phpprousa/results of search

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	[post_date] => 2016-04-26 17:27:37
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	[post_title] => OH Medicaid Fraud Control Unit Leads Nation in Convictions
	[post_excerpt] => The Sentinel Tribune reported on March 31, 2016, that Ohio's Medicaid Fraud Control Unit had the highest number of convictions of all fraud control units in the nation in fiscal year 2015. The unit is responsible for investigating and prosecuting health care providers that have committed fraud in the state's Medicaid program and protects individuals with disabilities and mental illness from abuse in long term care facilities. 160 individuals were convicted after investigations last year. Read More
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	[post_date] => 2016-04-18 12:56:59
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	[post_title] => CT Governor Proposes 10 Percent Reduction in Pediatric Medicaid Dental Rates
	[post_excerpt] => The Connecticut Mirror reported on April 18, 2016, that Governor Dannel Malloy has proposed reducing children's Medicaid dental reimbursement rates by 10 percent. The Connecticut State Dental Association and other stakeholders oppose the cut, saying that reduced rates could negatively impact access to services. Representatives of Connecticut Department of Social Services note that the state's reimbursement rates are already higher than surrounding states. Between 2005 and 2013, the percentage of Medicaid children who visited a dentist in Connecticut more than doubled from 31.9 percent to 64.3 percent. Read More
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	[post_date] => 2016-04-12 13:40:54
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	[post_title] => OH Governor Calls for Speeding Up a Personal Income Tax Cut; Underspending in Medicaid May Create FY 2016 Year End Balance between $400 - $500 Million
	[post_excerpt] => Gongwer Ohio is reporting on information from Ohio’s Office of Budget and Management that tax receipts are tracking to estimates, and personal income tax intake is better than expected for March, helping push year-to-date tax receipts just above projections for the first eight months of FY 2016, to almost $16 billion. The commercial activity tax and the financial intuitions tax also came in above projections, according to the Office of Budget and Management. Ohio officials expect the FY 2016 year-end balance will be between $400 million and $500 million, due mostly, if not entirely, to the underspending in Medicaid. Read More
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	[post_date] => 2016-04-05 12:59:39
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	[post_content] => Download NowGA_RFP_Protest_Hearing_Announcement_Apr-16.pdf

	[post_title] => GA to Hold Medicaid Managed Care Plan Protest Hearing May 4, 2016
	[post_excerpt] => Georgia Governor Nathan Deal announced on April 4, 2016, that the state Department of Administrative Services will hold a hearing on May 4, 2016, related to health plan protests of the state's recent Medicaid managed care awards. In September 2015, Georgia announced it would award four health plans contracts to serve the state’s 1.3 million Georgia Families members. The three incumbent plans were among the winners: Anthem/Amerigroup, Centene/Peach State, and WellCare. The fourth winner, CareSource, is a new entrant to the Georgia Medicaid market. AmeriHealth Caritas, AmeriChoice (United), and Humana submitted protests in response.
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	[post_date] => 2016-04-05 12:20:30
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	[post_title] => AR Legislators Propose Medicaid Managed Care Alternative, $1 Billion in Medicaid Budget Savings
	[post_excerpt] => ArkansasMatters.com reported on April 4, 2016, that a bi-partisan group of legislators released a proposal for DiamondCare, an alternative to Governor Asa Hutchinson’s Medicaid managed care plan. DiamondCare would utilize Administrative Services Organizations (ASOs) instead of capitated managed care organizations (MCOs), and would reduce the state's Medicaid budget by an estimated $1.057 billion over the next five years. DiamondCare would utilize the existing network of Medicaid providers and include funding to reduce the waiting list for individuals with developmental disabilities. Read More. Governor Hutchinson’s formal call for a special legislative session on Medicaid includes a plan to hire managed care companies to provide care for the individuals with developmental disabilities and individuals with severe mental illness, as well as a bill to make changes in the state's private option expanded Medicaid program through an initiative called Arkansas Works. Legislators are calling on the Governor to drop the managed care proposal from the special session. Read More
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	[post_date] => 2016-03-30 17:45:14
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	[post_title] => OK Medicaid Agency Cutting Reimbursement by 25% for Many Medicaid Providers Starting July 1
	[post_excerpt] => On March 29, 2016, KOCO.com reported that the Oklahoma Medicaid agency announced that it is cutting reimbursement rates to over 46,000 Medicaid providers by 25 percent at the start of the upcoming fiscal year, which begins July 1. The cuts are a result of declining state revenue collections and a $1.3 billion gap in next year’s state budget. The cuts are expected to affect contracts with 46,129 providers including hospitals, physicians, pharmacies, durable medical equipment providers and nursing facilities. Read More
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	[post_date] => 2016-03-28 11:35:39
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	[post_title] => KS Announces Program to Help Nursing Homes with Medicaid Eligibility Processing Delays
	[post_excerpt] => Kansas Health Institute reported on March 25, 2016 that the Kansas Department of Health and Environment and the Kansas Department for Aging and Disability Services announced that they will allow some nursing facilities to petition for half-payments for some residents whose Medicaid applications or renewals are still processing. The state’s plan allows facilities to apply for advanced payments only for residents whose applications have been pending for 60 days or more, with priority to smaller facilities versus large, corporate-owned facilities. The processing delays began in July with a computer system switch and administrative changes in January. Read More
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	[post_date] => 2016-05-13 12:52:08
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	[post_content] => Download NowUrban_Institute_Robert_Wood_Medicaid_CHIP_Children_Enrollment_Study_May-16.pdf

