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MHPA
MHPA on Wednesday sent a letter to Congressional leadership outlining 10 Medicaid priorities for consideration in any future federal COVID-19 legislation. The priorities included in this letter aim to support state Medicaid agencies, which will be under significant stress due to this public health crisis, and also includes policies intended to protect beneficiaries who rely on the Medicaid program for high quality coverage and care.
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Axios
Medicaid will be a lifeline for droves of Americans affected by the coronavirus pandemic. Medicaid has long been the safety net that catches people during hard times, but a crisis of this magnitude will call upon the program — and strain states' budgets — like never before. Millions of people have already filed for unemployment amid the coronavirus-induced economic shutdown, and many of them will end up on Medicaid.
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Becker's Hospital CFO Report
An option that allows states to cap annual Medicaid funding in exchange for more flexibility would be particularly harmful during a pandemic like COVID-19, according to an analysis from the left-leaning think tank Urban Institute.
In early 2020, CMS launched a program called the Healthy Adult Opportunity that effectively rebrands the government's block grant approach. Under the program, states can submit a waiver to use an annual budget neutrality limit for the Medicaid program, but only for able-bodied adult members under age 65. The budget can be calculated in aggregate or on a per-capita basis.
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During these times of uncertainty, we are thinking about our most vulnerable populations. We want our members to have peace of mind knowing we are here for them, especially right now.
Our priority is to help our members get the benefits they need and deserve for their overall health and well-being.
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Milwaukee Journal Sentinel via MSN
Wisconsin health officials are warning lawmakers about a dramatic increase in enrollment in the state's Medicaid program as the coronavirus outbreak pushes more people into financial distress. Wisconsin Department of Health Services Secretary Andrea Palm told members of the Legislature's finance committee Tuesday that lawmakers will need to act to handle the expected surge of services needed from the state's program that serves more than 1 million people.
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CAQH
Improper Medicaid payments, such as for ineligible patients or for services not provided, were
estimated to be $36.2 billion in fiscal 2018, accounting for 9.8% of Medicaid spending. There is growing pressure on MCO payers to prevent inaccurate payments before they happen to avoid loss of federal funds.
Learn How
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WPMT-TV
Pennsylvania Gov. Tom Wolf announced on Tuesday that the Department of Human Services (DHS) has directed the state's Medicaid Managed Care Organizations (MCOs) to let Medicaid recipients obtain early refills of all prescriptions at their pharmacy point-of-sale, according to a release.
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An MCO saw rapid results after launching mPulse Mobile Redetermination and Health Risk Screenings Solutions. Results include a 3x increase in completion rate for Health Risk Screenings and a 20+ percentage point increase in redetermination rates. Read more about the study and outcomes here.
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Willamette Week
Amid the growing COVID-19 pandemic, the Oregon Health Authority announced some good news today: It has obtained federal authority to expand enrollment in the Oregon Health Plan, which provides Medicaid services to Oregonians with low incomes.
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New Castle News
Pennsylvania has received approval from the federal Centers for Medicare & Medicaid Services to temporarily grant flexibility of requirements for providers of Medicaid and Children’s Health Insurance Program (CHIP).
The move will ensure availability and access to health care and public assistance programs for people who need them in light of COVID-19 mitigation efforts.
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Fauquier Times
Virginia's Medicaid program has published a flyer outlining the steps it is taking to help fight COVID-19. In addition, Virginia Medicaid is offering no co-pays for any Medicaid or FAMIS covered services; no pre-approvals needed and automatic approval extensions for many critical medical services; outreach to higher risk and older members to review critical needs; 90-day supply of many routine prescriptions; ensuring members do not inadvertently lose coverage due to lapses in paperwork or a change in circumstances, and encouraging the use of telehealth.
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Your members’ privacy and security are top priorities. That’s why GA Foods now has HITRUST CSF® Certification for our ERP, Portal, Tablets, and Tablets API.
National health plans trust GA Foods to provide delicious nutrition to their members.
We can help you with your 2021 benefit design! 844.688.8005.
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Focus Daily News
Texas Gov. Greg Abbott today announced that the Center for Medicaid and Medicare (CMS) has approved the Section 1135 Medicaid Waiver submitted by the Texas Health and Human Services Commission (HHSC) on March 25. This approval grants Texas flexibility in administering Medicaid while the state continues to respond to COVID-19.
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Gainesville Daily Register
Texas Health and Human Services announced this week that SNAP and Medicaid benefit renewals currently due will automatically be renewed so existing clients can keep coverage during the COVID-19 public health crisis.
Texas received federal approval to automatically extend benefits for recipients who were up for renewal, according to a press release from HHS. Renewing the SNAP and Medicaid applications automatically means that those who were up for a renewal do not have to call or complete their renewal to receive continuous coverage.
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