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Institute for Medicaid Innovation
The Institute for Medicaid Innovation (IMI), the nonprofit Medicaid research group, tackles the issue of maternal depression and anxiety with a new report that describes the scope of the problem, what plans are already doing to combat it, and what stands in the way of further progress. Produced with support from the California Health Care Foundation, it also offers tools that plans can use as a guideline to craft their own prevention and treatment programs.
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St. Louis Post-Dispatch
Until recently, mental health screenings were not standard for pregnant women and new mothers even though at least 20 percent will experience depression or anxiety that can be exacerbated by hormonal surges, lack of sleep and the demands of an infant.
The screenings can be lifesaving — as many as one in five deaths of women in the postpartum period is caused by suicide.
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Modern Healthcare (Subscription required)
A series of federal moves to cut rates of illegal and legal immigration could cause American children of undocumented parents to exit Medicaid, policy insiders say.
"I'm seeing more people being hesitant to sign up for benefits or to renew them," said Gerard Vitti, founder and CEO of Healthcare Financial, a company that connects low-income individuals to Medicaid. "They're being driven underground."
Measles, mumps, polio and other illnesses could skyrocket if kids forgo Medicaid coverage because they won't get vaccinated, according to Francis Rienzo, interim CEO of Medicaid Health Plans of America. "That's a public health concern for not just these kids, but others as well."
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Project Transition
Learn how one provider is challenging the status-quo in behavioral healthcare and advocating for society’s most vulnerable members to discover their life worth living by providing a recovery experience like no other. Individuals with serious mental illness (including dual diagnosis) are empowered and able to realize a life in the community, on terms they define with the right treatment and services. In Philadelphia, PA and Nashville, TN, a unique extended behavioral support program has been proven to reduce cost and increase positive outcomes, by combining apartment-style community living with intensive, daily, evidence-based programming. This setting helps minimize stigma and create normalized social expectations and consequences.
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The Associated Press
About 400,000 newly eligible low-income Virginia adults can start enrolling in Medicaid, a major achievement for the state's Democratic governor.
Medicaid expansion enrollment starts Thursday in Virginia for coverage that will start at the beginning of 2019.
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The Hill
Nearly 2.5 million people could gain access to Medicaid coverage if Democrats win gubernatorial elections in six states next Tuesday and expand the program to cover more low-income adults, according to a new analysis released Tuesday.
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Politico
Georgia's neck-and-neck governor's race is one of at least half a dozen where a Democrat supporting Medicaid expansion has a fighting chance to replace a Republican who opposes it. Competitive races in Florida, Wisconsin, Kansas, Oklahoma and South Dakota could also flip the status of holdout states that have so far refused Obamacare's Medicaid expansion — though Republican legislatures are not likely to make it easy.
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HFI’s mission is to partner with healthcare clients to improve their fiscal health by advocating for their most vulnerable members. HFI helps members get necessary benefits and income affording them access to important social determinants of health.
We effectively identify and reclassify eligible super-utilizers from TANF/ACA to ABD.
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FierceHealthcare
The Centers for Medicare & Medicaid Services (CMS) has approved (PDF) a waiver to implement work requirements in Wisconsin's Medicaid program, making it the fourth state to enact such an approach.
Under the waiver, beneficiaries in the state's BadgerCare program would have to engage in 80 hours a month of "community engagement activities" including "employment, job training, community service, or enrollment in an allowable work program." The requirements would not apply to people with children or above the age of 50.
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You know you need to be prepared to respond quickly to CMS audit requests – including A&G history, activity, and status. Find out how effective, automated A&G management can protect revenue, improve network quality, ensure regulatory compliance, and lower the cost of disenrollment.
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The Associated Press
President Donald Trump's administration on Wednesday rejected a plan from Wisconsin Gov. Scott Walker to require drug screening and testing for adults on Medicaid with no dependent children, but approved a wide array of other get-tough changes to the program.
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The Plain Dealer
The Ohio Department of Medicaid on Wednesday announced that it will begin paying for the treatment of patients with Hepatitis C at an earlier stage of the disease.
Starting Jan. 1, 2019, the department will cover care for individuals when they first develop the disease instead of waiting until it progresses further.
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