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Public Comments Public Comments MT - Montana Montana Health and Economic Livelihood P...

Montana Health and Economic Livelihood Partnership Program

  • Montana Health and Economic Livelihood Partnership (HELP) Program - Extension Request (modified: 3 months ago)
    On August 30, 2019, the State of Montana submitted an extension and amendment request to the Centers for Medicare & Medicaid Services (CMS) for the "Montana HELP (Health and Economic Livelihood Partnership) Program" section 1115 demonstration. The extension proposes two amendments and also requests authority to extend 12-month continuous eligibility as authorized under the current demonstration. The state proposes an amendment to allow the state to establish work/community engagement requirements for non-exempt expansion adults as a condition for Medicaid coverage. The amendment also proposes to revise the premium structure to include gradual increases to monthly premiums based on the length of time an individual is enrolled in coverage under the demonstration. The 30-day federal public comment period will be open from September 12, 2019 through October 12, 2019.
  • Montana Health and Economic Livelihood Partnership Program (modified: 4 years ago)
    On April 29, 2015, Montana Governor Steve Bullock signed into law an act establishing the Montana Health and Economic Livelihood Partnership Program to expand access to health coverage for over 70,000 new adults with incomes up to 133 percent of the Federal Poverty Level (FPL). On September 15, 2015, the state submitted an application to CMS for a new section 1115 demonstration to implement the HELP Program. Through the demonstration, the state requests to contract with a third party administrator (TPA), and to require premiums and copayments of the new adults enrolled in Medicaid through the TPA. The federal comment period will be open from September 16, 2015 through October 15, 2015.
  • Montana Health and Economic Livelihood Partnership Program - Amendment (modified: 2 years ago)
    On September 2, 2017, Montana submitted an amendment to the HELP section 1115 demonstration. The state requests to change the following: (1) Remove references to the TPA in the section 1115 demonstration STCs since the state will not renew the 1915(b)(4) TPA contract, and (2) remove the current copay structure that allowed beneficiaries to credit premiums toward cost sharing. Beneficiaries will be subject to premiums up to 2 percent of household income, and copayments up to 3 percent of household income, per quarter. The federal public comment period will be open from September 15, 2017 through October 15, 2017.