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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.

PA Safety Net Admin2020-08-05T06:00:27+00:00August 5th, 2020|HealthChoices, long-term care, Pennsylvania Medicaid, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off

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.

PA Safety Net Admin2020-03-05T06:00:11+00:00March 5th, 2020|Federal Medicaid issues, HealthChoices, Pennsylvania Medicaid, Pennsylvania proposed FY 2021 budget|Comments Off

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.

PA Safety Net Admin2019-11-13T06:00:20+00:00November 13th, 2019|HealthChoices, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off

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.

PA Safety Net Admin2017-11-20T06:00:01+00:00November 20th, 2017|HealthChoices, Pennsylvania Medicaid, Pennsylvania Medicaid policy|Comments Off

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 see the CMS memo “Delivery System and Provider Payment Initiatives under Medicaid Managed Care Contracts.”

PA Safety Net Admin2017-11-16T14:19:15+00:00November 16th, 2017|HealthChoices, Pennsylvania Medicaid, Pennsylvania safety-net hospitals, Safety-Net Association of Pennsylvania|Comments Off

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.

PA Safety Net Admin2017-04-06T06:00:52+00:00April 6th, 2017|HealthChoices, Pennsylvania Medicaid, Pennsylvania Medicaid policy|Comments Off

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.

PA Safety Net Admin2017-04-03T11:38:31+00:00April 3rd, 2017|HealthChoices, Pennsylvania Medicaid policy|Comments Off

New HealthChoices Contracts Delayed

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 new contracts have been delayed and how they will be implemented from this Philadelphia Inquirer article and this notice from the Pennsylvania Department of Human Services.

PA Safety Net Admin2017-03-06T06:00:15+00:00March 6th, 2017|HealthChoices|Comments Off

Controversy Continues Over HealthChoices Awards

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 June 1 now appears to be in jeopardy.
For a closer look at the issues, the alleged irregularities, and what is being done to resolve this matter once and for all, see this Philadelphia Inquirer article.

PA Safety Net Admin2017-02-28T17:16:45+00:00February 28th, 2017|HealthChoices|Comments Off

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