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Missouri hospitals lobby for changes to new Medicaid payment system


Missouri hospitals lobby for changes to new Medicaid payment system
Senate budget includes $50 million to offset losses but providers seek long-term revision
Rudi Keller
Missouri lawmakers must finish work on the fiscal 2022 budget by Friday. 
And while the biggest spending issue of the session, Medicaid expansion, is off the table, there are other big issues to resolve in the state-run health care program.
One of the largest is whether to provide a cushion for hospitals that will lose revenue when the Department of Social Services changes the way it pays for some services on July 1. The Senate spending plan includes $50 million to smooth the transition to what the department calls the Outpatient Simplified Fee Schedule, money that does not appear in the House version of the budget. ....

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Missouri's House Budget Committee chair outlines alternative to Medicaid expansion; Kirk Mathews is Acting Medicaid director


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/ Missouri’s House Budget Committee chair outlines alternative to Medicaid expansion; Kirk Mathews is Acting Medicaid director
Missouri’s House Budget Committee chair outlines alternative to Medicaid expansion; Kirk Mathews is Acting Medicaid director
Missouri’s House Budget Committee learned new details Tuesday in Jefferson City about a budget blueprint from the committee chair to direct dollars slated for Medicaid expansion for other programs, including MO HealthNet. That’s the state Medicaid program.
Missouri House Budget Committee Chairman Cody Smith (R-Carthage) speaks on the House floor in Jefferson City on April 1, 2021 (photo courtesy of Tim Bommel at House Communications) ....

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Missouri publishes plan for covering expanded Medicaid enrollment


Missouri publishes plan for covering expanded Medicaid enrollment
By Rudi Keller
Missouri will enroll most adults who apply for expanded Medicaid services in a managed care plan, with an option to purchase employer-provided coverage if it makes financial sense.
That’s just two of the items in a draft plan for the program that begins July 1 posted online Thursday for public comment. The comment period ends Feb. 15.
The expanded program was approved by voters in August and Gov. Mike Parson is asking lawmakers to approve $1.9 billion to cover 275,000 people in the first year.
The Alternative Benefit Plan, which must be submitted to the Center for Medicare and Medicaid Services, is the state’s assurance to the federal government that all the essential health benefits included in the Affordable Care Act will be available to new enrollees. ....

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