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Health Law PA News

The Pennsylvania Health Law Project has published its January 2013 newsletter, which includes articles on the state’s budget process (including a schedule of upcoming budget hearings), the continued expansion of HealthChoices, changes in Medicaid-covered behavioral health and substance abuse services, limits on Medical Assistance benefits, the overall benefits of Medicaid expansion for Pennsylvania, and more.
Go here to download the Pennsylvania Health Law Project’s Health Law PA News.

2013-02-08T06:00:35+00:00February 8th, 2013|Meetings and notices, Pennsylvania Medicaid policy, Pennsylvania state budget issues|Comments Off on Health Law PA News

Handicapping Medicaid Expansion in PA

Will he or won’t he?
That question is still on the minds of many as Pennsylvania Governor Tom Corbett continues neither to declare that the state will expand its Medicaid program as provided for in the Affordable Care Act nor to confirm the suspicion of most observers that he will choose not to expand the program beyond its current 2.2 million recipients.
As of right now, 12 states appear to be undecided about Medicaid expansion.  The Safety-Net Association of Pennsylvania (SNAP) supports Medicaid expansion.
For a closer look at the situation in Pennsylvania, including an account of which interest groups are for expansion and which are not as enthusiastic as one might expect, read this columnHarrisburg, PA capital building from the Central Penn Business Journal.

2013-02-01T06:00:35+00:00February 1st, 2013|Health care reform, Pennsylvania Medicaid policy|Comments Off on Handicapping Medicaid Expansion in PA

Pennsylvania Health Law Project Newsletter

The Pennsylvania Health Law Project has published its January 2013 newsletter.
Targeted to the very population that Pennsylvania’s safety-net hospitals serve, this month’s newsletter includes features on the benefits of Medicaid expansion under the Affordable Care Act, Medicaid eligibility, and the uninsured in Pennsylvania.  It also includes links to articles and features relevant to the state’s low-income population and the health care providers who serve them.
See the Pennsylvania Health Law Project’s January 2013 newsletter here.

2013-01-31T06:00:57+00:00January 31st, 2013|Health care reform, Pennsylvania Medicaid policy|Comments Off on Pennsylvania Health Law Project Newsletter

PA Prepares to Boost Medicaid Primary Care Rates

Pennsylvania will soon begin paying primary care providers more for the services they deliver to their Medical Assistance patients.
Under the Affordable Care Act, state Medicaid programs are required to pay primary care providers Medicare-level fees for calendar years 2013 and 2014.  This policy was adopted as part of a broader effort to recruit more physicians to serve Medicaid patients at a time when Medicaid enrollment will increase significantly in most states.
Now, the Pennsylvania Department of Public Welfare (DPW) is presenting its plan for how it will go about implementing this federal requirement.
DPW has issued a new Medical Assistance Bulletin titled “Medical Assistance Program Fee for Select Primary Care Services and Physician Attestation Form” that identifies eligible providers and explains how they can go about receiving the enhanced payments.  That bulletin can be found here.  DPW also has issued an attestation form through which providers can assert their eligibility for the enhanced payments; that form, and directions for completing and submitting it, can be found here.

2013-01-29T06:00:39+00:00January 29th, 2013|Health care reform, Medical Assistance Bulletin, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on PA Prepares to Boost Medicaid Primary Care Rates

Hearing Promotes Medicaid Expansion in PA

Democratic members of the state Senate Appropriations Committee held a hearing in Philadelphia to promote expansion of the state’s Medicaid (Medical Assistance) program.
Participating legislators took testimony from representatives of a number of organizations that support Medicaid expansion, which is an optional component of the Affordable Care Act.
The Safety-Net Association of Pennsylvania (SNAP) supports Medicaid expansion in the state.
Governor Corbett has not yet announced his decision on Medicaid expansion but is thought to be leaning against it.  The General Assembly members who held the hearing are in the minority party in the state senate.
Read more about the hearing, the issues, and the testimony offered in thisHouse Chamber of the State House Philadelphia Inquirer article.

