Kentucky’s Rush Into Medicaid Managed Care: A Cautionary Tale For Other States

Kaden Stone loves playing baseball, riding his bike and watching Duck Dynasty on TV at his red-brick ranch-style house in rural south central Kentucky. Despite his energy, the tiny boy of eight with a crewcut and missing front tooth can’t eat much, the result of congenital bowel problems that have required dozens of surgeries and […]

Issues & Concerns with State’s Medicaid Managed Care LTC Waiver

Problems create confusion and interfere with consumer choice: As the Agency for Health Care Administration (AHCA) notified Floridians of their required enrollment in the LTCW and selection of managed care organization (MCO) that would deliver their services, several problems have interfered with the consumer’s rights and abilities to make a truly informed choice as the […]

Pitfalls Seen in a Turn to Privately Run Long-Term Care

Even as public attention is focused on the Affordable Care Act, another health care overhaul is underway in many states: an ambitious effort to restrain the ballooning Medicaid cost of long-term care as people live longer and survive more disabling conditions. At least 26 states, including California, Florida, Illinois andNew York, are rolling out mandatory programs that put billions of public […]

Continuity of Care Requirements in the Managed Medical Assistance Program

The Statewide Medicaid Managed Care (SMMC) program consists of two components: the Managed Medical Assistance (MMA) program and the Long-term Care (LTC) program. The MMA program provides medical services to infants, children and adults on Medicaid, while the LTC program provides home and community-based long-term care services to elders and adults with disabilities on Medicaid […]