HUSKY
PCCM forum highlights DSS barriers to implementation
Friday the Appropriations Committee heard about DSS’ lack of progress in implementing the PCCM option for HUSKY passed into law three years ago. The panel included Dr. Patrick Alvino, a pediatrician practicing in Branford, who would like to participate but because PCCM is not statewide he and his 2,000 patients do not have the option.…
Read MoreGovernor’s budget proposal – lots of cuts and a plan to reform HUSKY HMOs
In her budget proposal released yesterday, the Governor proposed shifting the current HUSKY HMOs away from capitation back to a non-risk arrangement. For a few months in early 2008, the Governor ordered a similar switch from capitation to an Administrative Services Organization (ASO)-model, in which the HMOs administered the program for DSS but passed all…
Read MoreFebruary webquiz – PCCM/HUSKY Primary Care
Test your knowledge about CT’s PCCM program — HUSKY Primary Care. Take the February CT Health Policy Webquiz. This month’s quiz was developed by Sabina Klein, CTHPP Student Fellow and soon-to-graduate Yale senior. Sabina is one of the “army” of students/volunteers working to get out the word about this exciting new option for HUSKY families.…
Read MoreDSS complies with court decision; legal immigrants can access HUSKY again
Last month, a Hartford Superior Court judge ruled that the state’s action to cut health coverage for adult legal immigrants was unconstitutional. But it took another ruling last Friday for DSS to comply with that ruling, according to Greater Hartford Legal Assistance attorneys who brought the suit. The court found that the denial of health…
Read MoreMedicaid Managed Care/PCCM update
Today’s Medicaid Managed Care Council included an update on PCCM given the expansion to New Haven and Hartford January 1st. It was noted that there has been great interest among providers with 122 signed up in New Haven and 47 in Hartford so far and more applications expected. Unfortunately, DSS has refused to remove the…
Read MoreJudge reinstates health coverage for 4,800 legal immigrants in CT
Late Friday, Hartford judge Grant Miller overruled Governor Rell’s action to cut off HUSKY for CT legal immigrant adults. Governor Rell implemented the cut December 1st without legislative action. The judge’s reversal was in response to a suit brought by Greater Hartford Legal Aid. DSS intends to appeal the ruling. DSS also incorrectly terminated dozens…
Read MoreMedicaid Managed Care Council update
Friday’s meeting was depressing. The Community Health Centers reported on their large increases in patient volume made possible by investments in infrastructure. In 2008, CT’s clinics provided 263,043 patients with over 1.2 million encounters. Unfortunately, the Governor’s proposed cuts will undermine those gains just as demand for clinic services are up sharply. DSS outlined the…
Read MoreMedical home and PCCM meetings
Yesterday’s organizational meeting of the SustiNet Patient-Centered Medical Home Advisory Committee was very encouraging. There is a lot of energy across stakeholder groups, especially among providers and payers. We are soliciting input on who/what groups to consult for input and what issues to consider. Suggestions include business coalitions, NCQA, medical homes from other states, consumer…
Read MoreMedicaid Managed Care Council meeting
Friday’s Medicaid Managed Care Council meeting was very frustrating. Upon questioning, DSS made clear that they will not be recovering the $50 million in overpayments to the HUSKY HMOs that were identified by independent auditors commissioned by the Comptroller, proposed by the Governor to cut for the current state budget and agreed to by the…
Read MoreHartford area PCCM/HUSKY Primary Care forum
A forum for providers and consumers eligible for and considering the new HUSKY Primary Care/PCCM option is being held in Hartford on Tuesday November 24th from 5 to 7pm. The forum will be at the offices of Greater Hartford Legal Assistance, 999 Asylum Avenue, 3rd floor, Hartford. HUSKY Primary Care, a form of Primary Care…
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