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Pennsylvania Health Law Project Newsletter

The Pennsylvania Health Law Project has published the June 2018 edition of its monthly newsletter. Included in this edition are articles about: Changes in Pennsylvania Medicaid’s medical transportation program governing non-emergency transportation. The renewal of the state’s hospital tax and an increase in that tax. Challenges surrounding the implementation of Community HealthChoices, the state’s new program of managed long-term services and supports, in southwestern Pennsylvania. Information about the launch of Community HealthChoices in southeastern Pennsylvania. A provision in a recent bill modifying the state’s human services code that calls for the Department of Human Services to develop a new, outcomes-based program for hospitals and Medicaid managed care plans that will be oriented toward preventing potentially avoidable medical events. Find these … Read More

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

CMS Unveils Medicaid “Scorecard”

The Centers for Medicare & Medicaid Services had introduced a new “Medicaid scorecard” that the agency says it hopes will “…increase public transparency about the programs’ administration and outcomes.” The scorecard, now posted on the Medicaid web site, presents information and data from the federal government, and reported voluntarily by the states, in three areas:  state health system performance, state administrative accountability, and federal administrative accountability. The scorecard currently offers information on selected health and program indicators.  Visitors can see comparative data between states and also extensive information about individual state Medicaid programs, including eligibility criteria, enrollment, quality performance, and key state documents such as state plan amendments, waivers, and managed care program overviews.  The site also presents individual state … Read More

Posted in Pennsylvania Medicaid, Pennsylvania Medical Assistance

Amid Budget Woes, States May Look to Medicaid for Savings

Budget challenges may lead some states to seek changes in their Medicaid programs aimed at saving money. Or so reports Fitch Ratings, the bond rating company. According to Fitch, health care was the biggest driver in rising state spending between 2005 and 2015 and the portion of state spending on health and social services will increase from 30.7 percent in 2015 to 38.3 percent in 2025. Among the measures states will turn to in an effort to manage rising health care costs, according to Fitch, are Medicaid work requirements, reductions in Medicaid retroactive coverage, new Medicaid premiums, and lifetime limits on Medicaid benefits. The report specifically cites Pennsylvania as a state that is expected to face the kind of budget … Read More

Posted in Pennsylvania Medicaid

PA Streamlines Medicaid Application Process for Individuals Released From Prison

The Pennsylvania Department of Corrections and the state’s Department of Human Services have developed a new process to simplify the Medicaid application process for individuals newly released from state prisons. Under the new process, Medicaid application will be automated for those leaving prison who consent to participate in the application process.  This process will ensure Medicaid eligibility immediately upon release from prison for about 2000 individuals a year. Learn more about this process from this joint news release from the two departments.

Posted in Pennsylvania Medicaid

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 released the February 2018 edition of its Health Law PA News. Included in this edition are articles on Governor Wolf’s proposed FY 2019 budget, including for Medicaid and other health care programs; challenges arising in the implementation of the Community HealthChoices program of Medicaid managed long-term services and supports; home health services and missed nursing shifts; and the potential implications for Pennsylvania of the federal government’s recent decision to invite states to seek to introduce work requirements for participants in their Medicaid programs. Find these stories and others here, in the latest edition of Health Law PA News.

Posted in Pennsylvania Medicaid, proposed FY 2019 Pennsylvania state budget

Pennsylvania Health Law Project Newsletter

The Pennsylvania Health Law Project has just published the latest edition of its Health Law News newsletter. Included in this edition are articles about the elimination of Medicaid restrictions on prescription drugs for hepatitis C, the launch of the Community HealthChoices program of managed long-term services and supports in the southwestern part of the state, and more. Find these stories and others here, in the latest edition of Health Law News.  

Posted in Pennsylvania Medicaid, 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 this edition are articles about: The January 1 introduction of Community HealthChoices, a mandatory program of managed long-term services and supports, in southwestern Pennsylvania the January 1 implementation of the federal ordering, referring, or prescribing rule that requires that all such actions involving Pennsylvania Medicaid patients be undertaken by providers enrolled with the state to serve Medicaid patients various Medicare issues Find these stories here in the latest edition of Health Law News.

Posted in Pennsylvania Medicaid, 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
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