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Tuesday, Dec 6 2022

Full Issue

Alabama Agrees To Lift Medicaid 'Sobriety' Rule On Hepatitis C Drugs

The Department of Justice announced that it had settled a dispute over Alabama's Medicaid program restriction that would not pay for Hepatitis C medication for beneficiaries who used alcohol or drugs for six months before and during treatment.

The U.S. Department of Justice said Monday that it has entered into a settlement agreement with Alabama鈥檚 Medicaid program to end a sobriety requirement for treatment of people with Hepatitis C. Federal officials said Alabama agreed to end a a 鈥渂lanket sobriety restriction鈥 that refused to pay for antiviral treatment for Hepatitis C if the Medicaid patient had used drugs or alcohol six months before or during treatment. (12/5)

In other Medicaid news 鈥

Nearly a third of Medicaid disproportionate-share hospital payments in 2015鈥攖he latest data available鈥攚ent to hospitals that provided less uncompensated care than the median level聽in their respective states, according to an analysis of DSH payment data from 2011 to 2015 published Monday in the peer-reviewed Heath Affairs journal.聽Uncompensated care is the sum of patients鈥 outstanding bills known as bad debt and charity care. (Kacik, 12/5)

In May, a bipartisan proposal to extend postpartum Medicaid coverage for low-income women in Missouri to a full year after they鈥檝e given birth was close to gaining approval from the state legislature. But as the legislative session came to a close, the bill became collateral damage in the Republican Party鈥檚 bitter infighting, between the seven-member conservative caucus and the 17 Republicans generally aligned with leadership. (Rivas, 12/5)

The state is preparing for the anticipated end to the federal government鈥檚 COVID-19 public health emergency that鈥檚 extended Medicaid programs during the pandemic. This means Georgia Medicaid and PeachCare for Kids members are required to update their contact information in the system and prepare to recertify. 聽(Mador, 12/5)

Mississippi Insurance Commissioner Mike Chaney recently told members of the media he supports the expansion of Medicaid, but that the program most likely will end in 2025. That statement is inaccurate. (Harrison, 12/5)

In related news about Social Security disability benefits 鈥

The Disability Determination Division in Austin was at a breaking point. Inside its vast two-story warehouse, close to 130,000 claims were awaiting review by the state employees who help decide whether Texans will get disability benefits from the Social Security Administration 鈥 a backlog that would take at least a year to clear. Nearly 40 percent of the examiners had quit since January, driven out by crushing workloads and low wages that could not compete in the high-tech boomtown. Those who stayed toiled in long rows of cubicles or at home reviewing massive medical files. (Rein, 12/5)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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