Tag Archive for: #medicaid

The Local Skinny! Gov. Stein Signs ‘Mini-Budget’ Supporting Medicaid

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Gov. Josh Stein signed a “mini budget” on Wednesday that state lawmakers passed that includes some stopgap spending measures, one of which includes supporting Medicaid.

N.C. District 32 Rep. Bryan Cohn has stated the importance of informing his constituents how the recently passed federal legislation – the “One Big Beautiful Bill Act” – will affect and impact local health care.

“Regardless of political positions, the factual consequences of this bill are significant and concerning, especially for residents relying on Medicaid,” Cohn said in a press statement.

“Granville and Vance counties have approximately 41,000 residents enrolled in Medicaid, with over 6,800 gaining coverage through recent Medicaid expansion,” Cohn said. “The reduction in federal funds directly threatens this expansion, potentially leaving thousands of local residents uninsured.”

According to Cohn, North Carolina faces nearly $40 billion in federal Medicaid cuts over the next decade. This funding currently supports essential healthcare services, especially through State Directed Payments that are critical for maintaining rural hospitals and health centers.

Cohn said local hospitals, clinics, nursing homes and urgent care facilities rely on Medicaid reimbursements to operate. “With substantial funding cuts, our providers may be forced to reduce services, lay off staff, or in some cases, close entirely. This will inevitably affect healthcare accessibility and quality across our community,” he said.

Additionally, as major employers and economic drivers in Granville and Vance counties, Cohn said healthcare facilities could see funding reductions that could spell broader economic repercussions, potentially impacting local jobs and economic stability.

The mini budget includes $600 million to support both the Medicaid rebase and the Medicaid Oversight Fund, according to a statement from the N.C. Dept. of Health and Human Services. “However, this appropriation equates to a shortfall of $319 million for the Medicaid rebase. Despite careful efforts by NCDHHS to avoid disruptions to service, fully funding the rebase is necessary to maintain the current level of care across the state. To remain within budget, NCDHHS now has two options to address a shortfall from an insufficient rebase; reduce optional services and/or reduce provider rates,” according to the NCDHHS statement.

The bill introduces new eligibility conditions, including work requirements slated to begin in late 2026. This could complicate healthcare access for many residents already facing economic hardships, Cohn noted.

“While the political debates surrounding this legislation will continue, our community must understand the tangible impacts these changes will bring. I encourage residents and community leaders to engage actively in dialogue and preparations to manage and mitigate these upcoming challenges,” Cohn said.

Upon signing the bill, Stein made the following statement: “This Band-Aid budget fails to invest in our teachers and students, fails to keep families safe, fails to value hardworking state employees, and fails to fully fund health care. With federal cuts on the horizon, the legislature’s forced $319 million cut to Medicaid will be particularly painful. Despite these serious reservations, I am signing this bill into law because it keeps the lights on.

“We have so much going for us here in North Carolina, but we cannot just rest on our laurels, do the bare minimum, and expect to continue to thrive. The General Assembly needs to get serious about investing in the people who make this state great.”

Here’s a statement from NCDHHS Secretary Dev Sangvai:

“More than three million people in North Carolina depend on Medicaid for comprehensive care that is life-changing and in many cases lifesaving. Underfunding NC Medicaid now after years of building a nationally recognized program that delivers real outcomes for the people we serve is a serious setback. The forced cuts from the budget shortfall threaten care for those who need it most and include some of North Carolina’s most vulnerable populations.

Over time, the combination of underfunding, the loss of key initiatives like the Healthy Opportunities Pilots, and administrative budget shortfalls risks a fundamental erosion of the NC Medicaid program.

Despite these challenges, the mission of the North Carolina Department of Health and Human Services remains unchanged – we will continue to work to improve the health and well-being of all North Carolinians. We will continue the essential work that NCDHHS does every day with determination, compassion, and a focus on the people we serve.”

