CareOregon’s Post

Pennsylvania is proposing significant changes to its Medicaid program. The four key areas include: * Reentry support for individuals leaving incarceration * Housing support for the homeless with chronic health conditions * Food and nutrition support for those with diet-sensitive conditions, * Continuous Medicaid coverage for children up to age six. These changes aim to address challenges like stable housing and access to healthy food, crucial for managing conditions like diabetes. For more details, you can read the full article here: https://bit.ly/3tIsiXQ

Far too few #Medicaid beneficiaries can access #mentalhealth and #substanceusedisorder care. This is especially true in communities with high percentages of Black, rural, or uninsured individuals. We recently submitted comments to the Centers for Medicare & Medicaid Services with recommendations on how to strengthen #ParityAct enforcement to increase access to care! Learn more here: https://bit.ly/3Gzw4FP 

When navigating the intricacies of Medicaid, particularly when planning for long-term care, you'll encounter terms that might be unfamiliar yet profoundly influential. One such term is "community spouse." I'm here to demystify this concept and its implications for Medicaid eligibility and benefits. To read more >> >>> https://lnkd.in/eu3chmt6 #judymocklaw #estateplan #estateplanninglawyer #nylawyer #brooklynlaywer #nycestateplan #nymom #nydad #nyparents #elderlaw #nycelderlaw #trustsandwills #probate #medicaid #assetprotection #livingwill #powerofattorney #incapacityplanning

The Office of Inspector General (OIG) released a report highlighting substantial lapses in adherence to Medicaid managed care mental health parity requirements across eight states. Read more here: https://ow.ly/HiAV50RhoyE #Medicaid #ManagedCare #BehavioralHealth #MentalHealth #XtraGlobex #Onward

Here's the link to a newly released OIG study, sure to be of interest to compliance officers in Medicaid agencies and Medicaid-participating MCOs, as well as advocates for MH parity. The OIG selected eight States for review with Medicaid managed care contracts in effect on or after October 2, 2017 (the compliance date). The OIG selected four States in which the State was required to conduct the parity analysis and four States in which managed care organizations (MCOs) were required to conduct the parity analysis. The OIG reviewed CMS’s approval of States’ MCO contract provisions and its oversight of States’ compliance with MH/SUD parity requirements. #compliance #healthcare #Medicaid #mentalhealthparity #stategovernment #managedcare #complianceofficers #healthpolicy #substanceusedisorder https://lnkd.in/eMGwfU9Q

Definition of the Day - Penalty Divisor - The "Penalty Divisor" is a critical component of the Medicaid program, which is designed to provide health coverage for low-income individuals and families. This factor is used primarily in calculations to determine the severity of penalti... - https://lnkd.in/gbZaXXew

According to KFF, over half of Medicaid enrollees up for renewal in Utah, Montana, South Dakota, Oklahoma, Idaho and Georgia have lost benefits since the Medicaid unwinding process began. By contrast, Medicaid authorities in Maine, North Carolina, Oregon, the District of Columbia, and Connecticut have removed less than 20% of beneficiaries. KFF also determined that about 69% of disenrollments have been due to "procedural” issues. #CHCs #FQHCs #CommunityHealthCenters #HealthCenters #Healthcare #Medicaid #Medicare #MentalHealth #BehavioralHealth #PrimaryCare #Patients #Workforce #HealthWorkforce #Advocacy #ACH #HealthPolicy #HealthEquity #NHSC #THCGME #CHCFund #CHCFunding https://lnkd.in/ewTFijEz

The end of the continuous coverage provision for Medicaid in March 2023, following the COVID-19 public health emergency, presented significant challenges for millions of Floridians. During this period, Florida's Medicaid program swelled by 1.4 million enrollees, bringing the total to over 5.7 million. As the state began the Medicaid redetermination process, known as the "PHE unwind," advocates across Florida mobilized to prevent unnecessary loss of coverage due to procedural issues. The "Florida Medicaid Unwind Collective," a coalition of organizations including the Florida Policy Institute, Florida Health Justice Project, and UnidosUS (@WeAreUnidosUS), among others, played a pivotal role in this advocacy. Their combined efforts ensured that procedural disenrollments—when individuals lose coverage due to administrative errors rather than eligibility changes—were brought to light and addressed. The coalition's work ranged from collecting and analyzing data, raising public awareness, providing legal support, and holding state agencies accountable for their role in the redetermination process. This collective advocacy not only protected vulnerable populations but also set a precedent for how states can approach similar challenges in the future. The collaboration between these diverse organizations exemplifies the power of unified action in addressing complex healthcare issues. Read the full article here: https://lnkd.in/gD_TGjVS #Medicaid #HealthcareAdvocacy #HealthPolicy #FloridaHealth #MedicaidRedetermination #HealthJustice

