Here is what I get this morning on the horrid private option purge, checking in with Human Services in light of reporting by David Ramsey of the Arkansas Times that you can get purged for having your income move 10 percent either way, even down, assuming you don’t meet the 10-day response deadline to object formally and argue differently:
The best way they tell it to me, and the best way I understand and can relate it, is with a made-up example.
If DHS has your income at, say, 100 percent of the federal poverty level, and you’re on the private option that extends to 138 percent of the poverty level, and then if a computerized crosscheck with data at Workforce Services has you at 140 percent of the poverty level, thus ineligible for the private option, then what we have there is a more than 10 percent difference that overlaps the threshold, making you eligible by one piece of data and ineligible by another, and so you get a letter.
If you don’t respond to argue that the 140 percent assertion is wrong, or give notice that you intend to so argue, then, after TWENTY days, meaning the basic 10 plus five allowed for mail delivery both ways and five allowed for the processing cluster at DHS, then, yes, by the end of the month, you’re off.
You could still appeal after that and, under federal law, get 90 days. I think.
Now, the governor’s office and DHS argue that this is nothing new — that annual income verification is required by federal law, that a new state law insisted upon by private-option favoring Republicans required the current “redetermination,” and that 10 days is the longstanding state standard.
What’s new is this mass one-time legislatively required redetermination. It’s one thing to do a deliberate and credible check each year when renewal time arrives for recipients. It’s another to send out tens of thousands of letters at once and purge 35,000 because you didn’t hear back.
I’m all for income verification. I don’t mind one-time “redetermination” if it’s done in an orderly way.
I do mind a hard deadline and jerking of health insurance because two state agencies have different sets of data and a guy didn’t respond because he didn’t get the letter or didn’t understand. Poor people move around. Poor people — like other people — are not universally fluent in bureaucratese.
All other factors aside, we are enduring this mean madness to try to accommodate the right-wing that just doesn’t like poor people or helping them.
Everyone has as much right as anyone else to get elected to the Legislature and get really good and cheap health insurance that way.
UPDATE: Oh, and about getting a verification letter if your income differential is more than 10 percent downward: Human Services spokesman Amy Webb says the computer software will indeed cause a “ping” for any 10 percent difference, even downward, but that you only get a letter if one of your reported incomes exceeds 138 percent of poverty. And if Human Services had someone at 140 percent of poverty, they would have been ineligible already. She says Human Services has not explained that well.