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PA Health Policy Update for May 3

The following is an update of selected state health policy developments in Pennsylvania from April 29 – May 3.  (Some of the language used below is taken directly from state documents). 

General AssemblyHarrisburg, PA capital building

The state House of Representatives and Senate convened for voting session this week. Following is an overview of selected health care-related legislative activity that occurred.

  • The House unanimously passed House Bill 2200, which makes certain changes to Pennsylvania statute that will enable the state to join, among others, the medical and nursing interstate licensure compacts. The bill will now be sent to the Senate.
  • The House Human Services Committee met on Monday, April 29 and favorably reported, among other bills, House Bill 1783, which requires the development of opioid-related overdose public information, and House Bill 2137, which establishes the Maternal and Newborn Supply Kit Program. A recording of the meeting is viewable here.
  • The House Health Committee met on Tuesday, April 30 and favorably reported the following bills.
    • House Bill 2127, which requires clinicians to distribute information related to postpartum depression and conduct a postpartum screening for depression.
    • House Bill 2208, which strengthens the Department of Health’s oversight of laboratories that test medical marijuana.
    • Senate Bill 721, which establishes the Women, Infants and Children (WIC) State Advisory Board.

A recording of the meeting is viewable here.

  • The House Aging & Older Adult Services Committee held an informational meeting on Tuesday, April 30 at 10:00 a.m. regarding local Area Agencies on Aging. A recording of the meeting is viewable here.
  • The House Human Services Committee held an informational meeting on Wednesday, May 1 regarding performance-based contracting for the Department of Human Services’ Office of Developmental Programs. A recording of the meeting is viewable here.

The state House of Representatives and Senate will convene for voting session in Harrisburg next Monday, May 6 through Wednesday, May 8. Following is an overview of selected health care-related legislative activity currently scheduled next week.

  • The House Insurance Committee will convene on Monday, May 6 at 10:00 a.m. in Room 60 of the East Wing to consider, among others, the following bills.
    • House Bill 1021, which prohibits insurers from discriminating against individuals because they have an opioid reversal agent in their prescription profile.
    • House Bill 1867, which prohibits health insurers from restricting the method of payment for in-network clinical services.
    • House Bill 2138, which requires insurance coverage for blood pressure monitors for home use as a pregnancy-related service.

The meeting will be livestreamed here.

  • The House Labor & Industry Committee will meet on Tuesday, May 7 at 9:30 a.m. in Room 523 of the Irvis Office Building to consider House Bill 2247, which requires the establishment of workplace violence prevention committees in health care facilities. Immediately following the voting meeting, the committee will hold an informational meeting on the nursing workforce crisis. The meeting will be livestreamed here. 

Department of Health 

The Department of Health has issued a Health Advisory (PA-HAN 746) with important information about Lyme Disease and other tickborne diseases in the commonwealth. 

Department of Human Services 

  • The Department of Human Services (DHS) has issued a Medical Assistance Bulletin to advise providers of additions and updates to the Medical Assistance (MA) program fee schedule.
  • DHS has provided final notice of its funding allocation for FY 2023-2024 for several classes of inpatient disproportionate share hospital (DSH) and supplemental payments to qualifying acute care general hospitals enrolled in the Medicaid program. Find additional information in this Pennsylvania Bulletin notice.
  • DHS has announced the final annual case-mix per diem payment rates for FY 2023-2024 for non-public and county nursing facilities that participate in the Medicaid program. Find additional information in this Pennsylvania Bulletin notice.
  • The Office of Mental Health and Substance Abuse Services (OMHSAS) has issued a bulletin regarding the removal of lifetime employment bans for individuals convicted of certain criminal offenses in the Older Adults Protective Services Act.
  • DHS has added information to its website about the Technology Assessment Group (TAG), which reviews requests for new and emerging technologies and recommends coverage decisions for the MA program. Find the TAG’s website here.
  • DHS has announced the peer group, peer group medians, and peer group prices for non-public nursing facilities, including hospital-based nursing facilities and special rehabilitation facilities. Find additional information in this Pennsylvania Bulletin notice.

Revenue Collection Update 

The Department of Revenue has announced that Pennsylvania collected $5.7 billion in General Fund revenue in April, which was $373.3 million, or 7.0 percent, more than anticipated. Fiscal year-to-date General Fund collections total $38.5 billion, which is $739.3 million, or 2.0 percent, above estimate. 

