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In this issue
 
  • Latest 5BF is out!
  • Medicaid News Curator updates
  • HHS Job Hunter updates
  • This Week's Medicaid Wrong Answers Only Game - Taking submissions
  • New simple form to nominate a Medicaid plan for innovate work 
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Latest Medicaid News in HHS Curator
  1. Supreme Court Refuses Medicaid Case, But Alito Makes Statement
[MM Curator Summary]: SCOTUS has noticed that the actuarial profession is allowed to set key definitions in CFR- which may need to be done by the government and not a private organization.
 
  1. CA- Org Streamlines Billing, Authorizations in Public Payer Coverage
 
[MM Curator Summary]: A CA MCO is investing in its tech stack to improve services to members.
 
  1. OR- Oregon to pay $22.5M to settle Medicaid contractor dispute
 
[MM Curator Summary]: The state will give $22M to a plan it helped to put out of business; the remaining 4 employees will donate the money to a local Medical school.
 
  1. Compassionate Homecare to Pay $6.53M to Resolve Allegations; OIG Releases Medicaid Fraud Report
 
[MM Curator Summary]: Compassionate Homecare execs stole $6.5M from MA Medicaid with an un-authorized services scam.
 
  1. Medicaid fraud bill introduced
 
[MM Curator Summary]: A proposed federal law would expand efforts to ensure Medicaid benefits do not go to those eligible for them.
 
  1. SC Dept. of Health and Human Services extends Medicaid coverage for new, expecting mothers
 
[MM Curator Summary]: SC joins the states that have taken ARPA funds to address maternal mortality in Medicaid.
 
  1. KS- Kelly administration counters AG’s opinion on extending $4 billion Medicaid contracts
 
[MM Curator Summary]: The current Governor wants to get the deal done; the legislature wants to punt it for the next guy (or gal).
 
 
  1. Low COVID-19 vaccination rates among Medicaid beneficiaries cause for concern: senators
[MM Curator Summary]: Senators think low Medicaid vax rates can be addressed with better data.
 
  1. Ohio Medicaid claims it’s more transparent than other states
 
[MM Curator Summary]: OH Medicaid is refusing to publish normal reports on MCO MLR rates.
 
  1. Florida Medicaid hits Sunshine Health with $9M sanction for not paying providers’ claims
 
[MM Curator Summary]: The state gave Centene 21 days to pay $9M in fines related to unpaid claims to providers and has stopped auto-assignment until issues are addressed.
 
  1. Texas gets respite on Medicaid, but not cure for the uninsured
 
[MM Curator Summary]: CMS will resume TX DSRIP payments, and make backpayments- but is now auditing the underlying financing mechanism used to generate the state share.
 
 
Read latest Curator items
2022 Medicaid Health Plan Great Ideas Awards
We want to be a part of spreading positive news in our space.

The more people that know about successful innovations, the more those innovations can be repeated and adapted in other states.

Anyone can nominate a Medicaid plan for its work by filling out our simple survey here

https://survey.zohopublic.com/zs/2uCzZE

You can nominate a plan through October 20th, 2022. Early submissions are encouraged.
Nominate a plan / program
HHS JobHunter
  1. MEDICAID PROGRAM MANAGER 1–A
 
  1. Louisiana Medicaid Health Plan COO job in New Orleans
 
  1. Assoc Medicaid Analyst Job in Shrewsbury, MA at University of Massachusetts Medical School
 
  1. Business Analyst – Medicaid Systems Product Job in Commerce City, CO at Maximus
 
  1. MARKET DEVELOPMENT ADVISOR MEDICAID PROVIDER SERVICE OPERATIONS in San Antonio Texas
 
  1. Medicaid/Medicare Services Specialist II | Commonwealth of Kentucky
 
  1. Medicaid / Healthcare Quality Assurance Analyst / Etl Tester Job in Latham, NY at CMA
 
  1. Director State and Local California Medicaid
 
  1. Senior Director, Medicaid Market, Mid-Atlantic – Rockville MD – March-30-2022
 
  1. Director Writing and Proposal Development – Medicaid
 
 
 
Check out latest HHS jobs
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