PCCM

At today’s meeting, ACS reported that there are 337,533 CT residents covered by HUSKY Part A as of April 1st, up more than 6,000 from March. HUSKY Part B now covers 15,063, moving back toward its pre-July 08 levels. There are also 7,068 people covered by the Charter Oak Plan, however 3,319 Charter Oak applications…

As expected, yesterday’s Medicaid waiver hearing before the Human Services and Appropriations Committees was contentious and long. DSS brought out the troops – I counted nineteen staff in the room and they flew in two actuaries from Mercer. CMS also came in from Boston. DSS began with a rosy, but incomplete, description of the program…

The Human Services and Appropriations Committees are holding a public hearing tomorrow, March 31st, at 1pm in the LOB Room 2C on DSS’ proposed HUSKY waiver. Sign up begins at 11am in Room 2700; bring 50 copies of testimony. The waiver draft codifies DSS’ reversed course from the legislatively approved PCCM plan and limits the…

Next Tuesday the Human Services and Appropriations Committees will hold a public hearing on DSS’ proposed waiver application to continue to run the HUSKY program. Click here for our comments. The notable part of DSS’ application is the decision to limit Primary Care Case Management (PCCM) to Waterbury and Willimantic and to only a select…

At Friday’s Council meeting DSS announced that not only did they default HUSKY families in Anthem and traditional Medicaid to only the two new HMOs – Aetna and AmeriChoice — but that they will continue defaulting into only AmeriChoice all through February. Reportedly 63,000 HUSKY members were defaulted on February 1st.The reason given is to…

Yesterday’s meeting of the Medicaid Managed Care Council was lively, but ended before addressing some important issues. The Commissioner acknowledged that they are still assessing the costs of the program under the current non-capitated arrangement. He stated that they know that the current system costs more than before Nov. 2007 when the capitated contracts ended;…

DSS has now changed the date of PCCM’s start from next Thursday to February 1st even in the two small areas they approved, Waterbury and Willimantic. DSS’ plan, approved without revision by the Appropriations and Human Services Committees this summer, called for statewide implementation January 1st. In another sudden change of policy, further limiting the…

Yesterday’s PCCM working group meeting at DSS did not go well. DSS had no agenda for the meeting which started twenty minutes late. Advocates asked for an explanation of the department’s sudden decision to reverse course from the months-long policy of starting the program statewide to a far weaker program limited to two smaller communities.…