Nebraska& #39;s 1115 work requirement waiver getting approved today. Press event with Seema Verma about to happen. Second approval in two weeks, to advance work requirements during a global pandemic and economic recession. We are in silly season... http://netnebraska.org/interactive-multimedia/government/executive-governors-news-conference-261">https://netnebraska.org/interacti...
Nebraska took 2 years to implement Medicaid expansion. But had no problem rushing to approve work requirements.
NE waiver includes reporting burdens on the state, providers, and benes:
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✔️" title="Fettes Häkchen" aria-label="Emoji: Fettes Häkchen">Work requirements
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✔️" title="Fettes Häkchen" aria-label="Emoji: Fettes Häkchen">Medical appointments attended
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✔️" title="Fettes Häkchen" aria-label="Emoji: Fettes Häkchen">Primary care provider selection
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✔️" title="Fettes Häkchen" aria-label="Emoji: Fettes Häkchen">Eligibility status
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✔️" title="Fettes Häkchen" aria-label="Emoji: Fettes Häkchen">Prescription drugs filled
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✔️" title="Fettes Häkchen" aria-label="Emoji: Fettes Häkchen">Health risk screening
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✔️" title="Fettes Häkchen" aria-label="Emoji: Fettes Häkchen">Annual health visit
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✔️" title="Fettes Häkchen" aria-label="Emoji: Fettes Häkchen"> Commercial coverage
https://familiesusa.org/resources/nebraskas-reporting-requirements-an-unnecessary-burden-on-patients-and-providers/">https://familiesusa.org/resources...
If you read the details of the waiver application, Nebraska expects 32% of the population not to get the dental/vision "prime" benefit. This is because the work requirement and other reporting burdens are confusing and arduous. Work requirements don& #39;t work. We know this.
This mess of a press conference shows how confusing this waiver is. There are at least 7 distinct items that require the state, provider, and/or beneficiary to consistently report to stay in compliance with the program. It will be expensive, burdensome, and ineffective.