INDIANAPOLIS (AP) — The federal government has delayed
action on Indiana's proposal to expand Medicaid because the state hasn't
yet held public hearings on the proposals, according to a letter posted
Wednesday on a state website.
Pence submitted the waiver request to the Centers for Medicare and
Medicaid Services last month without holding the public hearings required
by law. Federal regulators kicked the waiver back to the state in the Feb.
25 letter from CMS that was posted on Indiana's Affordable Care Act
completing a preliminary review of your extension request, we have
determined that the state's extension request has not met the requirements
for a complete extension request," wrote Diane Gerrits, director of the
CMS' division of state demonstrations and waivers.
The state has
scheduled a pair of public hearings next week on its plan to expand
Medicaid using the state-run Healthy Indiana Plan, which already covers
40,000 low-income residents.
spokeswoman Christy Denault said the administration always knew they had
to hold public hearings but was trying to get an approval as soon as
possible because of a June deadline.
thinking: Get it to them, (then) post for public comment and get the
process moving along," she said. She noted the state filed its waiver on
Feb. 13, posted notice of the public hearings on Feb. 20 then received the
CMS reply Feb. 25.
CMS to allow Indiana to expand Medicaid using the plan. He has argued that
traditional Medicaid is "broken" and fraught with "waste, corruption and
If the state
does not win federal approval by June, it will have to dismantle HIP.