Kentucky Medicaid

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Kentucky’s State Auditor Adam Edelen is concerned about the Commonwealth’s ability support an added 300,000 resident’s to its Medicaid program. Expanded Medicaid coverage next year comes as part of the rollout of the Affordable Care Act.

A judge has ordered Kentucky Spirit to pay for preventative care that local health departments across the state provide to school children.

The Courier-Journal reports Franklin Circuit Judge Phillip Shepherd issued the ruling Tuesday.

The Medicaid-managed care provider stopped paying for such services last summer, saying it wasn't obligated to cover the care under its contract with the state.

A consulting firm says the planned expansion of Kentucky's Medicaid program coupled with a push to help the uninsured obtain health coverage will worsen the state's physician shortage.

Deloitte Consulting is helping to set up the Kentucky Health Benefit Exchange.

Gov. Steve Beshear announced earlier this month that he will expand the state's Medicaid program to cover an additional 300,000 people, most of them the working poor without coverage.

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After months of deliberations, Kentucky Gov. Steve Beshear has decided to expand Medicaid in Kentucky under the Affordable Care Act, also known as Obamacare — a move that's won praise from Democrats and health advocacy groups.

Beshear said Thursday that expansion benefits Kentucky in many ways.

"This move makes sense not only for our health but also for our pocketbook. More important it makes sense for our future," he says.

A leading health organization in Kentucky is putting the pressure on Gov. Steve Beshear to expand Medicaid services under the Affordable Care Act. 

Kentucky Voices for Health Executive Director Regan Hunt says her group is launching a two-week radio ad campaign pressure Beshear to expand Medicaid. The radio ad campaign will be partnered with a month long online ad campaign.

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A bill moving Medicaid managed care late payments to the Department of Insurance's review process has overwhelmingly passed the state House. The measure passed on a unanimous vote of 99-0.

House Speaker Greg Stumbo is the bill sponsor and says his goal is to make sure health care providers start getting paid by Medicaid managed care organizations, which has been a problem since the MCO system was implemented.

"Because if claims are in fact being withheld unfairly, this will remedy that," Stumbo said. "If claims are being changed as far as the criteria goes in the claims process after they've been submitted this will change that."

LRC Public Information

 

House Speaker Greg Stumbo's bill that would transfer late payments claims in Medicaid managed care has cleared its first committee.

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A Kentucky State Senate panel has approved two measures requiring legislative approval before the Commonwealth could expand Medicaid or operate a marketplace that sells insurance.  The bills passed along party lines in the Senate Health and Welfare Committee, which has a Republican majority.

The proposals now go to the Republican-controlled Senate for a full vote. The bills are expected to die in the mostly Democratic House.

www.nlm.nih.gov

A bill requiring Kentucky Medicaid managed care operators publish a list of prescriptions and reimbursement prices on Wednesday passed a state Senate committee, following prodding from  independent pharmacists asking for access to pricing standards before they fill prescriptions.

The group of independent pharmacists told lawmakers that they are still having trouble with reimbursements from the state's Medicaid managed care operators. And they said they were also still being dramatically undercut on prescription reimbursements when they did receive them.

LRC Public Information

House Speaker Greg Stumbo has filed a bill to move complaints about late payments in Kentucky's Medicaid system from the Cabinet for Health and Family Services to the Department of Insurance.

Health care providers—such as hospitals and doctor's offices— have complained about severely late payments since the managed care system started. Currently, the cabinet deals those issues that arise when one of the state's Medicaid operating companies delays payment to a health provider.

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