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Friday, Aug 5 2016

Full Issue

Kansas Lawmakers Press Officials, Contractor On Medicaid Application Backlog

As legislators express frustration, state officials report that the list of people waiting more than 45 days has been whittled down from nearly 11,000 to about 3,500. Outlets also report on Medicaid issues in Iowa, Alabama and Florida.

Lawmakers say they have received a flood of phone calls from residents who are fed up with how long it鈥檚 taking the state to process applications for Medicaid, the insurance program for people with low incomes or who are disabled. ... Mounting problems with the state鈥檚 backlog of Medicaid applications prompted Thursday鈥檚 meeting of the KanCare Oversight Committee. State officials told lawmakers Thursday that 3,587 applicants have been waiting 45 days or longer. That鈥檚 down from the 10,961 who had been waiting for that amount of time in mid-May. (Dunn, 8/4)

Several lawmakers bemoaned the onerous application process for Medicaid benefits. 鈥淚t鈥檚 a 200-page application process for long-term care services. Two-hundred pages,鈥 said Sen. Jim Denning, R-Overland Park. 鈥淪o it鈥檚 going to be a horrible process no matter how you skin the cat.鈥 Sen. Laura Kelly, D-Topeka, said she needed more than a week to complete an application for her daughter. She questioned why the state doesn鈥檛 have navigators 鈥 similar to those created under the Affordable Care Act 鈥 to help people complete their applications. (Wingerter, 8/4)

Legislators grilled a state contractor Thursday about problems with the Medicaid application process and the backlog that has thousands of Kansans waiting for coverage. ... The contractor鈥檚 explanations for the backlog were not new: the rocky rollout last summer of a new computer system to process the applications coupled with an ill-timed administrative change that funneled all applications through the Clearinghouse. (Marso, 8/4)

[Brenda Mills, CEO of Family Service and Guidance Center, a Topeka-based community mental health center that serves children,] told committee members that some of the three private insurance companies that run KanCare, the state鈥檚 privatized Medicaid program, had raised objections to the center鈥檚 psychosocial treatment practices. ... The insurance companies, also known as managed care organizations or MCOs, have authority to look for outliers in prescribing patterns, which is appropriate, Mills said. But she said some MCOs flagged a problem when they saw an increase in psychosocial treatment during the summer 鈥 which reflects the fact that children aren鈥檛 in school and are available for more intensive therapy. (Hart, 8/4)

Pat Giorgio anticipated some problems with the transition of state-run Medicaid to three private management companies, but she didn't quite anticipate the breadth and depth of the woes the transition would cause for聽Evergreen Estates, residential communities she founded to serve the elderly in Cedar Rapids."Because I heard that it might be a difficult transition, I got a line of credit with my bankers of $100,000. I'm billing roughly $40-50,000 a month to Home and Community Based Services, and I've used up that $100,000 in my line of credit." ... Giorgio says before the transition she was paid in eight days or so. Now, she says, 15 percent of her claims from three months ago have not been paid. (Roth and Kieffer, 8/4)

A budget impasse in Alabama is beginning to delay healthcare for children and Medicaid beneficiaries in the state.This past spring, the state's Legislature overrode Gov. Robert Bentley's veto and appropriated $700 million to Alabama's Medicaid program. That was $85 million less than what the Republican governor had requested based on what the agency said it needed to maintain services. (Dickson, 8/4)

A Florida Department of Health study says the state ranked 11th highest in the country in the percentage of third-graders with untreated tooth decay. Some groups in Manatee County got together to take on the problem themselves.聽Today, the mobile dental unit, called the 鈥渄ental bus鈥 is parked in the parking lot of Morton Clark Head Start preschool in Bradenton, but it's driven where it's needed. The bus is an extension of MCR Health Services, a federally-supported group of clinics that treat low-income patients in Manatee, DeSoto and Sarasota counties. (Miller, Clark and O'Hara, 8/4)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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