Around the State   

  • The Tribune-Review reported about the many professional counselors that could be approved for associate licenses soon due to the implementation of Act 4, which establishes two new license types in Pennsylvania.
  • Spotlight PA has published an article about the counties’ use of tens of millions of dollars in opioid settlement funds.
  • A news segment published by KDKA highlighted the drug shortage challenges that health care providers and patients are currently confronting in Pennsylvania and across the country.  

PA Health Policy Update for January 12

The following is an update of selected state health policy developments in Pennsylvania from January 8 – 12.  (Some of the language used below is taken directly from state documents). 

General Assembly 

  • The state House of Representatives and Senate have released their respective FY 2024-2025 budget hearing schedules. Find the House Appropriations Committee’s schedule here and the Senate Appropriations Committee’s schedule here. 

Department of Human Services

  • The Department of Human Services (DHS) has issued a Medical Assistance Bulletin to inform providers that, effective February 1, 2024, doulas may enroll in the Medical Assistance (MA) Program, which will enable MA managed care organizations (MCOs) to enter into network agreements with doulas. The bulletin also contains information on provider enrollment.
  • DHS has updated its calendar of mailing dates for Remittance Advices and corresponding electronic transfers and checks through February 2024. Find the updated calendar here. 

Department of Health

DOH has requested input from stakeholders on what the state’s priorities should be for its Title V Maternal and Child Health Services Block Grant, which is intended to improve the health and wellbeing of mothers, infants, children, and youth, including children and youth with special health care needs, and their families. Interested stakeholders can find additional information and details on how to submit feedback here. 

Board of Nursing 

The State Board of Nursing, along with DHS and DOH, has issued a joint statement of policy to clarify nursing standards and qualifications in the commonwealth for licensed practical nurses (LPNs) and registered nurses (RNs) as it relates to the Nurse Licensure Compact (NLC). Find additional information in this Pennsylvania Bulletin notice. 

Insurance Department 

The Pennsylvania Insurance Department (PID) has announced the establishment of a state-administered independent appeal process that allows Pennsylvanians to submit for an independent external review if they believe their insurer wrongly denied a claim for covering medical service, treatment, or other items. This is part of Act 146 of 2022, which reformed the state’s prior authorization and step therapy procedures. 

PID has also announced that Pennie’s open enrollment period for 2024 health care coverage will be extended until January 19. Pennie is Pennsylvania’s official health insurance marketplace. 

Department of Drug & Alcohol Programs 

The Department of Drug & Alcohol Programs (DDAP) has announced the Drug-Free Communities Program, which provides community coalitions with grant funding for substance use prevention efforts, will release its FY 2024 notice of funding opportunities on www.grants.gov in February 2024.   

Pennsylvania Health Care Cost Containment Council 

The Pennsylvania Health Care Cost Containment Council (PHC4) has released a new report – COVID-19, The Impact on Health Care in Pennsylvania – examining how the coronavirus pandemic affected Pennsylvania and its health care system. Find additional information in this press release issued by PHC4. 

Medicaid Continuous Coverage Unwinding

DHS is maintaining an online dashboard with Medicaid continuous coverage unwinding data. The data on this dashboard tracks the renewal process by county and zip code. Additional updates and resources about the Medicaid eligibility renewal process may be found here.

DHS has published the following resources to help providers educate patients about Medicaid renewals and what to do if they are no longer eligible for Medicaid.

Stakeholder Events

DHS – Consumer Subcommittee of the MAAC – January 24

The Consumer Subcommittee of the Medical Assistance Advisory Committee (MAAC) will be held on Wednesday, January 24 at 1:00 p.m. Find details on how to participate here. 

DHS – Medical Assistance Advisory Committee – January 25

The MAAC will hold a public meeting on Thursday, January 25 at 10:00 a.m. The meeting will be held virtually. Find details on how to participate here.

Patient Safety Authority – January 25

The Patient Safety Authority has announced that it will hold a virtual public meeting on Thursday, January 25 at 1:00 p.m. Additional details on how to participate can be found in this Pennsylvania Bulletin notice. 

DOH – Special Pharmaceutical Benefits Program Advisory Council – January 25

The state-wide Special Pharmaceutical Benefits Program (SPBP) Advisory Council will hold a public meeting on Thursday, January 25 from 10:00 a.m. to 12:00 p.m. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

PA Health Policy Update for August 25

The following is an update of selected state health policy developments in Pennsylvania from August 14 – 25.  (Some of the language used below is taken directly from state documents.)

