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Entries in Medicaid (96)

Thursday
Nov122015

Daily Signal - Planned Parenthood Paid $3 for Birth Control but Billed Medicaid $35, Former Manager Says

The Daily Signal

Nov. 12, 2015

Good morning from Capitol Hill, where conservatives are miffed about the Obama administration's lack of strategies to counter aggression by Russia and China. They're also pondering whether to deep-six the storied Senate filibuster. And in a commentary, Rep. Dave Brat, R-Va., is optimistic House leadership will listen better to regular Americans. Our big story, though, is Kelsey Harkness's exclusive on a former Planned Parenthood manager who alleges Iowa clinics ripped off taxpayers by overbilling Medicaid for birth control. Dig in.

News

Planned Parenthood Paid $3 for Birth Control but Billed Medicaid $35, Former Manager Says

A little-known whistleblower lawsuit accuses Planned Parenthood clinics in Iowa of wrongly siphoning millions of American taxpayer dollars with a series of complicated billing schemes aimed at increasing profits.

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Commentary

The Mainstream Media Are Suffering From Freedom Envy

The mainstream media are just another player now. A big one, but a player, writes Peggy Noonan in an exclusive excerpt of her new book "The Time of Our Lives: Collected Writings"

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Commentary

What Americans Want Paul Ryan (and Other Lawmakers) to Do

Rep. Dave Brat writes that now is the time to ensure that our agenda in Congress looks like that of the American people and less like the special interests that have driven us into this fiscal ditch.

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News

12 Bills That the Filibuster Stopped From Becoming Law

A filibuster may be overcome only when the Senate votes to achieve "cloture," when 60 of the 100 senators vote to end debate. If some Republicans get their way and reform the centuries-old filibuster, the political landscape could look very different.

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Commentary

The Obama Administration Still Lacks a Strategy to Counter China and Russia

Secretary of Defense Ash Carter gave a major speech at the 2015 Reagan National Defense Forum outlining the Obama administration's new strategies to respond to Russia and China.

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News

Meet the Priest Who Cares for Hundreds of Christian Refugees Fleeing ISIS

In the small town of Marka, Jordan, about 20 minutes from downtown Amman, hundreds of Christian refugees and their families live under the steadfast care of Father Khalil Jaar, a humble priest originally from Bethlehem.

Read More

The Daily Signal

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Friday
Oct092015

NH DHHS Announces Enrollment of Remaining Populations in Medicaid Care Management 

The New Hampshire Department of Health and Human Services (DHHS) announced

today that beginning November 1, 2015, Medicaid recipients who could

initially opt out of Medicaid Care Management (MCM) will be required to

enroll in the program and will receive their medical care through a Managed

Care Organization (MCO) health plan, with coverage beginning February 1,

2016.





The Medicaid Care Management program is being implemented in incremental

steps. Step 1 of the program began on December 1, 2013 and included the

enrollment of 90 percent of the Medicaid population into the care

management program for their medical care, while others were allowed to

remain in the fee-for-service program. Now, most of the remaining Medicaid

population in the fee-for-service program will be required to enroll,

benefitting from health plan services that afford improved care

coordination and wellness programs.





“The Department recognizes and acknowledges the complex needs of people now

enrolling in an MCO health plan for their medical care,” said DHHS

Commissioner Nick Toumpas. “We are committed to ensuring that appropriate

planning has occurred for this transition and will proactively support

these people during the enrollment process.”





Individuals required to enroll in MCM will receive letters from DHHS

informing them about the enrollment process and selecting the health plan

that is best for the client and their family. The remaining enrollment

population includes: Children in Foster Care, Medicare Dual Eligibles

(people who have both Medicare and Medicaid), Home Care for Children with

Severe Disabilities (aka Katie Beckett Medicaid), Children with special

health care needs enrolled in Special Medical Services/Partners in Health

and Children with Supplemental Security Income.





In preparation for the transition of individuals with complex needs into

MCM, DHHS has conducted frequent and widespread stakeholder engagement

meetings across the State with current MCM enrollees, clients who will be

required to enroll in MCM, and providers who serve these clients. DHHS held

meetings from July-November 2014, to obtain input on best practices for

integration of Step 2 populations and services into the MCM program. DHHS

and the MCOs conducted provider and client informational sessions across

the State from July-August 2015. Focus group meetings with individuals with

complex needs currently in MCM were conducted in June and August 2015 and

information sessions to solicit input from providers on the kinds of

support needed to assist individuals with enrollment in MCM were held in

August and September.





Future phases of Step 2 will include the integration of Long Term Supports

and Services (LTSS) such as Choices for Independence (CFI) Services;

Nursing Facility Services; and Developmental Disability (DD), Acquired

Brain Disorder (ABD) and In-Home Support (IHS) services into the Medicaid

Care Management program.