 

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Granville Vance Public Health Logo

TownTalk: GVPH Director Lisa Harrison Keeps Eye On Health Issues, Funding For Federal Programs Like Medicaid, WIC

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In addition to all the health-related issues that Granville Vance Public Health Director Lisa M. Harrison monitors, lately she’s been keeping a close watch on what’s happening in Washington, DC as politicians consider cost-saving measures to address a focus on government efficiency and tax cuts.

For Harrison, what happens in Washington has a direct effect on what happens right here in North Carolina – and specifically in rural areas like the area her department serves.

“People don’t often realize that our federal tax dollars are so closely tied to programs and local jobs,” Harrison said on Wednesday’s TownTalk. There are many connections to the work done here in Vance and Granville counties that are federally funded, she said.

“It’s important to pay attention and give people advance notice” if funding cuts are recommended.

As health director, she’s especially interested in Medicaid and the WIC program. So far, so good, she said, adding that she’s hopeful both programs will be spared from cuts.

“If Medicaid goes away, we all pay the price,” Harrison said. Medicaid is not a handout, she said; rather, it’s an insurance option that enables the working poor, children and disabled individuals to have access to health care. She said it also helps keep premiums and costs down for those who have private insurance.

“The way we make payroll is by billing Medicare and Medicaid,” Harrison said. They take private insurance and self-pay clients as well, but about 50 percent of the health department’s clients use Medicaid.

Cuts in Medicaid and WIC – which provides vouchers to women with infants and children for nutritious foods, baby formula and more – would be felt sharply and quickly, she said.

But federal funds also make it possible for GVPH to administer programs like THRIVe, a grant-funded program that addresses behavioral health services from licensed clinical social workers to Vance County Schools and Granville County Public Schools for students from5-18 years of age.

There’s a licensed clinical social worker based at the health department who provides one-on-one counseling for children and families. In addition, Harrison said THRIVE connects with behavioral health professionals from UNC and Duke to help school staffs better understand how to assist or help students with behavioral health, including training teachers about trauma-informed care.

Children come to school and need a lot more than facts, Harrison said. The $4 million federal grant for THRIVe allows adults to help children with the resources they need to be their best selves, she said.

Grant funding has increased dramatically over the 50 years that GVHD has been in existence, Harrison said.

The health department published a report to celebrate and reflect on its 50 years of service to the two counties. In those 50 years, Harrison is only the third director. Dr. Charles Rollins was the first director and served from 1974 to 1991. Dr. Roddy Drake was the second director and served until 2012. Harrison became the director when Drake retired.

Harrison called Rollins “a passionate advocate” for bringing the WIC program to rural areas in the 1970’s. The health department oversaw seven programs and had a couple of dozen employees for both counties. Today, there are close to 60 programs and almost 100 employees.

“Our team is amazing,” Harrison said, “making a difference in the lives of others and health outcomes.”

Visit www.gvph.org to learn about all the programs GVPH offers and to read the 50th anniversary annual report.

 

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Vance DSS Info Events to Help with NC Medicaid Deadline May 14

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Vance County residents enrolled in Medicaid have until May 14 to choose from one of six managed health plans that best suit their needs, and the local Department of Social Services is sponsoring a couple of drive-thru informational events to help in the decision-making.

The first event is scheduled for Friday, April 30, with a second on Friday, May 7, according to DSS Director Denita DeVega.

She and Goldie Davis, income maintenance administrator with DSS, spoke with John C. Rose on Town Talk April 13, 2021. Both events will be held at the DSS offices, located at 350 Ruin Creek Road, Henderson. Times for each day are 10 a.m. to noon and 2 p.m. to 4 p.m.

DeVega said that, so far, only about 400 of the county’s more than 13,000 Medicaid recipients have chosen a managed care plan. “I’m afraid that people may not be taking it seriously this time.” The process was started last year but ultimately wasn’t approved at the state level. Davis said those who haven’t chosen a health plan by the mid-May deadline will have a plan chosen for them. The new plan goes into effect on July 1, she said.

“One of the advantages of enrolling yourself,” Davis said, “is that you’ll be able to choose the plan that best suits you.” For example, beneficiaries may decide to choose a plan based on which plan their current primary care physician (PCP) is included in, Davis added.

