ADEA State Update

May 2013 Reports of Interest

(Reports of Interest) Permanent link   All Posts

The Association of State and Territorial Dental Directors and the Medicaid – Children’s Health Insurance Program (CHIP) State Dental Association developed a  tip sheet that provides examples of successful State Oral Health Program and State Medicaid-CHIP Oral Health Program collaboration. Program collaboration in Alaska, Iowa, Maryland, Massachusetts, and Michigan were highlighted in the tip sheet.

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report providing highlights of Medicaid-related investigations conducted in fiscal year 2012. The report details investigation activities related to the following topics: Medicaid-related beneficiary safety and quality of care; wasteful spending; improper state claims for federal reimbursement; and fraud and abuse. Additionally, the report makes note of ongoing investigations of billing practices and patterns related to providing dental services for children enrolled in Medicaid (see PDF page 46).

Health Affairs and the Robert Wood Johnson Foundation released a health policy brief exploring the implementation of per capita caps in Medicaid. The proposed health reform policy would impose a cap on the amount of federal spending per Medicaid beneficiary, called a “per capita cap,” so that any program spending growth would be linked to enrollment, not rising per beneficiary spending. According to the policy brief, Medicaid cost $432 billion in 2011, and Medicaid spending is expected to grow to $795 billion by 2021.

The Center on Budget and Policy Priorities issued a report finding that most state revenue in fiscal year 2011 went to education and health care. Specifically, states spent 15% on Medicaid and the Children’s Health Insurance Program (CHIP), approximately $150 billion. In addition, states spent an average of 14% on higher education, or about $140 billion.

The National Academy for State Health Policy and the Robert Wood Johnson Foundation released an issue brief which highlights the Affordable Care Act (ACA) Medicaid requirements that will take effect in the next two years, nearly all of which apply to every state regardless of whether the state chooses to expand Medicaid eligibility.

Trust for America’s Health has released a series of state-specific one-pagers on the Prevention and Public Health Fund (Fund), which was created in 2010. One-page documents have been created detailing the fund’s impact on specific states.

Duggan Dental