Fiscal Year 2023-2024 Budget Update

The Senate will return to Harrisburg for voting session Wednesday, August 30 at 1:00 p.m. to consider the remaining pieces of the FY 2023-2024 budget. The Senate Republican Caucus spokesperson released the following statement:

“Our work to complete the necessary budgetary implementation legislation continues… We are in communication with House leaders, and we remain hopeful the House will also choose to reconvene before September 26.”

Senate President Pro Tempore Kim Ward released a statement noting that funding for emergency medical services and hospital and health system relief would be on the agenda when they reconvene. The House has not scheduled voting session days prior to September 26, and it is unclear when an agreement on the final budget implementation language will be reached.  

Governor Shapiro

The Shapiro administration has announced it is taking the first step to implement the Nurse Licensure Compact by allowing nurses with multi-state licenses to practice in Pennsylvania beginning September 5. Learn more by reviewing the Department of Health’s health care facility-specific guidance and the Board of Nursing’s Nurse Licensure Compact website. 

General Assembly

The House Commerce Committee will hold an informational hearing Wednesday, September 6 at 11:00am on HB 1201, which addresses consumer rights for the sharing of personal data by certain businesses and provides the Attorney General with enforcement authority. The legislation includes several exemptions from the provisions of the act including several health-related exclusions in compliance with HIPAA standards. The informational hearing will be held in Room 515 of the Irvis Office Building and will be livestreamed here. 

Department of Human Services 

  • The Department of Human Services (DHS) has announced changes to the Medical Assistance (MA) Program fee schedule. The changes are effective for dates of service on and after September 5, 2023. Learn more in this Pennsylvania Bulletin notice.
  • DHS has updated its calendar of mailing dates for Remittance Advices and corresponding electronic transfers and checks through September. Find the updated calendar here.

Department of Health  

The Department of Health (DOH) has updated its staffing calculation tool for long-term care facilities. Use of this tool is not required but may be useful when calculating the required number of nursing hours as well as staff ratios. Click here to download the tool (Excel spreadsheet) and here to download the instructions (Word document). 

Department of Aging

The Department of Aging has announced it is soliciting stakeholder feedback to assist in the development of the state’s Master Plan for Older Adults. The department has partnered with the University of Pittsburgh to distribute a survey in an effort to develop a profile of the needs of older adults and adults with disabilities that will inform the state’s planning process.  

Department of Drug & Alcohol Programs 

The Department of Drug & Alcohol Programs (DDAP) has announced its intent to hold technical assistance webinars regarding substance use disorder (SUD) confidentiality and the impact of Act 33. In preparation, DDAP has requested stakeholders complete their SUD Confidentiality Survey by September 22, 2023. If you are interested in attending one of the webinars, you may email  RA-DAASAM@pa.gov to be notified when they’re scheduled.

Pennsylvania Health Care Cost Containment Council

The Pennsylvania Health Care Cost Containment Counsel (PHC4) has released a new research brief, Severe Maternal Morbidity in Pennsylvania. The brief examines severe maternal morbidity among patients hospitalized in Pennsylvania for delivery between 2016 and 2022. PHC4’s press release announcing the report may be found here. 

Medicaid Continuous Coverage Unwinding 

The Department of Human Services (DHS) is maintaining an online dashboard with Medicaid continuous coverage unwinding data. The data on this dashboard tracks the renewal process by county and zip code. Additional updates and resources about the Medicaid eligibility renewal process may be found here.

DHS has published the following resources to help providers educate patients about Medicaid renewals and what to do if they are no longer eligible for Medicaid.

2023-08-25T21:35:39+00:00August 25th, 2023|Financial, Medicaid Eligibility Redetermination , Pennsylvania Bulletin, Pennsylvania proposed FY 2024 budget|Comments Off on PA Health Policy Update for August 25

PA Health Policy Update for the Week of July 19-23

The following is an update of selected state health policy developments in Pennsylvania for the week of July 19-23, 2021.  (Some of the language used below is taken directly from state documents.)

General Assembly

The Senate Health & Human Services Committee and Communications & Technology Committee held a joint hearing on Wednesday to examine contracts awarded by the Department of Health  through emergency procurements.  The hearing largely focused on the department’s recent announcement that it intends to enter into a year-long $34 million contract with Public Consulting Group (PCG) to conduct COVID-19 contact tracing.  PCG is being hired to replace the state’s former contact-tracing vendor, Insight Global, which received a multi-million contract last year through an emergency procurement but was fired in May for mishandling sensitive personal information.  Read Acting Health Secretary Alison Beam’s testimony here and watch a replay of the hearing here.

