Health Coverage and Care for Youth in the Juvenile Justice System: The Role of Medicaid and CHIP

Girls and boys in the juvenile justice system are a diverse group of young people with often complex health needs. Many are from low-income families of color, have suffered abuse, were involved in the foster care system, and may require comprehensive and ongoing physical, reproductive, mental, and behavioral health services upon discharge from juvenile justice residential facilities. The provision...

House Democrats Unveil Bill to Fix Mental Health Care System

On Tuesday, House Democrats introduced a bill (HR 274) that would overhaul the nation's mental health care system to better identify, prevent and treat mental illness, The Hill reports. According to The Hill, the new bill -- by Rep. Ron Barber (D-Ariz.) -- could further complicate the push for mental health care reforms as a similar GOP-sponsored measure (HR 3717) introduced last year...

Examining Children’s Behavioral Health Service Utilization and Expenditures

Most children enrolled in Medicaid are from low-income households and many are served by multiple public programs, putting them at risk for receiving fragmented or inappropriate care. This risk is even higher for children in Medicaid with behavioral health needs, who often experience poor health outcomes at high costs. To help states uncover opportunities to improve care for these children, the...

“Free-Care” Rule Clarification Would Improve Health Services for Low-Income Children

Schools serve as a critical place for millions of low-income children in the United States to receive health services. Aside from convenience and efficiency factors, many students would not have access to healthcare if not for school-based health services. Among the services schools often provide are vaccinations, vision and hearing screenings, asthma management, nutrition guidance and counseling....

OIG to Focus on RMTS and School Medicaid Administrative Claiming Programs in 2014 Work Plan

The U.S. Office of Inspector General (OIG) has released their annual Work Plan, a detailed outline of projects for the coming year. The following reviews planned by OIG in 2014 may be of particular interest to those in the school Medicaid community: Review of state school-based administrative claiming plans where payments are based on random moment sampling systems (RMSS, or RMTS); 'State Cost...

Medicaid Provisions in Recently Passed Federal Budget Legislation

The Centers for Medicare and Medicaid Services (CMS) released an Informational Bulletin, on December 27, 2013, describing the Medicaid provisions that were in the budget agreement HJ. Res.59.   This is the federal budget agreement that was recently passed by Congress and signed by the President on December 26th.  Each section that contains a Medicaid provision is listed and a summary of those...

Medicaid & CHIP: October Monthly Applications and Eligibility Determinations Report

This report is the first in a series of monthly reports on State Medicaid and Children’s Health Insurance Program (CHIP) data, and represents State Medicaid and CHIP agency eligibility activity for the calendar month of October 2013, which coincides with the first month of the initial open enrollment period for the Health Insurance Marketplace. Read the full CMS report here...   ...

School Nurses’ Duties Expand with Changing Times

The Boy Scout motto of "be prepared" equally applies to today's school nurses, who not only deal with the typical bruises and tummy aches that have always been part of school life, but must now contend with a student population that is increasingly more medically fragile. As school systems face budget cuts, nurses must also adapt to a "migrant" lifestyle as they are assigned to several schools...

Paradigm to Attend the National Alliance for Medicaid in Education, Inc. (NAME) 11th Annual Conference

September 30, 2013 – San Francisco, CA – School Medicaid program stakeholders from across the nation will gather for the NAME 11th Annual Conference, being held in Grand Rapids, Michigan, next week on October 8-11, 2013. This event is a nationwide forum that facilitates networking among Medicaid and special education professionals, providing a space to share and educate one another.  The...

Providing Outreach and Enrollment Assistance: Lessons Learned from Community Health Centers in Massachusetts

Six years ago, Massachusetts implemented a broad expansion of health coverage to the uninsured population in the state. Understanding that outreach and enrollment assistance would be essential to the success of the expansion, state policymakers provided for public education campaigns, but also for person-to-person, hands-on assistance, especially in communities with large numbers of uninsured...