Tennessee is now the fourth state to introduce a work requirement proposal for Medicaid enrollees, joined by Alabama, Michigan, and Virginia who also posted their proposals this month.
The waiver would require enrollees to seek or maintain work in order to keep Medicaid benefits. The state’s requirements will specifically focus on parents and caretakers enrolled in TennCare (Tennessee’s Medicaid program).
On Monday, September 24, the Commissioner of the Tennessee Department of Finance & Administration provided official notification of intent to file an amendment to the TennCare II Demonstration with the Centers for Medicare & Medicaid Services (CMS). The notice of intent, states that the waivers core goal is to improve the health outcomes of the state’s Medicaid enrollees.
It read, in part, “a growing body of evidence points to a link between productive work or meaningful community engagement and improved health outcomes.”
The state will also seek federal approval to use funds from the state’s Temporary Assistance for Needy Families (TANF) program to fund any costs associated with the work and community engagement initiative.
The affected population will be required to clock-in an average of 20 hours weekly and failure to comply will result in suspension of benefits until compliance with the program is recognized. The requirements must be met by eligible adults for four months out of every six month period to keep coverage.
The amendment however, will not have any impact on existing package benefits or cost sharing. The state hypothesizes the work requirements will–if implemented–increase community engagement.
TennCare is seeking feedback on its work requirement proposal prior to its submission to CMS. Members of the public are invited to offer comments regarding Amendment 38 from September 24, 2018, through October 26, 2018.
Comments may be sent by email to firstname.lastname@example.org
Check out Modern Healthcare’s article for more information.
Visit TennCare’s page for the full notice of intent.
To access a draft of Amendment 38, click here.