Can you answer this question about eligibility specialist caseloads? A representative from the Office for Family Independence at the Maine Department of Health and Human Services is requesting information around how many eligibility staff states have in comparison to their caseload sizes. The questioner is requesting the following: • For states that have an integrated eligibility system, what is the average caseload for each of eligibility staff member? • If a state does not have an integrated eligibility system, what are the average caseload sizes per eligibility worker in the state’s Medicaid, SNAP and TANF programs? • Are programs managed through an assigned caseload or are they task based? Answer through this link: https://buff.ly/47E3puM #PeerTA #TANF #TA #TechnicalAssistance #OFA #ACF #HumanServices #SocialServices #TechnicalAssistanceServices #CashAssistance #PublicAssistance #EligibilityStaff #Caseload #Medicaid #SNAP

BRSi’s premier service, 𝗙𝗥𝗔𝗠𝗘𝗦, 𝗽𝗿𝗼𝘃𝗶𝗱𝗲𝘀 𝗵𝗼𝘀𝗽𝗶𝘁𝗮𝗹𝘀 𝗮𝗻𝗱 𝗵𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲 𝗽𝗿𝗼𝘃𝗶𝗱𝗲𝗿𝘀 𝘄𝗶𝘁𝗵 𝘂𝗻𝗽𝗮𝗿𝗮𝗹𝗹𝗲𝗹𝗲𝗱 𝗮𝗰𝗰𝗲𝘀𝘀 𝘁𝗼 𝘁𝗵𝗲 𝗹𝗮𝗿𝗴𝗲𝘀𝘁 𝗻𝗮𝘁𝗶𝗼𝗻𝗮𝗹 𝗱𝗮𝘁𝗮𝗯𝗮𝘀𝗲 𝗼𝗳 𝗽𝗮𝘆𝗲𝗿 𝘀𝗼𝘂𝗿𝗰𝗲𝘀. FRAMES delivers a streamlined, one-step application process, enabling providers to quickly identify every possible 𝘧𝘪𝘯𝘢𝘯𝘤𝘪𝘢𝘭 𝘴𝘰𝘭𝘶𝘵𝘪𝘰𝘯 for uninsured or underinsured patients. Within minutes, healthcare professionals can determine the coverage options and community-based programs available to their patients, enhancing patient care and operational efficiency. BRSi is also deeply committed to safeguarding Medicaid programs through our collaboration with various State Medicaid organizations. Our innovative TPL Process and Technology is designed to reduce Medicaid expenditures and preserve essential resources, ensuring the continued viability of these programs. Recent developments highlight the urgency of this mission. In August, KFF Health News reported on the challenges emerging in Medicaid policy following the expiration of pandemic-era protections in April 2023. The disenrollment of over 𝟮𝟰 𝗺𝗶𝗹𝗹𝗶𝗼𝗻 𝗽𝗲𝗼𝗽𝗹𝗲 from Medicaid has sparked 𝘤𝘰𝘯𝘤𝘦𝘳𝘯𝘴 𝘢𝘣𝘰𝘶𝘵 𝘢 𝘱𝘰𝘵𝘦𝘯𝘵𝘪𝘢𝘭 𝘳𝘪𝘴𝘦 𝘪𝘯 𝘶𝘯𝘪𝘯𝘴𝘶𝘳𝘦𝘥 𝘳𝘢𝘵𝘦𝘴. As the landscape evolves, targeted expansions focusing on children, pregnant women, and incarcerated individuals seek to improve health coverage, though uncertainties about future Medicaid policies and federal funding remain. BRSi remains at the forefront of addressing these challenges and is committed to supporting the healthcare community through this period of change. 𝙍𝙚𝙖𝙙 𝙩𝙝𝙚 𝙛𝙪𝙡𝙡 𝙖𝙧𝙩𝙞𝙘𝙡𝙚 𝙝𝙚𝙧𝙚: https://shorturl.at/D6S76 #HealthcareInnovation #Medicaid #HealthcareProviders #Uninsured #Underinsured #MedicaidPolicy #HealthCoverage #PatientCare #MedicaidExpansion #HealthcareSolutions #TPL #BRSi