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Many Rhode Island Nursing Homes Awaiting Payment from State

By Uncategorized

Troubled launch of the State’s new UHIP computer system at center of issue

Since the launch of the Rhode Island’s trouble social services system, UHIP, many nursing homes have gone without payment for Medicaid patients. Owed for months of care, many administrators are concerned they won’t be able to go without payment for much longer.

Debra Griffin is the administrator at Hattie Ide Chaffee Nursing Home and Rehabilitation in East Providence. She also chairs the state nursing home association. Griffin says the system for getting paid for these patients was inefficient before but it’s worse now.

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RI DHS Executives

“We haven’t received an approval since September. And that was for someone back to last April,” says Griffin.

Griffin says firing Department of Human Services workers who understood long- term care Medicaid applications before the launch of the new system was a mistake.

“Long- term applications are not run of the mill,” said Griffin. “You have to have a level of knowledge and expertise in the approval process.”

Governor Gina Raimondo acknowledges letting workers go before the launch of the system that was a mistake. The Governor has just accepted the resignations of two top officials involved in the launch. But Griffin says that the governor’s latest actions to fix the problem may not be enough to solve nursing homes’ financial woes.

Griffin says the state owes her home more than $200,000, and most nursing homes in the state are still awaiting payment.

The original Article was written by Kristen Gourlay for RINPR and can be found HERE.

Matt Leonard

Concerned About Governor Reinventing RI Medicaid? You Should!

By Uncategorized
image source: Bloomberg.com

image source: Bloomberg.com

Reinventing RI Medicaid

Reinventing RI Medicaid has been grabbing the headlines as of late and with good reason. Should we be concerned with how the State of Rhode Island funds the Medicaid Program that helps seniors in nursing homes? Worried about the impact of Governor Raimondo’s proposals dubbed “Reinventing RI Medicaid”? If 1/3 of the money you paid in taxes to the State went to one budget item would you care?

You should!  Why?

Rhode Island spent $1.785 billion on Medicaid in the 12-month fiscal year that ended June 30, 2013; the total state budget that year was $8.1 billion. Slightly more than half the money spent on Medicaid services usually comes from the federal government, with the rest covered by taxpayers in Rhode Island. During the 2012-13 fiscal year, 22% of Rhode Island’s population – about 230,000 of the state’s roughly 1 million residents – used Medicaid at some point in the yearNearly half of Medicaid spending goes to hospitals and nursing facilities.

The Raimondo administration is seeking special authority from the General Assembly to ensure the state hits its ambitious goal of shaving $70 million off Medicaid costs this budget year (0.86% of total budget). A provision tucked into the governor’s proposed budget asks lawmakers to give “authority to institute fiscal controls” to Health and Human Services Secretary Elizabeth Roberts so she can make sure the savings target is reached by June 30, the last day of the fiscal year.

Want to learn more about the latest update as to where the Governor is in her proposals impacting Medicaid.

If You Are Concerned In How This Change Will Impact Your Future…Contact Us