Office of the Attorney General

Attorney General Josh Shapiro announced this week a $26 billion settlement with Cardinal, McKesson, AmerisourceBergen, and Johnson & Johnson for their role in the opioid epidemic.  This agreement would resolve the claims of nearly 4,000 state and local governments across the country that have filed lawsuits against these companies.  States have 30 days to agree to the settlement and local governments have 150 days.  Shapiro has estimated that Pennsylvania will receive as much as $1 billion from the settlement.

Department of Health

Wolf administration officials announced proposed changes in state nursing home regulations that seek to improve the quality of care received by residents by increasing the minimum direct care hours by 1.4 hours each day.  The current skilled nursing facility regulations have not been updated since 1999.   The Department of Health has indicated that it intends for this to be the first of five proposals to update the regulations governing long-term-care facilities.  With this announcement the Department of Health submitted the first installment of the proposed nursing home regulations to the General Assembly, the state’s Independent Regulatory Review Commission, and the Legislative Reference Bureau.  The next step is for these proposed regulations to be published in the Pennsylvania Bulletin by the end of July, which will start a 30-day public comment period.  Learn more from this Wolf administration news release about the newly proposed regulations and go here, to the web site of the Independent Regulatory Review Commission, to find the proposed regulations themselves.

Department of Human Services

DHS has updated its “Monthly Physical Health Managed Care Program Enrollment Report” with new data on the number of Pennsylvanians who participated in Medical Assistance managed care in April, May, and June.  The report breaks down Medicaid managed care enrollment by county, by racial and ethnic group, and by health plan.  Find the report here.

COVID-19:  By the Numbers

  • The daily number of new COVID-19 cases rose considerably over the past week, with Tuesday’s total the highest one-day figure in more than one month.  Even these higher numbers are only between one-third and one-half of what they were at this time two months ago.
  • The number of Pennsylvanians hospitalized with COVID-19 has risen 12 percent since the beginning of July and the number in hospital ICUs has risen a good deal in recent days.  The number of COVID-19 patients on ventilators continues to decline.
  • 5.6 million Pennsylvanians have been fully vaccinated against COVID-19, according to the state’s COVID-19 dashboard, but only 56,000 completed the full vaccination regimen in the past week – barely more than half the number of last week; another 823,000 Philadelphians are now fully vaccinated but only 10,000 reached that status in the past week.

Around the State

  • The Philadelphia Department of Public Health now “…strongly recommends that everyone, including fully vaccinated people, wear masks in all public indoor places,” Philadelphia health officials announced in their latest update on the state of COVID-19 in the city.
  • A long-sought psychiatric residential treatment facility in Philadelphia for kids with complex needs may close just a few months after it opened because the state has revoked its license.  The Philadelphia Inquirer explains why.
  • Opioid problems, addictions, and deaths are rising in western Pennsylvania, the Pittsburgh Tribune-Review reports.
  • Will Pennsylvania public school students be required to wear masks when they return to the classroom in September?  In Pittsburgh it looks like they will; elsewhere in Allegheny County, some will and some will not; in Philadelphia they definitely will; in the Scranton School District they are still deciding; and in the Central Bucks School District masks will be optional.
  • “Pennsylvania officials in Harrisburg are mulling pay increases, signing bonuses and student loan forgiveness for the state’s care workers who provide home and community based services – part of a plan to spend an additional $1.2 billion in federal funding for those services that allow seniors and people with disabilities to live independently,” according to the Pittsburgh Post-Gazette, which also reports on the proposed strategy the state has submitted to the federal Centers for Medicare & Medicaid Services.
  • City and State Pennsylvania, which describes itself as a “…multi-media news firm that dedicates its coverage to Pennsylvania’s state and local government, political and advocacy news,” has come out with a list of “The Pennsylvania Healthcare Power 100.”  See who made the cut here.
  • About 1500 employees of more than a dozen Pennsylvania nursing homes will go on a one-day strike on July 27.  GoErie explains why.
  • Worried about the recent increase in the number of new COVID-19 cases?  Experts in western Pennsylvania are not – at least not yet.  The Pittsburgh Tribune-Review shares their thoughts.
  • The Justice Department has informed the Wolf administration that it will not investigate whether the state ordered nursing homes to accept residents after they had been treated in a hospital for COVID-19, which would have been a violation of federal law, according to the Associated Press.

Stakeholder Events

Special Pharmaceutical Benefits Program

July 29 at 10:00

This is a telephone meeting.

