Thursday, August 21, 2014

CMS stopped reimbursing CT for new Medicaid eligibles in January

CT News Junkie reported today that CMS halted reimbursements for the newly eligible Medicaid members as of January 1st. The first quarter payment the state missed was $249 million, but the second quarter amount could be more as enrollment grew under the ACA expansion starting January 1st. According to DSS’s financial reports, the state’s expected federal MLIA amount for May alone is $126 million. This follows smaller but related issues reported in June concerning Medicaid reimbursement for DMHAS services. The state expects to have the problem resolved by the end of the year but concerns have been raised about the state’s cash levels to ensure payments to providers and other state spending.