Despite Federal Guidance, Most State Medicaid Programs Still Reluctant To Pay For Pricey Hep C Treatment
CMS warned state Medicaid programs in 2015 that they may be violating federal law by restricting access to hepatitis C medicines, but restrictions are still in place for many states. Other Medicaid news comes out of California, Tennessee and Michigan.
Despite guidance from the federal government, most state Medicaid programs continue to deny hepatitis C treatments to beneficiaries, although more states are gradually easing restrictions, according to a new analysis. Between November 2018 and July 2019, six states have either removed or eliminated restrictions based on a patient鈥檚 stage of liver disease, one state loosened rules that required patients to demonstrate they have not abused drugs or alcohol for a period of time before starting treatment, and six states scaled back prescribing restrictions for health care providers. (Silverman, 10/16)
Gina Diaz-Nino considers herself an extrovert. But since her mouth began deteriorating after years of methamphetamine use and two fights, she receded into the shadows. Her teeth are yellow, crooked and browning around the corners. Most of her top teeth are either chipped, missing or decaying. When they fell out, they crumbled like chalk. 鈥淚鈥檒l open my mouth and oh 鈥 drug addict,鈥 Diaz-Nino said. 鈥淚t鈥檚 there. It鈥檚 like a past that you鈥檙e trying to erase and you can鈥檛 because you dug yourself that deep and you can鈥檛 get yourself out by yourself.鈥 (Tobias, 10/16)
Dozens of people spoke against the proposed $7.85 billion Medicaid block grant amendment Tuesday, Oct. 15, during a hastily-scheduled public hearing at the University of Memphis. And nearly a hundred others clapped and cheered at their outrage and frustration. 鈥淭his is clear, people will die if this proposal goes into effect, and they will be our poorest, oldest, most vulnerable neighbors,鈥 said Rachel Ledbetter, a third-year law student in Memphis who spoke candidly that the state should be expanding Medicaid plans just as 36 other states have done instead of looking for ways to save money. (Roberts, 10/16)
The Michigan Department of Health and Human Services plans to host聽a series of public forums聽this month and in November to help people understand the new Medicaid work requirements that take effect Jan. 1.聽 Starting in 2020, low-income Michiganders ages 19-61 who receive Medicaid benefits under the Healthy Michigan Plan must聽prove that they are working at least 80 hours each month or that they are聽trying to find a job, are undergoing job or vocational training, are working in an internship,聽enrolled in school, undergoing substance abuse treatment, community service聽or are otherwise exempt. (Shamus, 10/16)