Join on your computer or mobile app

Click here to join the meeting

Or call in (audio only)

+1 412-648-8888,,785376728#   United States, Pittsburgh

(866) 588-4789,,785376728#   United States (Toll-free)

Phone Conference ID: 785 376 728#

Traumatic Brain Injury Advisory Board

August 6 at 9:00 a.m.

The Traumatic Brain Injury Advisory Board will hold a virtual public meeting on Friday, August 6, 2021.  For information about the board’s mission, meeting materials, and how to participate virtually, see the meeting announcement in the Pennsylvania Bulletin.

Human Immunodeficiency Virus (HIV) Community Prevention Planning Committee

August 11-12 at 9:00 a.m.

The state-wide Human Immunodeficiency Virus (HIV) Community Prevention Planning Committee will hold public meetings on Wednesday, August 11, 2021, and Thursday, August 12, 2021 from 9 a.m. to 4:30 p.m.  To see the agenda and find information about where the meeting will be held and how individuals can participate virtually, see the meeting announcement in the Pennsylvania Bulletin.

2021-07-23T21:07:14+00:00July 23rd, 2021|Coronavirus, COVID-19, HealthChoices, long-term care, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for the Week of July 19-23

New Report Looks at Medicaid and Social Determinants of Health

A new report outlines how state Medicaid programs can improve the health of Medicaid beneficiaries through a more concerted approach to addressing social determinants of health.

The report, from the Institute for Medicaid Innovation, focuses on how state Medicaid programs, through alternative payment models and especially through managed care organizations, have implemented new programs designed to address social determinants of health such as inadequate social supports and housing, food insecurity, lack of transportation, and others.  It also highlights federal regulations that facilitate the implementation of new ways to address social determinants of health and presents brief case studies in which states, state Medicaid programs, and Medicaid managed care organizations tackle social determinants of health.

Such approaches are especially relevant to Pennsylvania safety-net hospitals because they care for so many more Medicaid patients than the typical community hospital.

Learn more from the Institute for Medicaid Innovation report “Innovation and Opportunities to Address Social Determinants of Health in Medicaid Managed Care.”

2019-02-06T06:00:55+00:00February 6th, 2019|social determinants of health|Comments Off on New Report Looks at Medicaid and Social Determinants of Health

Medicaid MCOs Skimping on Care?

Medicaid MCOs may be skimping on care, according to a recent Kaiser Health News report.

According to Kaiser, for-profit companies that sub-contract with Medicaid managed care organizations to review requests for services often deny care to Medicaid patients to save money for the MCOs that employ them and to benefit themselves financially.

The Kaiser article presents examples of companies that have been identified engaging in such practices, explains how they go about their work, and outlines the dangers to Medicaid recipients posed by such practices.

Because they serve so many more Medicaid patients than the typical hospital, Pennsylvania safety-net hospitals, their patients, and the communities they serve can be greatly affected by such practices.

Learn more in the Kaiser Health News article “Coverage Denied: Medicaid Patients Suffer As Layers Of Private Companies Profit.”

2019-01-09T15:54:59+00:00January 9th, 2019|Pennsylvania Medicaid, Pennsylvania safety-net hospitals|Comments Off on Medicaid MCOs Skimping on Care?

MACPAC Meets

The non-partisan legislative branch agency that advises Congress, the administration, and the states on Medicaid and CHIP-related issues met recently in Washington, D.C.
The following is the Medicaid and CHIP Payment and Access Commission’s own summary of its meeting.

The December 2017 meeting of the Medicaid and CHIP Payment and Access Commission began with a brief update on the State Children’s Health Insurance Program (CHIP). Although federal funding for the CHIP expired at the end of September, legislation to renew funding was still pending in Congress. The Commission then heard from a panel discussing state tools to manage drug utilization and spending in Medicaid. Panelists included Renee Williams, director of clinical pharmacy services for TennCare; Doug Brown, Magellan Rx Management’s vice president for Medicaid drug rebate management; and John Coster, director of the Center for Medicaid and CHIP Services Division of Pharmacy at the Centers for Medicare & Medicaid Services. At the final morning session, Commissioners reviewed a draft March 2018 report chapter on streamlining Medicaid managed care authorities. The Commission voted to approve recommendations to Congress, but deferred action on a third recommendation for further discussion at its upcoming January 2018 meeting.

