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Tags Posts tagged with "Medicaid"

Medicaid

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.

Workers Who Serve People With Disabilities Must Earn More
By Richard Edley, RCPA President/CEO
Read the print version in the Harrisburg Patriot-News, January 19, 2023

Providers who care for individuals with intellectual disabilities and autism (ID/A) are being pummeled by a workforce shortage driven by low wages and high vacancy and turnover rates.

RCPA partnered with The Arc of Pennsylvania and The Provider Alliance to have the Center for Healthcare Solutions examine the state’s ID/A workforce. The survey evaluated critical data on pay practices, hourly wages, scheduled positions, filled positions and separations for more than 9,000 employees representing 40 positions in 52 organizations.

The findings are stark.

Wages for direct support professionals who help ID/A children and adults with their basic daily living needs average $16.61 per hour, less than some fast-food restaurants. The turnover rate for DSPs is 38%, with providers reporting a vacancy rate of 28%. The numbers are similar for other residential and program supervisors.

The study also found that 14% of all DSP hours are paid at an overtime rate, and 41% of providers are now engaged in a more costly practice of contracting for staffing services to manage the workforce shortage.

Because human services like ID/A are funded primarily by Medicaid, providers cannot raise prices like private businesses to pay higher wages. So chronic underfunding by the state only
exacerbates these operational challenges.

ID/A providers simply do not have the staff they need to serve the thousands of Pennsylvanians receiving or waiting for critical services.

This is a system that is strained past its breaking point, and it needs our support now.