Archive for Pennsylvania Medical Assistance
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.
New human services efforts to support vulnerable populations are a major part of Governor Tom Wolf’s proposed $36.06 billion FY 2021 budget for Pennsylvania. The proposed budget, presented to the state legislature earlier this week, includes the following new initiatives: creating pathways to success in the workforce for low-income Pennsylvanians increasing the minimum wage to $15 increasing Department of Human Services staffing to support licensing and oversight supporting adults in long-term-care facilities legal services for vulnerable populations direct care worker comprehensive training commitment to performance-based metrics, accountability, and transparency in services and licensing supporting vulnerable populations through home- and community-based services and reducing waiting lists prevention services to support at-risk families improving food security while supporting agriculture Go here to … Read More
The Pennsylvania Health Law Project has published its January 2020 newsletter. Included in this month’s edition are articles about: the transition to a new Medicaid prescription drug list (PDL); the rollout of a new electronic visit verification system for Medicaid-paid home health services; and progress in the state’s effort to introduce major changes in its Medical Assistance transportation program (MATP). Read about these subjects and more in the Pennsylvania Health Law Project’s January 2020 newsletter.
Pennsylvania is trying to fix its Medical Assistance Transportation Program – but that is proving harder than proponents of change envisioned. For years, county governments ran their own programs, which provided free non-emergency transportation to doctor offices for Medicaid patients. About 55,000 Pennsylvanians served by Medicaid use this program. But with a growing trend among states of dividing a state into regions and awarding regional contracts to transportation brokers and amid objections from county governments, the General Assembly directed the state’s departments of Aging, Human Services, and Transportation to look into the matter. And in the report those departments filed with the legislature, they say they do not know what to do. Learn more about the challenges facing the Medical … Read More
Pennsylvania’s Department of Human Services has a new strategic plan for 2019 through 2022. While DHS’s area of endeavor is broad and goes beyond health care, Medicaid is an important aspect of its work and that importance is reflected in the plan, which includes descriptions of DHS’s ambitions in the following areas: Provide every child with a strong foundation for physical and behavioral well-being Bend the health care cost curve Drive innovative whole-person care Holistically assess needs and connect to resources Address the social determinants of health Expand health care beyond the doctor’s office and into the places people live, work, and play Coordinate physical health care, behavioral health care, and long-term services and supports Promote health equity Lead the … Read More
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.
The plan to introduce major changes in Pennsylvania’s free medical transportation program for the Medicaid population has temporarily been halted. As envisioned by the state, the current program, in which individual counties contract independently with transportation providers to serve their residents on Medicaid, was to be replaced by a regional approach in which the state contracts with three vendors to serve all of Pennsylvania. Objections by members of the state legislature and county officials, however, led to legislation that requires the Department of Human Services, Department of Transportation, and Department of Aging to study the implications of such a change for patients and taxpayers and to report their preliminary findings to the legislature in September. Learn more about Pennsylvania’s Medical … Read More
Pennsylvania’s Medicaid transportation program will soon be undergoing major change. By law, states must provide free non-emergency medical transportation for their Medicaid recipients. The Pennsylvania Medical Assistance Transportation Program has fulfilled that mandate for the past 35 years, with county governments shouldering primary responsibility for providing or arranging for the transportation for their Medicaid-covered residents. Under a plan adopted by the Pennsylvania Department of Human Services, which administers the state’s Medicaid program, that would change, with the state currently reviewing proposals from private vendors that would serve as brokers and assume this responsibility for large sections of the state: the eastern, central, and western parts of Pennsylvania. Changing the program in this manner would enable Pennsylvania to change the classification … Read More
The Pennsylvania Health Law Project has published its March-April 2019 newsletter. Included in this month’s edition are articles about: The launch of a new tool to determine applicants’ eligibility for Medicaid-covered long-term services and supports. An update on Medicare Part D payment problems that affect some dually eligible Medicare/Medicaid patients. Highlights of the state’s Department of Human Services budget (including Medicaid). An update on the status of the Affordable Care Act. Go here for articles about these and other subjects.
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