Archive for HealthChoices
The Pennsylvania Health Law Project has published its latest Health Law News. Included in the November edition are articles about: a proposal to impose a work requirement on Pennsylvania Medicaid recipients the CHIP program leadership changes in health care-related state agencies the rollout of the Community HealthChoices program of managed long-term services and supports HealthChoices managed care contracts changes in several state waiver programs Find these stories here in the latest edition of Health Law News.
New guidance from the Centers for Medicare & Medicaid Services on the use of directing additional Medicaid resources to hospitals through Medicaid managed care organizations is good news for Pennsylvania safety-net hospitals. Such payments have been routed through the state’s Medicaid managed care plans for several years, but as the state and hospital industry continue negotiating renewal of the state’s hospital tax – its “Quality Care Assessment” – it was not entirely clear whether the federal government would permit continued use of this mechanism. An early November bulletin from CMS, however, clarifies that this approach is still permissible, which is good news for Pennsylvania safety-net hospitals and SNAP members hoping to benefit from the state’s hospital assessment. Go here to … Read More
The Pennsylvania Health Law Project has published its March 2017 newsletter. Included in this edition are stories about: new starting dates for the beginning of new HealthChoices physical health contracts an update on Community HealthChoices, the state’s planned program of managed long-term services and supports for those who qualify for nursing home care but wish to continue living independently in the community the launch of the state’s ABLE Savings Program through which children and adults with significant disabilities can open special state-sponsored investment accounts the introduction of a new assessment tool for people in need of substance disorder treatment Find the latest edition of PA Health Law News here.
Pennsylvania’s Medicaid program is moving toward greater use of value-based purchasing in its Medicaid behavioral health programs. Last week, the state’s Office of Mental Health and Substance Abuse Services held a webinar to offer information about the state’s plan for employing value-based purchasing in Medicaid and how it will do so for behavioral health services in particular. Go here to see the presentation delivered at that webinar.
Pennsylvania’s plan to implement new contracts with HealthChoices physical health managed care plans on June 1 has been put on hold. The reason: for the second time, companies that lost a public bidding process protested the state’s choices. The first time, the state threw out all the bids and started over again. This time the state says it needs more time to deal with the protests, negotiate new contracts, and get the new contractors up and running. In addition to the delay, the new contracts will be phased in at different times in different parts of the state, with the first regional launch now scheduled for January of 2018 and the last a year later. Learn more about why the … Read More
Pennsylvania appears to be no closer to awarding new contracts to serve its HealthChoices Medicaid physical health program than it was when it first launched the process of soliciting bids for such contracts in September of 2015. When losing bidders protested the contracts awarded based on the state’s original request for proposals and took the state to court, the state threw out all the bids and cast aside its decision and started the process all over again, issuing a new request for proposals last year. When the state announced new awards in January the losing bidders again protested, this time alleging “irregularities” in the decision-making process. With the renewed threat of litigation, the planned implementation of the new contracts on … Read More