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PA Health Law Project Newsletter

The Pennsylvania Health Law Project has published its August 2020 newsletter Health Law News. Included in this month’s edition are articles about: The Department of Human Services’ selection of new managed care plans to serve Pennsylvania Medicaid’s Community HealthChoices program. The end of ensured continuity of long-term services and supports for participants in the Community HealthChoices program in northeastern Pennsylvania. The availability of navigators to help connect people to COVID-19 testing and treatment. Read about these subjects and more in the Pennsylvania Health Law Project’s August 2020 newsletter.

Posted in HealthChoices, long-term care, Pennsylvania Medicaid, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance

PA Health Law Project Newsletter

The Pennsylvania Health Law Project has published its February 2020 newsletter Health Law News. Included in this month’s edition are articles about: Governor Wolf’s proposed FY 2021 Medicaid budget. Challenges Pennsylvania Medicaid recipients have encountered obtaining services from their HealthChoices managed care plan and how to address them. Implementation of the federal “public charge” regulation and whom it does – and does not – affect. Read about these subjects and more in the Pennsylvania Health Law Project’s February 2020 newsletter.

Posted in Federal Medicaid issues, HealthChoices, Pennsylvania Medicaid, Pennsylvania proposed FY 2021 budget

PA Health Law Project Newsletter

The Pennsylvania Health Law Project has published its October 2019 newsletter. Included in this month’s edition are articles about: the state’s release of a request for applications for insurers to serve participants in Pennsylvania’s HealthChoices physical health care program Pennsylvania’s new Medicaid preferred drug list legislation to expand the state’s Medical Assistance for Workers Program the expansion of the state’s Living Independence for the Elderly (LIFE) program to 14 new counties over the next 18 months. Read about these subjects and more in the Pennsylvania Health Law Project’s October newsletter.

Posted in HealthChoices, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance

PA Health Law Project Newsletter

The Pennsylvania Health Law Project has published its May 2018 newsletter. Included in this month’s edition are stories about: The continued implementation of Community HealthChoices, the state’s new program of managed long-term services and supports for dually eligible Medicaid and Medicare beneficiaries. The introduction of a new tool for determining whether Medicaid beneficiaries shall be deemed eligible for Medicaid long-term-care services. State legislation that, if adopted, would establish presumptive eligibility for older adults applying for in-home care. A new framework for participants in state Medicaid managed care programs to appeal denials of services. New processes to streamline the determination of eligibility for Medicaid of individuals recently released from prison. Pending legislation that would permit selected mental health facilities to deem … Read More

Posted in HealthChoices, long-term care, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy

PA Health Law Project Newsletter

The Pennsylvania Health Law Project has published its April 2016 newsletter. Included in this edition are stories about: the continued introduction in southwestern Pennsylvania of the Community HealthChoices program of managed long-term services and support for seniors and the planned implementation of the program in southeastern Pennsylvania; a court ruling invalidating the state’s selection of managed care plans to serve Medicaid recipients who participate in the HealthChoices physical health program; and legislative efforts to establish a work requirement for some Medicaid participants. Go here for the latest edition of PA Health Law News.  

Posted in HealthChoices, Pennsylvania Medicaid

Pennsylvania Health Law Project Newsletter

The Pennsylvania Health Law Project has just published the March 2018 edition of its monthly newsletter. Included in this edition are articles about: new procedures that will make it easier for Medicaid recipients to be treated for opioid abuse the continued implementation of the Community HealthChoices program of managed long-term services and supports for nursing home-eligible seniors, including its introduction in southeastern Pennsylvania beginning next year the work of special needs units in the HealthChoices managed care plans the confirmation of Teresa Miller as Secretary of the Pennsylvania Department of Human Services Find these stories and others here, in the latest edition of the Pennsylvania Health Law Project’s newsletter.  

Posted in HealthChoices, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy

Pennsylvania Health Law Project Newsletter

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.

Posted in HealthChoices, Pennsylvania Medicaid, Pennsylvania Medicaid policy

CMS Guidance on MCO Payments is Good News for PA Hospitals

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

Posted in HealthChoices, Pennsylvania Medicaid, Pennsylvania safety-net hospitals, Safety-Net Association of Pennsylvania

Pennsylvania Health Law Project Newsletter

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.

Posted in HealthChoices, Pennsylvania Medicaid, Pennsylvania Medicaid policy

Presentation on Value-Based Purchasing in PA Medicaid

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.  

Posted in HealthChoices, Pennsylvania Medicaid policy
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2012 Safety-Net Association of Pennsylvania