Thursday, February 2, 2017

Medicaid and CHIP

Goal: Cut Medicaid managed care red tape, pay physicians competitive Medicaid and CHIP rates, and improve birth outcomes in Medicaid.

  • Monitor Medicaid reform likely to follow the national election, which could include different methods of finance.
  • Streamline Medicaid provider enrollment, minimize duplicative enrollment data, and coordinate with Medicare.
  • Centralize HMO credentialing, eliminate redundant paperwork, and improve coordination of benefits to eliminate recoupment from physicians.
  • Set Medicaid rates equal to Medicare for all services and all specialties and restore full Medicaid cost-sharing for patients dually eligible for Medicaid and Medicare.
  • Promote better birth outcomes in Medicaid by enhancing women’s access to preventive, primary, and behavioral health care.