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Late and missed Medicaid rides triple the contractual limit in July

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mississippitoday.org – Gwen Dilworth – 2024-09-17 09:49:01

Six percent of rides provided by the company that coordinates Medicaid recipients’ transportation to medical  appointments  – or three times the allowable limit – were late or missed in July.

The company’s first report to the Division of Medicaid since assuming the contract for transportation services indicated that five percent of scheduled rides were late, and one percent was missed, said Medicaid spokesperson Matt Westerfield. 

The company’s contract states that no more than two percent of scheduled rides should be late or missed each day. 

For-profit, Denver-based Modivcare is working to lower the percentage of rides that are late or missed, said company spokesperson Melody Lai in an email.

“We utilize data and close partnerships with healthcare facilities, transportation providers, and members across the state to continuously improve service,” she said. 

Modivcare, which began its three-year, $96.5 million contract with the state on June 8 of this year, scheduled over 52,000 trips with beneficiaries in July. 

About 3,000 of the rides were late or missed. 

Nearly 40,000 rides were completed after cancellations made by both Medicaid recipients and drivers in July. Thirty-seven trips took 45 minutes longer than average. 

Modivcare’s contract mandates it submit monthly reports detailing late or missed trips, along with other information.

Despite filing a public records request, Mississippi Today did not obtain a copy of the company’s first monthly report. The Division of Medicaid indicated that the reports could contain proprietary, third-party trade secrets and that Modivcare had the right to obtain a protective order prohibiting the release of the records.

State Medicaid programs are required to provide rides to doctor appointments to health plan recipients. States can manage the benefit directly, provide the service through Medicaid managed care contracts or contract with a third-party broker, like Mississippi. 

Modivcare subcontracts with local transportation companies to provide rides to beneficiaries. Late or missed trips are considered the fault of the transportation companies that provide rides to beneficiaries, Westerfield said.  

Mississippi Today last month reported that a woman who uses a wheelchair missed four doctors appointments after Modivcare assumed responsibility for the service in June. She said drivers refused to give her a ride on two occasions because they did not feel comfortable securing her mobility device. On another occasion, Modivcare told her there were no available drivers with the capacity to transport a wheelchair. Another time, the driver did not show up to the location she indicated. 

Modivcare’s contract with the Division of Medicaid requires that each wheelchair vehicle have a wheelchair securement device that meets American with Disabilities Act guidelines. 

People with disabilities are some of the most frequent users of the service. 

Modivcare has been penalized for a high volume of late or missed rides in other states. 

The New Jersey Department of Human Services fined Modivcare $1.7 million between 2017 and 2022 for failing to meet its contractual obligations, including missing scheduled pickups, reported the Bergen Record. The New Jersey Legislature considered a bill in 2023 to establish performance and reporting standards for Medicaid transportation services, but the legislation died in committee. 

This month, The Maine Monitor wrote that patients have reported missing appointments and being refused rides by the company, which provides transportation services to 16 counties in Maine. 

In Georgia, Modivcare and Southeasttrans, another non-emergency medical transportation company, were fined over $1 million from 2018 to 2020 for picking up patients late, KFF reported

Modivcare was the lowest bidder during the contract selection process in Mississippi. The agency chose it over Medical Transportation Management, Inc., the previous contractor, and Verida, Inc. 

Westerfield said that when the number of late or missed trips exceeds the two percent threshold, the division works with the company to correct the issue. If the issue persists, the company will receive official warning letters and the division could choose to seek damages. 

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi Today

Podcast: Ray Higgins: PERS needs both extra cash and benefit changes for future employees

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mississippitoday.org – Bobby Harrison – 2024-12-23 06:30:00

Mississippi Today’s Bobby Harrison talks with Ray Higgins, executive director of the Mississippi Public Employees Retirement System, about proposed changes in pension benefits for future employees and what is needed to protect the system for current employees and retirees. Higgins also stresses the importance of the massive system to the Mississippi economy.

READ MORE: As lawmakers look to cut taxes, Mississippi mayors and county leaders outline infrastructure needs

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

‘Bringing mental health into the spaces where moms already are’: UMMC program takes off

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mississippitoday.org – Sophia Paffenroth – 2024-12-23 06:00:00

A program aimed at increasing access to mental health services for mothers has taken off at the University of Mississippi Medical Center. 

The program, called CHAMP4Moms, is an extension of an existing program called CHAMP – which stands for Child Access to Mental Health and Psychiatry. The goal is to make it easier for moms to reach mental health resources during a phase when some may need it the most and have the least time. 