Friday
Jul242015

NH DHHS to Hold Information Session in Rochester for Medicaid Recipients Transitioning into Medicaid Care Management 

Concord, NH - The NH Department of Health and Human Services (DHHS) will

hold a public meeting on August 6 in Rochester, New Hampshire, to

help inform Medicaid recipients and providers about the transition into

Medicaid Care Management from a fee-for-service program. The information

session in Rochester will be the 5th meeting this summer hosted by DHHS, in

conjunction with New Hampshire Healthy Families and the Well Sense Health

Plan, to address the move of additional Medicaid-eligible populations into

the Care Management system for their medical services. Medicaid recipients

who could initially opt out of Medicaid Care Management will now be

required to choose one of the two health plans for their medical coverage.



The session is open to the public and is designed to answer client and

provider questions on the transition to Care Management. Topics to be

covered include Continuity of Care, the prior authorization process,

medical and pharmacy benefits, and the transportation program.



The new session will be held:



Thursday, August 6, 2015

Community Partners – Rochester Community

Office

25 Old Dover Road

Rochester, NH

6:00-8:00 PM



Registration is available at the following site:

https://www.events.unh.edu/RegistrationForm.pm?event_id=18080. For more

information about

Medicaid Step 2, visit http://www.dhhs.nh.gov/ombp/caremgt/index.htm.


Tuesday
Jul072015

NH DHHS Announces Three New Information Sessions for Medicaid Recipients Transitioning into Medicaid Care Management

Concord, NH - The NH Department of Health and Human Services (DHHS) has

announced the dates and locations of three additional public meetings to

help inform Medicaid recipients and providers about the transition into

Medicaid Care Management from a fee-for-service program. DHHS, in

conjunction with New Hampshire Healthy Families and the Well Sense Health

Plan, is holding the information sessions in July to address the move of

additional Medicaid-eligible populations into the Care Management system

for their medical services. Medicaid recipients who could initially opt

out of Medicaid Care Management will now be required to choose one of the

two health plans for their medical coverage.



The sessions are scheduled around the State and are open to the public.

The sessions are designed to answer client and provider questions on the

transition to Care Management. Topics to be covered include Continuity of

Care, the prior authorization process, medical and pharmacy benefits, and

the transportation program.



Registration is available at the following site for the three July

sessions: https://www.events.unh.edu/RegistrationForm.pm?event_id=18028



Tuesday, July 14, 2015

Place: Nashua Community

College (Rm. 150)

505 Amherst St., Nashua

Time: 9:00-11:00 AM



Thursday, July 16, 2015

Place: Littleton

Regional Healthcare

(Conference rooms 1,2,3)

600 St. Johnsbury Road

Time: 2:30-4:30 PM



Wednesday, July 22, 2015

Place: Cheshire Medical

Center/Dartmouth Keene

580 Court St., Keene

Time: 5:30-7:30 PM







# # #

Wednesday
Jul012015

NH DHHS - CMS Certification of MMIS Recognizes DHHS Innovations to Improve Administration of Medicaid Program 

Concord, NH – The New Hampshire Department of Health and Human Services

(DHHS) announced that the Centers for Medicare and Medicaid Services (CMS)

has fully certified its Medicaid Management Information System (MMIS). MMIS

is the Department's primary system for administering and managing costs for

the New Hampshire Medicaid program.



“CMS certification is a welcome recognition of the Department’s efforts to

implement the state of the art system that is a critical component in

enabling New Hampshire to improve the quality of health and healthcare in

our State,” said DHHS Commissioner Nick Toumpas. “Federal certification of

our MMIS is the result of dedication, perseverance, hard work and strong

collaboration by a core group of staff from the Department, the New

Hampshire Department of Information Technology, and our MMIS vendor, Xerox

Health Solutions. The new system provides new capabilities enabling more

rapid responses to changes in the Medicaid program. The system brings

greater efficiency and cost effectiveness that benefits Medicaid

recipients, providers and citizens across New Hampshire.”



CMS accreditation ensures that New Hampshire will receive the maximum 75%

federal funding for ongoing operation, retroactive to March 31, 2013, the

system’s first day of operation. Prior to certification, the federal

government has paid 50% of MMIS’ operational costs and the State paid the

other 50%.



DHHS’ MMIS is expected to process billions of dollars in payments annually

to more than 10,000 enrolled Medicaid providers and hospitals on behalf of

New Hampshire Medicaid beneficiaries. “MMIS has been one of the most

extensive and complex information technology projects that the State has

undertaken and CMS certification validates our efforts on behalf of our

Medicaid clients,” said Toumpas.



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