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PA Relents on New Co-Pays for Selected Medicaid Recipients

The Pennsylvania Department of Public Welfare (DPW) has announced that it will not require selected Medical Assistance recipients with incomes 200 percent above the federal poverty level to pay co-payments for Medicaid services.
The new co-pay policy, implemented October 1, affected about 48,000 families and especially targeted children with autism and other disabilities.
Instead of seeking co-payments, DPW intends to seek federal permission to charge insurance premiums to the same patients.
Read more about the controversy and the decision that temporarily ends it in this Pittsburgh Post-Gazette article.

2012-10-10T06:00:13+00:00October 10th, 2012|Pennsylvania Medicaid policy|Comments Off on PA Relents on New Co-Pays for Selected Medicaid Recipients

EHR Use Growing in State Medicaid Program

Roughly one in four Pennsylvania Medical Assistance recipients visited providers last year that used electronic health record (EHR) technology to help manage their health care information.
According to the Department of Public Welfare (DPW), the state has now distributed $130 million in federal EHR incentive payments to 90 hospitals and more than 3000 health care professionals.
Read more about the growing use of EHR technology and the availability of federal funds to support the use of that technology in this Central Penn Business Journal article.

2012-07-30T06:00:59+00:00July 30th, 2012|Pennsylvania Medicaid policy|Comments Off on EHR Use Growing in State Medicaid Program

PA Cuts Medicaid Dental Benefits

Group of healthcare workersPennsylvania has reduced its Medicaid dental benefits to basic services – mostly, cleanings, fillings, and extractions.
It has eliminated root canal and periodontal procedures and limits dentures.  The changes are expected to save $42 million this year.
Most states do not pay for any dental care.
Read more about the changes in Pennsylvania’s Medicaid dental benefits and their impact on beneficiaries here.

2012-07-17T06:00:55+00:00July 17th, 2012|Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on PA Cuts Medicaid Dental Benefits

Feds Probe Steep Drop in PA Medicaid Enrollment

Federal officials have asked the Pennsylvania Department of Public Welfare why the state dropped 130,000 people from its Medicaid rolls between August of 2011 and January 2012 and what the state is doing about the administrative challenges state officials say is one of the reasons for the precipitous drop.
In response to previous federal inquiries about the large numbers of recipients whose Pennsylvania Medical Assistance eligibility was revoked, state officials pointed to a backlog of cases to review.  State and federal officials met to review the situation in April, and the latest federal correspondence with the state seeks answers to questions federal officials posed at the April meeting.
Read more about the problem, the interaction between state and federal officials, and the current status of this situation in this Philadelphia Inquirer articlePennsylvania State Map.

2012-07-12T09:10:59+00:00July 12th, 2012|Pennsylvania Medicaid policy|Comments Off on Feds Probe Steep Drop in PA Medicaid Enrollment

News from the Pennsylvania Health Law Project

The Pennsylvania Health Law Project has issued its May 2012 newsletter.  Included in it are articles on the expanded use of HealthChoices in the Medical Assistance program; information about proposed changes in the Medical Assistance Transportation Program; an update on limits on Medicaid recipients’ use of prescription drugs; the removal of children from the state’s Medicaid rolls; and the 2013 increase in Medicaid payments for primary care providers.
Download the May edition of Health Law PA News, the newsletter of the Pennsylvania Health Law Project, hereHarrisburg, PA capital building.

2012-06-07T06:00:24+00:00June 7th, 2012|Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on News from the Pennsylvania Health Law Project

Maternity Payment Cut Takes Effect

The Medical Assistance cut in fee-for-service inpatient payments for the care of normal newborns took effect on June 1.
According to the Department of Public Welfare (DPW), the payment reduction brings Pennsylvania into line with what other states’ Medicaid programs pay for such care.  According to hospital industry representatives, Pennsylvania hospitals still lose money on Medicaid deliveries and now will lose more.
This policy will be especially damaging to Pennsylvania’s safety-net hospitals.  Although only one-third of the state’s acute-care hospitals, safety-net hospitals perform two-thirds of all Medicaid deliveries according to the March 2012 report “Pennsylvania’s Safety-Net Hospitals:  Vital Providers, Vital Employers” prepared by the Safety-Net Association of Pennsylvania.
Read more about the state’s new policies, how it will affect hospitals, and how hospitals are responding to it in this Pittsburgh Post-Gazette articleHospital building.

2012-06-06T06:00:00+00:00June 6th, 2012|Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on Maternity Payment Cut Takes Effect

HealthChoices Expands, ACCESS Plus Contracts

Harrisburg, PA capital buildingEffective July 1, the Pennsylvania Medical Assistance program’s HealthChoices mandatory managed care program will expand to seven new counties:  Bedford, Blair, Cambria, Franklin, Fulton, Huntingdon, and Somerset.  At the same time, the state’s ACCESS Plus Medicaid managed care program will cease operations in those same counties.
Further information can be found in a May 25 Department of Public Welfare (DPW) Medical Assistance Bulletin, which can be found here.

2012-05-31T06:00:15+00:00May 31st, 2012|Meetings and notices|Comments Off on HealthChoices Expands, ACCESS Plus Contracts

Medical Assistance Expands Use of Telemedicine

Pennsylvania’s Medical Assistance program has unveiled plans to make greater use of telemedicine in the future.
According to a news release from the governor’s office, the program will expand the types of medical specialists who may engage in telemedicine, remove the requirement that referring physicians participate in telemedicine consultations, and establish specific technologies for use in such consultations.
Learn more about this Medical Assistance initiative by going herePennsylvania State Keystone and reading the governor’s news release.

2012-05-23T13:22:36+00:00May 23rd, 2012|Pennsylvania Medicaid policy|Comments Off on Medical Assistance Expands Use of Telemedicine

MAAC to Meet

The next meeting of Pennsylvania’s Medical Assistance Advisory Committee (MAAC) will be held on Thursday, May 24 in Harrisburg.  The MAAC advises the Pennsylvania Department of Public Welfare on Medicaid policy.  Its meetings are open to the public.Harrisburg, PA capital building

2012-05-17T06:00:41+00:00May 17th, 2012|Meetings and notices|Comments Off on MAAC to Meet

Newborn Pay Cut

Pennsylvania’s Medical Assistance program will no longer pay hospitals for care they provide to normal newborns delivered by patients who participate in the state’s fee-for-service program.
This policy change, which took effect on May 1, will have a greater impact on Pennsylvania’s safety-net hospitals than on other hospitals because safety-net hospitals are involved in far more Medicaid-covered deliveries than other hospitals – two-thirds of such births according to the recent SNAP report Pennsylvania’s Safety-Net Hospitals:  Vital Providers, Vital Employers, which you can find here.
The policy change governing how Medicaid will pay hospitals for the care they provide to normal newborns is described in greater detail in a May 4 Medical Assistance Bulletin, which you can read hereBookshelf with law books.

2012-05-07T06:00:56+00:00May 7th, 2012|Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on Newborn Pay Cut
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