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KPCW-FM
After the Trump Administration denied a request in July by Utah legislators to fund partial Medicaid expansion, the state health department is submitting a request to approve the so-called "fallback plan" outlined by Senate Bill 96, this year's Medicaid legislation that repealed the voter-approved Proposition 3. The fallback plan would expand Medicaid to recipients making up to 138% of the federal poverty level — like what's outlined in the Affordable Care Act and Proposition 3 — but includes other provisions, such as work requirements, enrollment caps and an additional monthly premium for recipients over 100% of the federal poverty line.
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WSFA-TV
The Alabama Medicaid Agency has a new system to manage the care of most Medicaid recipients across the state that began Oct. 1. Medicaid leaders said this will result in patients receiving better care.
The Medicaid Agency's Alabama Coordinated Health Network program will manage the care. Alabama Medicaid Agency Deputy Commissioner Dr. Robert Moon said they new program will target specifically obesity, infant mortality and substance use disorder in Alabama.
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WILX-TV
Michigan is about to receive millions of dollars in a settlement.
The Attorney General's office is reporting that nearly $2.6 million is coming to the state as part of a multi-million dollar settlement agreement between Michigan and 32 other states with Suboxone Drug Manufacturer.
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Times Union
Rensselaer County, New York, has teamed up with an Albany health insurer and local telemedicine company to provide virtual emergency medical care to its Medicaid population.
Nearly 15,000 residents around the county who receive Medicaid coverage through CDPHP will now have access to a virtual ER service offered by United Concierge Medicine, a Troy company that does business nationwide.
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- PMPM Increase Per Conversion
- Millions In New Revenue, Risk Free
- Tax-Free Monthly Income for Members
- Directly Impacts SDoH
- Healthier Members, Healthier Bottom Line
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The National Law Review
The California Department of Health Care Services recently revised its Medi-Cal telehealth policy to allow providers increased flexibility in their use of telehealth as a modality for delivering medically necessary services to their patients. The policy is retroactively effective as of July 1, 2019, and fee-for-service providers must submit claims for services provided via telehealth according to the new policy.
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Portland Press-Herald
Maine Gov. Janet Mills announced a new statewide campaign to promote health insurance options both through MaineCare, which her administration expanded her first day in office, and the federal exchange created by the Affordable Care Act. The CoverME campaign will feature digital and television ads and a website, CoverME.gov, that has resources for consumers and small businesses.
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Olean Times Herald
The New York State Department of Health wants to cut the administrative costs it pays for the program's fiscal intermediaries, who pay the personal assistants. Advocates fear those cuts, worth $150 million in a combination of state and federal funds, could sink the program.
The program serves about 90,000 people, according to the state, and pays for about 135,000 personal assistants, according to the Consumer Directed Personal Assistance Association of New York State.
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Citizen Tribune
Tennessee Gov. Bill Lee said last week he is optimistic a waiver for a Medicaid block grant would be given, making Tennessee the first state in the nation to receive such a grant.
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The Daily Reflector
Most of the people who receive Medicaid benefits will get them delivered in a new way starting in February, according to officials.
Medicaid provides health coverage to people with low incomes and is one of the largest payers for health care in the United States, according to medicare.gov.
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A commercial Medicaid plan in Nevada leveraged MCG solutions in its community health program and reduced ER visits by 20% and hospital readmissions by 30%. Click here to learn more about how MCG can support improved member outcomes and cost control.
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Becker's Hospital Review
The Alaska State Hospital and Nursing Home Association has reached a Medicaid payment settlement with the state, the association announced.
The association claimed the state unlawfully cut Medicaid payments by 5% to certain physicians and hospitals under an emergency declaration, according to KTVA-TV.
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Idaho County Free Press
The public comment period is open on Idaho's application to the federal government to add work reporting requirements to its expanded Medicaid program.
State lawmakers passed a bill this year requiring that recipients age 19-59 work at least 20 hours a week to maintain Medicaid eligibility. But the waiver must first be approved by the Center for Medicare and Medicaid Services.
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