Tuesday, December 30, 2008

CMS approves forcing HUSKY families into HMOs

In a reversal of their position in a Dec. 5th letter, CMS is now allowing DSS to force 138,000 HUSKY members, 40% of the total HUSKY membership, to join capitated HMOs that advocates maintain do not have enough providers to provide care. The decision also disregards a letter from CT’s Congressional delegation urging CMS to wait until the networks are adequate. HUSKY families in the Anthem network will lose access to thousands of participating providers on February 1st. DSS is forcing the issue because they want to end their contract with Anthem and they believe the HMO networks are adequate.
Ellen Andrews