CHAMP4Moms offers a direct phone line that health providers can call if they are caring for a pregnant woman or new mother they believe may have unaddressed mental health issues. On the line, health providers can speak directly to a reproductive psychiatrist who can guide them on how to screen, diagnose and treat mothers. That means that moms don’t have to go out of their way to find a psychiatrist, and health care providers who don’t have extensive training in psychiatry can still help these women. 

“Basically, we’re trying to bring mental health into the spaces where moms already are,” explained Calandrea Taylor, the program manager. “Because of the low workforce that we have in the state, it’s a lot to try to fill the state with mental health providers. But what we do is bring the mental health practice to you and where mothers are. And we’re hoping that that reduces stigma.”

Launched in 2023, the program has had a slow lift off, Taylor said. But the phone line is up and running, as the team continues to make additions to the program – including a website with resources that Taylor expects will go live next year. 

To fill the role of medical director, UMMC brought in a California-based reproductive psychiatrist, Dr. Emily Dossett. Dossett, who grew up in Mississippi and still has family in the state, says it has been rewarding to come full circle and serve her home state – which suffers a dearth of mental health providers and has no reproductive psychiatrists

“I love it. It’s really satisfying to take the experience I’ve been able to pull together over the past 20 years practicing medicine and then apply it to a place I love,” Dossett said. “I feel like I understand the people I work with, I relate to them, I like hearing where they’re from and being able to picture it … That piece of it has really been very much a joy.”

As medical director, Dossett is able to educate maternal health providers on mental health issues. But she’s also an affiliate professor at UMMC, which she says allows her to train up the next generation of psychiatrists on the importance of maternal and reproductive psychiatry – an often-overlooked aspect in the field. 

If people think of reproductive mental health at all, they likely think of postpartum depression, Dossett said. But reproductive psychiatry is far more encompassing than just the postpartum time period – and includes many more conditions than just depression. 

“Most reproductive psychiatrists work with pregnant and postpartum people, but there’s also work to be done around people who have issues connected to their menstrual cycle or perimenopause,” she explained. “… There’s depression, certainly. But we actually see more anxiety, which comes in lots of different forms – it can be panic disorder, general anxiety, OCD.”

Tackling mental health in this population doesn’t just improve people’s quality of life. It can be lifesaving – and has the potential to mitigate some of the state’s worst health metrics.

Mental health disorders are the leading cause of pregnancy-related death, which is defined by the Centers for Disease Control as any death up to a year postpartum that is caused by or worsened by pregnancy. 

In Mississippi, 80% of pregnancy-related deaths between 2016 and 2020 were deemed preventable, according to the latest Mississippi Maternal Mortality Report.

Mississippi is not alone in this, Dossett said. Historically, mental health has not been taken seriously in the western world, for a number of reasons – including stigma and a somewhat arbitrary division between mind and body, Dossett explained.

“You see commercials on TV of happy pregnant ladies. You see magazines of celebrities and their baby bumps, and everybody is super happy. And so, if you don’t feel that way, there’s this tremendous amount of shame … But another part of it is medicine and the way that our health system is set up, it’s just classically divided between physical and mental health.”

Dossett encourages women to tell their doctor about any challenges they’re facing – even if they seem normal.

“There are a lot of people who have significant symptoms, but they think it’s normal,” Dossett said. “They don’t know that there’s a difference between the sort of normal adjustment that people have after having a baby – and it is a huge adjustment – and symptoms that get in the way of their ability to connect or bond with the baby, or their ability to eat or sleep, or take care of their other children or eventually go to work.”

She also encourages health care providers to develop a basic understanding of mental health issues and to ask patients questions about their mood, thoughts and feelings. 

CHAMP4Moms is a resource Dossett hopes providers will take advantage of – but she also hopes they will shape and inform the program in its inaugural year. 

“We’re available, we’re open for calls, we’re open for feedback and suggestions, we’re open for collaboration,” she said. “We want this to be something that can hopefully really move the needle on perinatal mental health and substance use in the state – and I think it can.”

Providers can call the CHAMP main line at 601-984-2080 for resources and referral options throughout the state. 

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1997

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mississippitoday.org – Jerry Mitchell – 2024-12-22 07:00:00

Dec. 22, 1997

Myrlie Evers and Reena Evers-Everette cheer the jury verdict of Feb. 5, 1994, when Byron De La Beckwith was found guilty of the 1963 murder of Mississippi NAACP leader Medgar Evers. Credit: AP/Rogelio Solis

The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers. 

In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.” 

He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.” 

The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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