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HealthPayerIntelligence
Workers in states that embraced Medicaid expansion would have a better chance of accessing healthcare coverage assistance if unemployment compensation were not included in the eligibility determinations, a recent Kaiser Family Foundation study found.
The Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, the fourth coronavirus stimulus package, recently passed in the House and is under consideration in the Senate. It proposed extending the additional unemployment compensation through to the end of the year.
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The Associated Press via Modern Healthcare
Five insurance companies were awarded contracts worth nearly $8 billion a year to manage most of Kentucky's Medicaid business, Gov. Andy Beshear announced Friday.
Landing the contracts were Aetna, Humana, Molina Healthcare, UnitedHealthcare and WellCare, Beshear said. About 1.4 million people in Kentucky receive health coverage through Medicaid. Aetna, Humana and WellCare hold existing contracts with the state, he said.
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Honolulu Civil Beat
Officials with Med-QUEST, Hawaii's Medicaid health insurance division, announced Friday they are planning to redo its major health insurance contract awards.
The decision marks a major do-over to state cutbacks on the number of insurance plans allowed to do business with Medicaid patients, especially on neighbor islands.
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• Steady income for members - direct impact on SDoH
• Millions of dollars for your health plan’s bottom-line
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The Associated Press via KTUL-TV
Oklahoma Gov. Kevin Stitt's administration is scrapping a plan to expand Medicaid on July 1, citing a lack of funding.
The state's Medicaid Director Melody Anthony notified the U.S. Department of Health & Human Services in a letter Thursday that the state was withdrawing its proposal.
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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.
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The Kansas City Star
A pair of conservative advocacy groups filed separate lawsuits this week asking a judge to remove a proposed constitutional amendment expanding Medicaid eligibility from the August ballot.
Jeremy Cady, director of Americans for Prosperity-Missouri, announced Tuesday that he filed a lawsuit alleging the Medicaid expansion proposal is unconstitutional because it would require the state to spend money without providing a revenue stream to pay for it.
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844.688.8005.
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WIAT-TV
Alabama is one of 14 states that have not expanded Medicaid. Rep. Terri Sewell said Medicaid expansion is needed in Alabama now more than ever as the coronavirus pandemic enters into its third month.
In a conversation with state health officer Scott Harris, Sewell said expanding could save lives.
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KSL-TV
People who don't have health insurance will now be able to get tested for COVID-19 through Medicaid, Utah health officials announced Monday.
The program, effective Monday, will cover diagnostic testing for the disease, as well as antibody testing and some services related to testing evaluation, such as X-rays, a news release said.
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MLive
Michigan lawmakers are asking for the extension of a waiver that widens a Flint resident's eligibility for health insurance.
Sens. Debbie Stabenow and Gary Peters and Rep. Dan Kildee D-Flint requested the Centers for Medicare and Medicaid Services for a waiver expanding health insurance for Flint residents for another 10 years, according to a May 28 press release.
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CAQH
 Even under the best of circumstances, managing coordination of benefits and third-party liability can be challenging for state Medicaid agencies and MCO plans. In many ways, Medicaid plans face some of the greatest difficulties maintaining compliance with evolving state mandated regulations during a public health crisis. Avoiding pitfalls associated with this process become even more challenging when key players impacting the COB/TPL process are working remotely or unable to access relevant member data. Learn how MCOs are avoiding common pitfalls:
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Journal-Courier
Illinois soon could allow seniors who are not U.S. citizens access to Medicaid.
Tucked in a budget implementation bill that lawmakers passed last week was a provision to open up Medicaid to seniors 65 and older.
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mPulse Mobile has sent over 22 million CV19-related messages and counting across SMS, email, IVR and mobile web. See our full suite of CV19 programs and resources to help you effectively connect your population to services, information, and updates during this crisis. Access the tool kit
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WVLA-TV
Louisiana legislators have voted to form a joint committee of both houses focused solely on Medicaid oversight.
The state's Medicaid program, funded by federal and state tax dollars, makes up close to half of Louisiana's $30-billion-plus state budget. House Concurrent Resolution 6, which the state Senate adopted without objection Thursday, establishes the Joint Medicaid Oversight Committee to monitor the program.
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