Action | Health Insurance Premium Payment (HIPP) Cost Effectiveness Methodology |
Stage | Emergency/NOIRA |
Comment Period | Ended on 11/25/2009 |
Neither Town Hall Form TH-13 Substance nor the recent 12VAC30-20-211 are consistent with the purpose of 12VA30-20 which states, “The purpose of this regulatory change is to amend current Medicaid regulations to remove the requirement for enrollment in an employer-based group health plan, if such plan is available to the individual and is cost effective, as a condition of Medicaid eligibility…” Under the Substance section of 12VAC30-20 it is clear the primary objective is to: 1) Eliminate the requirement that Medicaid families "must" apply for HIPP and make it "voluntary" and 2) the regulation change attempts to capture/cover the 20% of disabled adults that live independently, but can still fall under the health insurance of the parent/family.