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Virginia GAP and ARTS Delivery System Transformation - Extension Request

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.

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