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Excerpt: "The Waiver application directly undermines the guarantee of coverage for those most vulnerable in Tennessee by proposing that the state be allowed to “[m]odify enrollment process, service delivery system, and comparable program elements without seeking additional CMS approvals via State Plan Amendments or demonstration amendments.” The state suggests it will improve administrative efficiency in its Medicaid program if left unconstrained by “overly prescriptive and unnecessary federal regulations.” At the same time, the state asks CMS to believe that, even though it will no longer be bound by federal regulations and enrollee protections, the proposal includes “[n]o reductions in who is eligible for” Medicaid in Tennessee. In our decades of experience as advocates, it is these “overly prescriptive” federal regulations that ensure our clients maintain their eligibility." Comments are closed.
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