In the afternoon, MACPAC staff previewed highlights from the December 2017 MACStats: Medicaid and CHIP Data Book. MACStats pulls together Medicaid and CHIP data from multiple sources that often can be difficult to find. The collection is published annually and individual tables are updated throughout the year. The Commission then reviewed the draft March report chapter on telemedicine in Medicaid, and later in the day the Commission returned to the topic of prescription drugs, to explore potential recommendations on the Medicaid drug rebate program.

The final December sessions covered MACPAC’s annual analysis of disproportionate share hospital payments (a required element of its March reports), and findings from interviews with four states to better understand how they are implementing Section 1115 Medicaid-expansion waivers.

The following presentations, many with supporting documents, were offered during the MACPAC meeting:

  1. State Strategies for Managing Prescription Drug Spending
  2. Review of March Report Chapter: Streamlining Managed Care Authorities
  3. Highlights from MACStats
  4. Review of March Report Chapter: Telemedicine in Medicaid
  5. Potential Recommendations on Medicaid Outpatient Drug Rebates
  6. Review of Draft March Report Chapter: Analyzing Disproportionate Share Hospital Allotments to States
  7. Implementation of Section 1115 Medicaid Expansion Waivers: Findings from Structured Interviews in Four States
2017-12-19T06:00:26+00:00December 19th, 2017|Federal Medicaid issues|Comments Off on MACPAC Meets

New Help With Addressing Low-Income Patients’ Social Services Needs?

One of the long-time barriers to states and hospitals addressing low-income patients’ social services needs and the social determinants of health has been a lack of resources for such assistance.  Medicaid, in particular, has not been a financial participant in such efforts.
But that may be changing.
The new federal Medicaid managed care regulation, updated nearly two years ago, allows for the inclusion of some non-clinical services as covered Medicaid services and for funding for such services to be folded into Medicaid managed care plans’ capitation rates and medical loss ratios.  The updated regulation also encourages greater coordination of care for Medicaid patients and coverage for long-term services and supports in the home and community for medically qualified patients.
Because they serve so many low-income patients, Pennsylvania safety-net hospitals are especially interested in policy changes that might enable them to serve such patients more effectively.
The Commonwealth Fund has taken a closer look at how the 2016 Medicaid managed care regulation may facilitate addressing the psycho-social needs of Medicaid beneficiaries.  Go here to see its report “Addressing the Social Determinants of Health Through Medicaid Managed Care.”

2017-12-05T06:00:32+00:00December 5th, 2017|Federal Medicaid issues, Pennsylvania safety-net hospitals|Comments Off on New Help With Addressing Low-Income Patients’ Social Services Needs?

MACPAC Meets

The Medicaid and CHIP Payment and Access Commission met recently in Washington, D.C.
Among the issues MACPAC commissioners discussed during their two-day meeting were:

  • delivery system reform incentive payment programs
  • Medicaid enrollment and renewal processes
  • managed care oversight
  • monitoring and evaluating section 11115 demonstration waivers
  • Medicaid coverage of telemedicine services

MACPAC advises the administration, Congress, and the states on Medicaid and CHIP issues.  It is a non-partisan agency of the legislative branch of government.
Go here to find background information on these and other subjects as well as links to the presentations that MACPAC staff made to the commissioners during the meetings.

2017-09-21T06:00:10+00:00September 21st, 2017|Federal Medicaid issues|Comments Off on MACPAC Meets

MACPAC Meets

Last week the Medicaid and CHIP Payment and Access Commission met in Washington, D.C.  The agency performs policy and data analysis and offers recommendations to Congress, the Department of Health and Human Services, and the states.
During two days of meetings, MACPAC commissioners received the following presentations:

  • Federal CHIP Funding Update: When Will States Exhaust Their Allotments?
  • Review of June Report Chapter: Program Integrity in Medicaid Managed Care
  • Review of June Report Chapter: Medicaid and the Opioid Epidemic
  • Medicare Savings Program: Eligible But Not Enrolled
  • Medicaid Reform: Implications of Proposed Legislation
  • Preliminary Findings From Evaluations of Medicaid Expansions Under Section 1115 Waivers
  • Potential Effects of Medicaid Financing Reforms on Other Health and Social Programs
  • Review of June Report Chapter: Analysis of Mandatory and Optional Populations and Benefits
  • Managed Long-Term Services and Supports: Network Adequacy for Home and Community-Based Services
  • Update on MACPAC Work on Value-Based Payment and Delivery System Reform

For links to all of these publications and a transcript of the two-day meeting go here, to the MACPAC web site.

2017-05-05T06:00:59+00:00May 5th, 2017|Federal Medicaid issues|Comments Off on MACPAC Meets
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