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MHPA
MHPA sent a letter to the Center for Medicaid and CHIP Services (CMCS) requesting CMS issue guidance to help protect the continued viability of state-Medicaid managed care partnerships and the long-term sustainability of the Medicaid program. This letter addresses current state activity related to rate setting and risk corridors and stresses that states must adhere to actuarial soundness and transparency protections as they seek to reduce Medicaid spending. Read the letter here.
MHPA
MHPA joined with more than 100 organizations in sending a letter to Congressional leadership advocating on behalf of states, territories, counties, cities, and towns in support of an additional FMAP increase in the next COVID relief bill. The letter also calls for rescinding the Medicaid Fiscal Accountability Regulation (MFAR). Read the letter here.
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Omaha World-Herald
Others have waited more than six years for Nebraska to join the majority of states in expanding Medicaid as allowed under the Affordable Care Act. That includes nearly 21 months waiting for state officials to implement the expansion law passed by voters in November 2018.
Now the wait is nearly over.
Low-income adults who have been previously shut out of Nebraska Medicaid can start applying for coverage on Aug. 1. They will be able to start getting care two months later, on Oct. 1.
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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 Columbus Dispatch
Schools and colleges and universities across Ohio are gaining access to $300 million in federal coronavirus relief funds following a vote by the Ohio Controlling Board on Monday afternoon. The money comes from the $4.5 billion Ohio received from the CARES Act, a federal law that helps states, counties and cities cover COVID-19-related costs.
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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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Nevada Current
Years of efforts to build up Nevada's lackluster healthcare are being readied for a systematic dismantling, necessitated by an unprecedented budget shortfall caused by the coronavirus pandemic.
The Nevada Legislature convened the state's 31st Special Session on Wednesday to address an estimated $1.2 billion shortfall for Fiscal Year 2021, which began July 1. That shortfall represents a quarter of the general fund appropriations.
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GA Foods can provide nutritious home-delivered meals to your members when they return home from the hospital. Access to healthy food can help in your members’ recovery, reduce costs, and increase member satisfaction.
Click here for tips on how to a choose home-delivered meals provider, or call to learn more!
844.688.8005.
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Missourinet
Bipartisan legislation that aims to modernize Missouri's foster care system and provides Medicaid coverage to homeless children was signed into law Monday by the governor in Jefferson City. State Rep. Sheila Solon, R-St. Joseph, who chairs the House Children and Families Committee, says it's one of the most important bills she's passed in her eight years in Jefferson City. She's leaving the House in December, due to term limits.
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University of Michigan
The most vulnerable residents of the nation's 10th-most populous state say their health improved significantly after they enrolled in Michigan's expanded Medicaid program, a new University of Michigan study finds.
Michiganders with extremely low incomes, those who live with multiple chronic health problems and those who are Black got the biggest health boosts year over year among all those enrolled in the safety-net health coverage program, the study shows.
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The Morning Sun
The Kansas Department of Health and Environment (KDHE) announced Friday afternoon that it had named a new Medicaid director for the state, Sarah Fertig. In addition to serving as Medicaid inspector general, Fertig has served as an assistant attorney general from 2011 to 2018 and inspector general of the Kansas Juvenile Justice Authority from 2007 to 2011. She received her Juris Doctorate from the University of Kansas School of Law.
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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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WFOR-TV
In an attempt to increase hospital capacity, Medicaid officials have agreed to waive regulations that require hospitals to obtain prior authorization before transferring patients into long-term care facilities.
The Agency for Health Care Administration sent an alert Monday announcing that it was "waiving service authorization requirements" hospitals were required to obtain prior to transferring patients out of their facilities. The change was made to "facilitate prompt hospital discharges and to ensure adequate inpatient hospital capacity in response to COVID-19," according to the announcement.
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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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Wisconsin State Journal
Wisconsin can't recoup Medicaid payments from nurses because of paperwork errors if the care provided by the nurses can be verified, according to the state Supreme Court. In a unanimous ruling last week, the court said the state Department of Health Services improperly sought to recoup payments from independent private-duty nurses after audits found their records were not "perfect."
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