Briefs & Reports

Medicaid Network Adequacy: A Proactive Approach to Ensuring and Demonstrating Compliance Date: Wednesday, August 26, 2015 Time: 1 to 2 p.m. EDT Medicaid managed care plans need to take a proactive approach to meet network adequacy requirements and demonstrate compliance to state regulators. Often that means more than just having the right network in place. … Read More

The Green & Healthy Homes Initiative® (GHHI®) recently released “Sustainable Funding and Business Case for GHHI Home Interventions for Asthma Patients.” HMA partnered with GHHI to create the publication which assesses ways in which effective, comprehensive home interventions can be integrated with the healthcare system payment structure. The report identifies sustainable health-related funding streams for … Read More

Managed Long-Term Services and Supports: Understanding the Impact of the New Medicaid Managed Care Regulations Date: Wednesday, July 1, 2015 Time: 1 to 2 p.m. EDT Get ready for a whole new regulatory framework for Managed Long-Term Services and Supports (MLTSS). As part of the newly proposed Medicaid managed care regulations, CMS is seeking to … Read More

HMA’s Jennifer Edwards, Sharon Silow-Carroll and Diana Rodin are part of a team that prepared the Year 1 annual report for the Strong Start for Mothers and Newborns initiative. The Strong Start initiative, funded by the Affordable Care Act, was designed to improve maternal and infant outcomes for pregnancies covered by Medicaid and the Children’s … Read More

Governing Staff Writer Chris Kardish tapped the expertise of two HMA colleagues for his article “5 of the Biggest Changes in New Medicaid Managed Care Rules.” HMA Senior Consultant Lisa Shugarman and Principal Matt Roan shared offered insights about quality ratings as well as accreditation and monitoring. The newly proposed regulations represent the first major … Read More

Healthy Michigan Plan (HMP) enrollment remains high, far exceeding original expectations. HMP enrollees are required to report any changes in their economic or health care coverage circumstance as those changes occur. They are also subject to an annual redetermination of eligibility; those that entered the program in April and May 2014 were recently subject to … Read More

On May 26, 2015, the federal Centers for Medicare and Medicaid Services (CMS) released a proposed managed care rule intended to update and strengthen the Medicaid and Children’s Health Insurance Program (CHIP) regulations last updated in 2003. “This proposed rule would modernize the Medicaid managed care regulations to reflect changes in the usage of managed … Read More

According to MAXIMUS, the Michigan Department of Health and Human Services (MDHHS) contractor for MIChild enrollment, there were 44,508 children enrolled in the MIChild program as of May 1, 2015. The May enrollment total reflects an increase of 647 from the 43,861 children enrolled as of April 1, 2015. Of the total number of children enrolled, 892 enrollees are … Read More

While the Michigan Department of Human Services and Michigan Department of Community Health were combined in April into the new Michigan Department of Health and Human Services, legislative action on the Fiscal Year (FY) 2015-2016 budgets occurred separately for the two former departments. The House/Senate Conference Committee on the Community Health budget finished its work … Read More

The Michigan Department of Health and Human Services (MDHHS) requires children (and a few adults) receiving services from both the Children’s Special Health Care Services (CSHCS) program and the Medicaid program to enroll in Medicaid HMOs. As of May 1, 2015, there were 17,996 joint CSHCS/Medicaid beneficiaries enrolled in the Medicaid HMOs – an increase of 373 … Read More