery Treatment Services (ARTS) transformation to the VA GAP section 1115 demonstration. The federal public comment period will be open from September 27, 2016 through October 27, 2016.
  • Virginia Governor's Access Plan for the Seriously Mentally Ill (GAP) Demonstration (modified: 4 years ago)
    According to Virginia's application for a new 1115 demonstration, the Virginia Governor's Access Plan for the Seriously Mentally Ill (GAP) Demonstration, will offer a targeted package of benefits for individuals who have a serious mental illness (SMI) and incomes below 100 percent of the federal poverty level. The demonstration aims to enable persons with SMI to access behavioral and primary health care services under a coordinated model to enhance treatment and increase the potential to significantly impact the severity of their symptoms. Through this demonstration, VA will seek to test the hypothesis that coordinating and integrating primary care, specialty care, pharmacy, and behavioral health care for uninsured individuals with SMI, is associated with better health and sustained living for participants who experience improved health outcomes at lower costs to the overall health care system. The federal public comment period will be open from October 22, 2014 - November 21, 2014.