DeVega said the benefits of Medicaid will not change, rather it will be managed more like traditional health care. Medicaid is currently managed by the state, but Medicaid recipients will choose from six managed health care plans to administer their health coverage.

There will be printed information about each of the plans at the drive-thru events so people can read more about what each plan offers before making a decision. DSS is not involved in choosing the health plan for recipients, but the department is providing information and having plan representatives available to answer questions. Each county DSS has a liaison assigned to help people choose the plan that is best for them. Call the toll-free number 833.870.5500 or learn more online at ncmedicaidplans.gov.

DeVega and Davis invite the community to come to the drive-thru event if they have questions. “If they’re not sure what to do,” Davis said, “we can assist them in getting the information they need to enroll in the health plan.”

For complete details and audio click play.

 

TownTalk 4-13-21 NC Medicaid Open Enrollment

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Vance County residents enrolled in Medicaid have until May 14 to choose from one of six managed health plans that best suit their needs, and the local Department of Social Services is sponsoring a couple of drive-thru informational events to help in the decision-making.

The first event is scheduled for Friday, April 30, with a second on Friday, May 7, according to DSS Director Denita DeVega.

She and Goldie Davis, income maintenance administrator with DSS, spoke with John C. Rose on Tuesday’s Town Talk. Both events will be held at the DSS offices, located at 350 Ruin Creek Road, Henderson. Times for each day are 10 a.m. to noon and 2 p.m. to 4 p.m.

DeVega said that, so far, only about 400 of the county’s more than 13,000 Medicaid recipients have chosen a managed care plan. “I’m afraid that people may not be taking it seriously this time.” The process was started last year but ultimately wasn’t approved at the state level. Davis said those who haven’t chosen a health plan by the mid-May deadline will have a plan chosen for them. The new plan goes into effect on July 1, she said.

“One of the advantages of enrolling yourself,” Davis said, “is that you’ll be able to choose the plan that best suits you.” For example, beneficiaries may decide to choose a plan based on which plan their current primary care physician (PCP) is included in, Davis added.

DeVega said the benefits of Medicaid will not change, rather it will be managed more like traditional health care. Medicaid is currently managed by the state, but Medicaid recipients will choose from six managed health care plans to administer their health coverage.

There will be printed information about each of the plans at the drive-thru events so people can read more about what each plan offers before making a decision. DSS is not involved in choosing the health plan for recipients, but the department is providing information and having plan representatives available to answer questions. Each county DSS has a liaison assigned to help people choose the plan that is best for them. Call the toll-free number 833.870.5500 or learn more online at ncmedicaidplans.gov.

DeVega and Davis invite the community to come to the drive-thru event if they have questions. “If they’re not sure what to do,” Davis said, “we can assist them in getting the information they need to enroll in the health plan.”

For complete details and audio click play.

 

Medicaid Debate Goes Beyond the Coverage Gap

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100.1 FM / 1450 AM WIZS; Local News broadcasts M-F 8am, 12pm, 5pm

-Information courtesy Leslie Rudd, Office of the North Carolina Senate Democratic Caucus

RALEIGH – Current Medicaid recipients in 27 counties received letters this month explaining the Medicaid transformation process. As part of a Republican plan created in 2015, up to 772,000 people currently on Medicaid have to transfer to a new managed care system by September 1; it’s up to DHHS to make sure changes to patient care and billing are completed by November 1.

The success of phase one of Medicaid transformation is tied to funding in the 2019-21 budget. As Republicans target DHHS and shut down budget negotiations over Medicaid expansion, they are also putting North Carolina’s current Medicaid patients at risk.

https://www.ncpolicywatch.com/2019/07/25/the-budget-the-veto-and-medicaid/

Vance County has close to 19,000 Medicaid recipients – including children and disabled adults.

A complete breakdown of Medicaid recipients can be found here: https://medicaid.ncdhhs.gov/reports/dashboards#enroll