Medicaid Program: Community Engagement Requirement for Certain Individuals

Genesis Treatment Services, LLC, a licensed Opioid Treatment Program, opposes the Interim Final Rule because it creates a disparity by excluding for-profit providers from certain statutory exclusions, potentially reducing access to life-saving treatment. They request that CMS clarify that all federally certified and state-licensed programs qualify for these exclusions regardless of tax status and advocate for clinician-led determinations of medical frailty.

The Maine Cancer Foundation opposes the proposed rule because it creates administrative burdens and potential barriers to healthcare coverage for individuals with cancer and chronic diseases. They argue that states should instead rely on existing medical records and claims data to verify eligibility and ensure continuity of care for patients.

The New Jersey Reentry Corporation (NJRC) supports the proposed Medicaid community engagement requirement but urges CMS to provide specific operational clarifications to protect justice-involved individuals. They advocate for a "partial-month" principle for incarceration, transitional accommodations for the first month post-release, and the inclusion of in-prison education and work programs as qualifying activities.

The commenter argues that the government should simplify the process of obtaining benefits and provide clearer navigation tools, such as charts and navigators. They express skepticism about the underlying purpose of the regulation and call for easier access for those in need.

An individual expresses concern that the proposed community engagement requirements may create barriers for people with disabilities and chronic health conditions. They argue that the rule could force individuals to identify as "unable to work" to maintain coverage and that increased administrative burdens may lead to the loss of essential healthcare services.

An individual expresses concern that the proposed community engagement requirements may create barriers for people with disabilities and chronic health conditions. They argue that the rule could force individuals to identify as "unable to work" to maintain coverage and that increased administrative burdens may lead to the loss of essential healthcare services.

An individual expresses concern that the Medicaid Community Engagement Requirement will create administrative barriers that cause vulnerable people, particularly those with chronic illnesses like HIV, to lose essential healthcare coverage. They urge CMS to include specific exemptions for chronic conditions and to simplify reporting processes to ensure that paperwork challenges do not result in a loss of life-saving medical services.

The commenter opposes the proposed rule, arguing that it creates administrative barriers and documentation requirements that will cause people experiencing homelessness to lose Medicaid coverage. They advocate for greater state flexibility, expanded medical history lookback periods, and reduced administrative burdens on healthcare providers.

The commenter opposes the interim final rule regarding Medicaid community engagement requirements, arguing that it will strip health coverage from millions of working families and create administrative burdens for state and local governments. They urge CMS to withdraw the rule to protect healthcare access for eligible Americans.

An individual commenter opposes the proposed Medicaid community engagement requirement, arguing that it constitutes unconstitutional forced labor and violates First and Fourteenth Amendment rights. The commenter requests that CMS withdraw the requirement and instead focus on voluntary, supportive programs.