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Criminal Justice

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Laval Miller-Wilson will join the Pennsylvania Department of Human Services (DHS) on Monday, March 13 as the Deputy Secretary for the Office of Children, Youth, and Families (OCYF), which supervises the county-operated child welfare and juvenile justice systems. Miller-Wilson, an attorney, is deeply committed and passionate about ensuring that vulnerable populations get the care they need and deserve.

Miller-Wilson has been the Executive Director of the Pennsylvania Health Law Project (PHLP) since 2009, a non-profit that protects and advances health care rights through free legal services, community education, and systems advocacy. At PHLP, he worked to make the health industry and policymakers more attuned to what people want and need — and more accountable for making it happen. He was lead counsel for Medicaid enrollees on Pennsylvania’s Medical Assistance (Medicaid) Advisory Committee, which advises the Commonwealth on the impact of current and proposed Medicaid policies and practices. He delivered consumer-informed perspective about the state’s implementation of the Affordable Care Act, performance of Medicaid managed care plans, and determinants of health.

Prior to joining PHLP, Miller-Wilson worked for 14 years at Juvenile Law Center (JLC) representing children in the child welfare, juvenile, and criminal justice systems. At JLC, he led their 2008 petition to the Pennsylvania Supreme Court to ensure accused youth in Luzerne County had the right to counsel (subsequently known as the “Kids for Cash” scandal), and federal litigation to improve the delivery of basic and special education to children in the criminal justice system. He was also the lead author of a 2003 assessment of children’s access to counsel and the quality of representation they receive in Pennsylvania’s juvenile justice system that required surveying and visiting juvenile courts across the Commonwealth.

Pennsylvania is preparing for a major change in renewal processes for Medicaid and Children’s Health Insurance Program (CHIP) recipients.

Starting April 1, 2023, Pennsylvania is required by federal law to review Medicaid and CHIP recipients’ eligibility every year, which means that recipients must submit a renewal. While the Department of Human Services (DHS) still sent renewals during the height of the COVID-19 pandemic, most people were not disenrolled from Medicaid or CHIP because of a change in eligibility.

DHS encourages everyone to share the following information with Medicaid and CHIP recipients to help them stay informed about renewals.

What Should I Do Right Now?

The best thing that Medicaid and CHIP recipients can do right now to prepare for their renewal is to make sure that their contact information is up-to-date with DHS. By making sure that their information is current, recipients can receive timely updates about their renewal. They also can opt-in to receiving text and email alerts about their benefits.

  • Visit COMPASS and log into their My COMPASS Account.
  • Use the free myCOMPASS PA mobile app.
  • Call 877-395-8930 or 215-560-7226 (Philadelphia), Monday – Friday from 8:00 am – 4:30 pm.

What Else Do I Need to Know?

Completing Medicaid and CHIP Renewals
Renewals should be completed when they are received, even if recipients receive them before April 1, 2023. Recipients will receive a renewal packet in the mail when it is time to renew their coverage. Information about their renewal will start to arrive 90 days before it is due. It is very important that renewal forms are completed and returned even if nothing has changed. Completing a renewal allows DHS to determine eligibility for MA or CHIP coverage. Coverage will continue for recipients who are still eligible.
There are a few ways for recipients to complete a renewal:

  • Complete the forms DHS sends and mail them back in the envelope included in the packet.
  • Drop completed forms off at the local county assistance office (CAO).
  • Complete the renewal online.
  • Complete the renewal over the phone by calling 866-550-4355.

What is Continuous Coverage?

Under the continuous coverage requirement, individuals covered by Medicaid and/or CHIP have been able to keep their health coverage even if they would have otherwise become ineligible for the program based on other factors.

Evaluating Eligibility

Once the continuous Medicaid and CHIP coverage requirement ends, recipients will have to complete a renewal to maintain their coverage as long as they are eligible.

Are You Ineligible for Coverage?

DHS will provide instructions on how to re-enroll or share options for coverage if individuals are no longer eligible. Options for free or low-cost health coverage are available online.

Get more information and resources at DHS’s website.

Join Lydia Dawson, Erin Drummond, Marco Giordano, and Toni Pergolin as they present the Employee Engagement Symposium, moderated by Tine Hansen-Turton.
Thursday, February 16, 2023
3:30 pm – 5:00 pm EST
Virtual Event
Register Here

Description:

How do you promote workplace practices and cultures that lead to satisfied employees and improved business outcomes in the health and human services sectors? How do you draw on employees’ knowledge and ideas to improve and grow services? Our panelists will address these questions and share their best strategies for successful employee engagement. This symposium is moderated by Tine Hansen-Turton, President and CEO of RCPA member Woods Services.

Thriving Through Transformation Symposia Series:

This symposium is the second in a series of four symposia that stem from key themes in the newly released book Thriving Through Transformation: A Practical Guide to Creating Organizational Change in the Social Sector by Woods Services. For more about the book and the series, see below.

Visit here to purchase a paperback copy of the book.
Visit here to download the free digital version.

Learn more about the speakers, agenda, and registration details here.

House Republican Appropriations Chairman Seth Grove will lead a roundtable discussion with Medicaid (MA) Managed Care Organizations (MCOs) on February 7, 2023, at 10:00 am.

Committee Chairman Grove will be joined by House members and the following testifiers:

  • Emily Katz, Executive Director of PAMCO;
  • Joanne McFall, Market President of Keystone First;
  • Matthew Hurford, President/CEO of Community Care Behavioral Health;
  • James Schuster, Chief Medical Officer of UPMC Insurance Services Division;
  • Jack Carroll, Executive Director of Cumberland-Perry Drug & Alcohol Commission;
  • John Koehn, Market President of Community HealthChoices, AmeriHealth Caritas;
  • Justin Davis, Plan President/CEO of PA Health & Wellness; and
  • Brendan Harris, Vice President of Community HealthChoices, UPMC Health Plan.

The hearing will be held in Room 60 East Wing, Main Capitol, State Capitol Complex in Harrisburg. The hearing will also be streamed live.

Hole torn in a dollar bill with medicaid text

Because of the continuous coverage requirement, states were able to use additional money from the federal government during the federal public health emergency (PHE) for health care programs like Medicaid if they kept people covered. Therefore, Pennsylvanians did not lose their Medicaid/Medical Assistance (MA) or CHIP coverage if their income changed or they did not complete a renewal during the PHE.

However, starting April 1, 2023, Pennsylvania and other states will have to start disenrolling people if households are ineligible for MA at the time of their renewal or do not complete their renewal. The Pennsylvania Department of Human Services (DHS) will have to return to normal renewal processing procedures for Pennsylvanians enrolled in MA and the CHIP. Renewals will be completed over 12 months. Everyone with MA or CHIP coverage will need to submit a renewal to see if they are still eligible.

In Pennsylvania, approximately 3.5 million people rely on Medicaid. Last year, it was estimated that about 500,000 of those would lose coverage when the continuous coverage requirement ended, creating access issues for individuals and exacerbating financial challenges for providers.

The Pennsylvania Department of Human Services has created an online resource, including a stakeholder toolkit as well as a guide on how to become a helper, that provides resources for groups like providers to communicate ways for Pennsylvanians who receive MA or CHIP coverage to continue their coverage.