	[post_title] => Urban Institute Study Finds Health Coverage for Medicaid/CHIP Eligible Children Continues to Improve
	[post_excerpt] => Kaiser Health News reported on May 13, 2016, that according to a study by the Urban Institute with the support of the Robert Wood Johnson Foundation, health coverage for low income children is improving. In 2014, over 90 percent of children eligible for Medicaid/CHIP were enrolled. In the first year of the Affordable Cart Act's full implementation, the number of uninsured children dropped from 5.4 million to 4.5 million. Of the 4.5 million, nearly two-thirds were eligible for Medicaid or CHIP. In 2013, 88.7 percent of eligible children were enrolled, compared to 81.7 percent in 2008. In 2014, the largest coverage gains occurred in states that expanded Medicaid. However, progress has been slower for some groups, including adolescents between age 13 and 18 and Hispanic children in families without a parent who speaks English. Read More
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	[post_date] => 2016-05-02 15:05:06
	[post_date_gmt] => 2016-05-02 19:05:06
	[post_content] =>
	[post_title] => States Prepare to Implement CMS Medicaid Managed Care Rules
	[post_excerpt] => Modern Healthcare reported on April 30, 2016, that states "will need money, manpower and some detailed direction" to implement sweeping new Medicaid managed care rules from CMS. Among the requirements are minimum medical loss ratios (MLRs) for insurers and tighter rules around provider network adequacy, quality rating systems, provider screenings, and rate certifications. The article relates comments from Camille Dobson, deputy executive director of the National Association of States United for Aging and Disabilities, who said states will implement the rules differently because their programs differ in their level of maturity and performance. While states with more mature Medicaid managed care programs already meet many of the new guidelines, others will have to make substantial changes. Read More
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	[post_date] => 2016-04-28 15:50:00
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	[post_title] => New Medicaid Rule to Allow Federal Match for Short-Term Inpatient Mental Health Care
	[post_excerpt] => CQ Roll Call reported on April 27, 2016, that a new CMS rule will allow matching federal reimbursements to institutions providing short-term inpatient mental health or substance abuse services to patients enrolled in Medicaid managed care plans. Currently, the law prohibits federal officials from providing Medicaid payments for patients in an institution. Advocates say the new rule may pressure Congress to pass stalled legislation expanding Medicaid coverage for inpatient treatment.
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