2013-01-25T12:06:55+00:00January 25th, 2013|Health care reform, Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on Hearing Promotes Medicaid Expansion in PA

SNAP Seeks Provider Fee Help from PA Congressional Delegation

In a message to members of Pennsylvania’s congressional delegation, the Safety-Net Association of Pennsylvania (SNAP) has asked elected officials in Washington, D.C. to protect the state’s ability to levy assessments on providers to help fund the commonwealth’s Medicaid program.  The proceeds from the state’s current provider assessments, SNAP notes, have made a major difference in ensuring the ability of Pennsylvania’s safety-net hospitals to continue serving their many Medicaid patients.
Read SNAP’s message to the Pennsylvania congressional delegation hereSafety-Net Association of Pennsylvania logo.

2012-12-26T15:00:08+00:00December 26th, 2012|Safety-Net Association of Pennsylvania|Comments Off on SNAP Seeks Provider Fee Help from PA Congressional Delegation

DPW Announces Fee Schedule Changes

The Pennsylvania Department of Public Welfare has issued a Medical Assistance Bulletin detailing changes in the fee-for-service fee schedule.  The changes take effect immediately.
 
Read the bulletin with the changes hereBookshelf with law books.

2012-12-19T06:00:54+00:00December 19th, 2012|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on DPW Announces Fee Schedule Changes

Sneak Peek: PA Medicaid Costs to Rise $650 Million in FY 2014

In its mid-year budget briefing, the Corbett administration projects that Pennsylvania’s Medical Assistance costs will rise $650 million in the state’s 2014 fiscal year, which will begin on July 1, 2013.
The budget briefing also noted that the governor has directed state agencies to maintain level funding in their proposed FY 2014 budgets, that level funding essentially means a cut of seven to eight percent because of rising personnel costs, and that the governor “has reiterated that no new taxes will be part of the 2013-14 budget.”
Although the governor does not present his proposed FY 2014 budget for another two months, this raises the question of how the state might pay these increased Medicaid costs – or if next year’s budget might include payment cuts for the state’s Medicaid providers.
Cut would be particularly burdensome to Pennsylvania’s safety-net hospitals because of the especially high numbers of Medicaid patients they serve and their unusual dependence on Medicaid revenue.
Read about the mid-year budget briefing in this PA Independent article and find the budget briefing itself hereFinancial graphs.

2012-12-10T06:00:27+00:00December 10th, 2012|Pennsylvania Medicaid policy, Pennsylvania state budget issues|Comments Off on Sneak Peek: PA Medicaid Costs to Rise $650 Million in FY 2014

Governors Will Give In On Medicaid Expansion, Experts Predict

Lured by billions of dollars in federal money, governors resisting the Affordable Care Act’s Medicaid expansion option will eventually give in and expand their states’ Medicaid programs as provided for in the 2010 health care reform law.
Or so predict several experts who participated in a recent health policy forum in Washington, D.C.
Some may not do so right away, the experts warned, but the financial benefits of expanding their Medicaid programs and capturing billions in federal Medicaid matching money will eventually become too much to resist.
Pennsylvania is among many states still not committed to Medicaid expansion.  In recent public statements, Governor Tom Corbett has suggested that the state cannot afford to spend the additional money expansion would require.
Read more about the policy forum and the experts’ predictions in this Politico article.

2012-12-03T06:00:59+00:00December 3rd, 2012|Health care reform, Pennsylvania Medicaid policy|Comments Off on Governors Will Give In On Medicaid Expansion, Experts Predict

Pennsylvania and OB DSH Payments

As part of a three-part series titled “Labor Pains,” the Philadelphia Business Journal has documented the OB/NICU disproportionate share (DSH) payments that Philadelphia-area hospitals have received from Pennsylvania’s Medicaid program since 2007.  Many of the recipients are safety-net hospitals, including a number of members of the Safety-Net Association of Pennsylvania (SNAP).
Read about the payments and why they were created and gain access to other parts of the “Labor Pains” series via this Philadelphia Business Journal articleDoctor giving patient an ultrasound.

2012-11-26T06:00:18+00:00November 26th, 2012|Medicaid supplemental payments, Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on Pennsylvania and OB DSH Payments
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