Tagged: medicaid

Illinois officials are launching an effort to ensure the only people that receive Medicaid are those eligible. The eligibility checks include an annual verification of income levels and residency of the state’s 2.7 million Medicaid clients. Virginia-based Maximus Incorporated began the work Wednesday that aims to improve the system, eliminate a backlog and make recommendations to state caseworkers.

The departure of one of three statewide Medicaid operators next year is once again raising concerns about adequate medical coverage in parts of the state. Earlier this year, coverage was one of the issues brought up between Coventry Cares, another operator, and hospital chain Appalachian Regional Healthcare in a lawsuit over contract issues. At the time, state officials pointed to the other two operators as proof of coverage. But now one of those operators, Kentucky Spirit, is leaving next July.

As the fallout continues from the announced departure of statewide Medicaid operator Kentucky Spirit, many other Medicaid operators are already looking to take their place.

Kentucky Spirit announced last week they would break their contract with the state early. State officials say they won’t re-open those statewide contracts to replace Kentucky Spirit until the current contracts expire.

The CEO of a major Medicaid managed care company (MCO) is criticizing Kentucky for the way the state deals with businesses like his.

Michael Neidorff is the CEO of Centene, which operates Kentucky Spirit, one of three statewide MCO's that has managed Medicaid patients for the state since last year.