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Washington Insider: Medicaid Reimbursement

States Post Proposals on Dual Eligibles

Submitted by Cecilia Fiermonte on 15 May 2012

The federal government last year announced initiatives to help states improve the quality and lower the cost of care for the approximately 9 million individuals who are eligible for both Medicaid and Medicare. These “dual eligibles” represent a disproportionate amount of spending in both programs because of their high level of need. They make up 15 percent of Medicaid beneficiaries, but account for almost 40 percent of costs. … more

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Landmark Foster Care Settlement

Submitted by Cecilia Fiermonte on 7 Oct 2011

A class action lawsuit, Katie A. v. Bonta, that started in California in 2002 has finally reached a settlement. It outlines a comprehensive reform strategy for the state and attempts to cure an overarching problem facing many states: the difficulty of aligning mental health services with the child welfare system.

Mental health and child welfare often work in silos, despite the fact that, according to the complaint, up to 85 percent of foster children have mental health needs. The class action suit was brought against the state of California for failure to assess and treat mental health needs of children who were either in foster care or at imminent risk of coming into care. … more

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Understanding the Deficit Reduction Super Committee

Submitted by Cecilia Fiermonte on 26 Aug 2011

Families USA has produced a report, "A Closer Look, The Super Committee: Where They Stand on Medicaid, Medicare, and the Affordable Care Act," to help advocates understand the positions of key players who are charged with reducing the deficit by $1.5 trillion over the next 10 years. The six Democrats and six Republicans likely will engage in charged debate about cutting programs and raising taxes. … more

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Senate to Unveil Jobs Package With Jobs Tax Credit, No FMAP Extension

Submitted by Patrick Lester on 4 Feb 2010

Democratic leaders in the U.S. Senate are preparing to release details of a jobs bill as soon as tomorrow, Feb. 5. The package will reportedly include a slimmed-down tax credit for small business and nonprofit hiring that will be smaller than the one proposed by President Obama in his budget submission earlier this week.

The package will also reportedly exclude an extension of Federal Medical Assistance Percentage changes that are slated to expire at the end of this year, and which also affect Title IV-E funding. That provision may be reinserted at a later date in this or other jobs legislation, or in a still-pending health care reform bill. … more

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Sens. Reid, Rockefeller to Introduce FMAP Extension

Submitted by Patrick Lester on 3 Feb 2010

Senate Majority Leader Harry Reid (D-Nev.) and Sen. Jay Rockefeller (D-W.V.) are planning to introduce legislation later this week that would extend additional federal Medicaid assistance to states through June 30, 2011.

The proposal would continue temporary increases in the Federal Medical Assistance Percentage (FMAP), which determines federal Medicaid reimbursements paid to states. Such assistance was included in stimulus legislation enacted last year, but it is currently scheduled to expire in December. The extension would also apply to Title IV-E funding. … more

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