Archive for Pennsylvania Medicaid
The federal government does not adequately monitor how states finance their Medicaid programs. It also lacks a sufficiently clear understanding of how they pay providers of Medicaid-covered services. These are among the conclusions in a new study on Medicaid financing and payments by the U.S. Government Accountability Office. According to the GAO report, GAO estimated that states’ reliance on provider taxes and local government funds decreased states’ share of net Medicaid payments (total state and federal payments) and effectively increased the federal share of net Medicaid payments by 5 percentage points in state fiscal year 2018. It also resulted in smaller net payments to some providers after the taxes and local government funds they contribute to their payments are taken … Read More
SNAP has written to Pennsylvania’s congressional delegation to request additional COVID-19 legislation between now and the end of the year to help Pennsylvania safety-net hospitals respond to the health care and financial challenges posed by the pandemic. In its letter, SNAP asked Congress for: additional funding for the Provider Relief Fund for assistance to hospitals; extension of the temporary moratorium on continued implementation of the 2011 Budget Control Act’s Medicare sequestration; and the suspension of any other federal cuts for health care providers, such as the scheduled reduction of Medicaid disproportionate share (Medicaid DSH) allocations to the states. Read SNAP’s message to Congress.
The Pennsylvania Health Law Project has published its November 2020 newsletter Health Law News. Included in this month’s edition are articles about: How the renewal of the federal COVID-19 public health emergency declaration extends key Medicaid protections. State planning for children with complex needs. State efforts to connect people to COVID-19 testing and care. An upcoming webinar about challenging Medicaid and Community HealthChoices waiver service denials. Read about these subjects and more in the Pennsylvania Health Law Project’s November 2020 newsletter.
The Pennsylvania Health Law Project has published its September 2020 newsletter Health Law News. Included in this month’s edition are articles about: How Pennsylvania Medicaid beneficiaries who turn 21 during the COVID-19 emergency remain eligible for EPSDT services. Pennsylvania Health Law Project navigators who can help direct people to COVID-19 testing and treatment. A warning that without increased federal Medicaid matching money, states may seek to reduce Medicaid provider payments, increase beneficiary cost-sharing, or reduce services. Read about these subjects and more in the Pennsylvania Health Law Project’s September 2020 newsletter.
Medicaid enrollment rose 6.2 percent and CHIP enrollment 0.5 percent during the first four months of the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services reports. The enrollment increase can be traced to rising unemployment, with many people losing their employer-sponsored health insurance. The new figures cover five months, from February through June, the latter four of which marked the beginning of the COVID-19 pandemic. Pennsylvania safety-net hospitals already serve significant numbers of Medicaid and CHIP patients; an increase in their rolls will prove financially challenging to them. The information comes from CMS’s first monthly “Medicaid and CHIP Enrollment Trends Snapshot.” Go here for CMS’s news release explaining its new initiative and here to see the trends … Read More
More people are enrolling in Medicaid, and much of the increase is driven by the COVID-19 emergency. Or so reports the organization Families USA in a new study. According to the study, Over half of the 38 states reporting monthly enrollment through May or later have seen greater than 7% growth in enrollment since February. For the eight states reporting August enrollment, their average enrollment growth since February is approximately 11%. But the implications are even greater, according to the analysis, which found that in large part because of COVID-19 job loss, Medicaid enrollment among the 38 states reporting has already increased by 4.3 million people and is poised to increase much more in the near future. Analysis by Health … Read More
A Continuing Resolution to fund the federal government in FY 2021 should eliminate a cut in federal Medicaid disproportionate share (Medicaid DSH) allotments to the states, and the Safety-Net Association of Pennsylvania has written to the state’s congressional delegation asking its members to convey this message to congressional leaders. The cut was mandated by the 2010 Affordable Care Act but has never been implemented. In its letter to the delegation, SNAP wrote that The Medicaid DSH cut was predicated on the expectation that the Affordable Care Act would greatly reduce the number of uninsured Americans, and while it has, millions remain uninsured, including nearly 700,000 Pennsylvanians – a number thought to be rising because of the job loss associated with … Read More
State Medicaid program accounting for hospital uncompensated care when calculating hospital-specific Medicaid disproportionate share limits is the subject of new guidance from the Centers for Medicare & Medicaid Services. In the guidance, the Centers for Medicare & Medicaid Services explains that because of several court rulings, states can decide for themselves whether to offset third-party payer payments from costs in their Medicaid DSH calculations for periods prior to June 2, 2017 but that beginning with that date, CMS will enforce its own interpretation of the policy. In new guidance, CMS presents two methodologies for accounting for its mid-year policy change and reminds stakeholders about its new methodology for calculations after June 2, 2017. Pennsylvania’s Department of Human Services and its … Read More
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.
The following is a summary of the major COVID-19-related developments in Pennsylvania as of 4:30 p.m. on March 27. Pennsylvania Updates Governor Wolf Today Governor Wolf expanded his ‘Stay at Home’ order to include nine more counties to mitigate the spread of the virus: Berks, Butler, Lackawanna, Lancaster, Luzerne, Pike, Wayne, Westmoreland, and York counties. The governor’s amended order, the secretary of health’s amended order, and the stay at home guidance are available online. The order takes effect for these nine counties tonight at 8:00 p.m. and will continue for all of the affected counties until April 6. Today Governor Wolf approved and signed several bills into law to provide emergency relief to schools (SB 751), unemployment compensation rules (HB … Read More