Tag Archives: Medicaid

Trump Administration Clears The Way For Medicaid Block Grants

The Centers for Medicare and Medicaid Services (CMS) announced that states could request a change in the way the federal government pays its share of Medicaid expenses. Called the “total expense model,” it would replace the current funding system – the federal contribution is determined based on each state’s per capita income – with a capped federal grant. While proponents say a spending limit would promote innovation and efficiency, disability advocates and others warn the new model could lead to essential health care services being reduced or eliminated. Read More

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The 2020 Census will determine the fate of billions in federal dollars. Which programs are at stake?

The 2020 Census will determine how the federal government distributes almost $900 billion to dozens of programs in the next decade. Any flaws in the count, or a lack of participation by the public, could lead to cash shortfalls for social programs that are funded based on population, including Medicaid, Section 8 housing vouchers, TANF, food stamps and Title I education grants. Read More

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House Votes To Renew Program Helping People Leave Institutions

The U.S. House of Representatives has passed a bill that would fund Money Follows the Person, a Medicaid program that assists people who live in institutions make the transition back to community living. The bill would allot $450 million per year for four-and-a-half years. It now goes to the Senate for consideration. Read More

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Delaware seeks to keep the intellectually disabled from ending up in institutions

Delaware’s Division of Developmental Disabilities Services is offering individuals with disabilities who would like to live in the community the opportunity to apply for a Lifespan Waiver to receive Medicaid benefits. The waivers require an income cap of about $1,900 dollars a month and an asset cap of $2,000 in resources. A maximum of 2,600 individuals can qualify for the Lifespan Waiver in 2020. Read More

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Rural health: Financial insecurity plagues many who live with disability

According to a recent poll conducted by NPR and researchers with the Robert Wood Johnson Foundation and Harvard University, 49 percent of rural Americans – and 70 percent of rural Americans with disabilities – would not be able to afford a sudden expense of $1,000. The study indicated lack of transportation is a significant contributor to rural poverty, as it makes already-long commutes to jobs or trips to health care facilities more difficult and costly. Read More

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Unions, states confront Trump home care worker rule

The Trump administration has issued a rule blocking hundreds of thousands of Medicaid-funded home health aides from deducting union dues from their paychecks, which may also stop the workers from making payroll deductions for health insurance premiums and training costs. Home health aides expressed concern that the rule will weaken their ability to work together to improve their jobs and better serve their clients. A major union and a coalition of five Democratic state attorneys general have separately sued the Trump administration over the regulation. Read More

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Medicaid Dental Coverage for Adults

Update (8/6/19): Gov. Carney signed S.S. 1 for S.B. 92 into law. Update (6/27/19): S.S. 1 for S.B. 92 passed the House of Representatives by a vote of 33–7 and Read More

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Long list of troubled nursing homes revealed by senators

Sens. Bob Casey (D-Pa.) and Pat Toomey (R-Pa.) have released a previously secret list of nearly 400 nursing homes across the country that received “persistent record of poor care” ratings from the Centers for Medicare and Medicaid Services (CMS). Six of the nursing homes are in Delaware. CMS does reveal the names of nursing homes that receive that rating and are subsequently put into a federal program where they receive increased oversight. However, due to budget restraints, that program currently oversees only about 80 homes. The remaining 400 had been kept anonymous until the senators released the report Monday. Read More

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CDS director to Delaware lawmakers: Medicaid coverage for adult dental care would improve health outcomes, lower costs

CDS Director Beth Mineo told a state Senate committee considering expanding Medicaid dental coverage to adults that doing so would bring about healthier outcomes by making oral health care affordable to people with disabilities. The committee reported out the bill, which now awaits a Senate vote. Read More

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Expansion of low income dental services takes first legislative step

A bill sponsored by state Sen. Bryan Townsend expanding access to dental services for low-income adults on Medicaid reported out of a Senate committee Wednesday. Delaware is one of just three states that do not offer dental benefits to Medicaid recipients over 21 years old. This legislation, which now comes before the full Senate, would promote routine, preventive dental care, reducing negative health outcomes for Delawareans and saving the state money it would otherwise spend on treating dental emergencies. Read More

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