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‘Now is not the time to go radio silent’: Medicaid drops 29,000 Mississippians

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The Mississippi Division of Medicaid removed 29,000 Mississippians from its rolls, marking the first wave of disenrollments as the agency reviews eligibility of its beneficiaries after the end of pandemic-era protections.

As disenrollments continue, the leader of an organization tasked with serving as one of Medicaid’s community partners doesn’t think the agency is doing enough to get the word out about redeterminations.

Roy Mitchell is the executive director of the Mississippi Health Advocacy Program, an organization aimed at improving health policies in Mississippi that was chosen as a community partner for Medicaid in increasing public awareness about redeterminations.

Mitchell’s organization has received materials from Medicaid to spread the word about redetermination, but he thought there would be more coordination between the two groups.

Instead, communications with Medicaid have been sparse, he said.

“Even though we’ve enlisted in this, we get emails maybe once a month,” Mitchell said. “Right now, communications with the community and advocates should be stronger than it’s ever been. Now is not the time to go radio silent in the middle of this complex process that could have grave health and financial consequences for Mississippi families.”

Division of Medicaid spokesperson Matt Westerfield did not respond to Mississippi Today’s questions about the amount of emails, letters and other forms of outreach that have been disseminated since the inception of the agency’s “Stay Covered” campaign to bring awareness to the end of the federal COVID-19 emergency and ensuing redeterminations. He also did not answer questions about the demographic breakdown of the people who were disenrolled or how many people the Mississippi Division of Medicaid estimated would ultimately lose coverage in total.

Mississippi Today also asked Medicaid Executive Director Drew Snyder for a sit-down or phone interview with a Medicaid employee who could answer questions about the unwinding process. Snyder did not respond by the time of the story’s publication.

Mississippi is one of only three states that does not have Medicaid online accounts as of January 2023, according to the Kaiser Family Foundation.

Medicaid is a federal-state program that provides health insurance for low-income people. State Medicaid agencies, which administer the program, were prohibited by federal law from removing people from its rolls starting March 2020 during the COVID-19 public health emergency.

Mississippi Medicaid enrollment increased by 187,894 people, or 26%, from March 2020 to June of this year, the agency said in a press release Monday.

In Mississippi, long one of the poorest states in the nation, last month was the first time in Medicaid’s history that its rolls went over 900,000.

The agency in April began examining the records of 67,695 Mississippians whose coverage would be up for review in June. It found that 29,000, or 43%, were no longer eligible. That’s about 3% of the agency’s total June enrollment.

Many of them could be children — kids in low-income families make up more than half of Mississippi’s overall Medicaid beneficiaries.

About 60% of the 29,000 who were removed from Medicaid’s rolls had remained insured during the pandemic because of the extended eligibility rules, according to the agency.

In its press release, Medicaid said if beneficiaries believe they have been disenrolled in error, they can appeal the determination. If disenrolled because beneficiaries didn’t provide information required to remain enrolled, once that information is provided, that coverage may be reinstated.

Westerfield said people whose membership could be not automatically re-enrolled were mailed renewal forms in mid-April. They had 30 days to complete and return that paperwork — if they didn’t, they were disenrolled, and have 120 days to be reconsidered without a new application.

More than 1 million people nationwide have been removed from Medicaid so far, many for not filling out paperwork, indicating that they might still be qualified for coverage.

Mississippi Medicaid’s “Stay Covered” campaign used outreach efforts including postcard mailing, text and email blasts and flyers to inform Mississippians about the redeterminations and the importance of updating their contact information.

Mitchell has been monitoring the disenrollment process closely and said awareness could be aided by “genuine interaction” and collaboration between Medicaid and its community partners.

As an increasing number of Mississippians are disenrolled, Mitchell said it will put further stress on the state’s already-strained hospital system, especially in a non-expansion state such as Mississippi.

One report puts a third of the state’s rural hospitals at risk of closure, and Republican state leaders have long opposed expanding Medicaid to the working poor.

“More Mississippians will join the ranks of the uninsured,” Mitchell said. “And a lot of people may not know their eligibility status until they show up to a provider, and that’s a concern.”

Redeterminations will continue for a year. The Kaiser Family Foundation estimates that up to 24 million people nationally could lose Medicaid coverage during the unwinding.

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

Mississippi Today

An ad supporting Jenifer Branning finds imaginary liberals on the Mississippi Supreme Court

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mississippitoday.org – Bobby Harrison – 2024-11-24 06:00:00

The Improve Mississippi PAC claims in advertising that the state Supreme Court “is in danger of being dominated by liberal justices” unless Jenifer Branning is elected in Tuesday’s runoff.

Improve Mississippi made the almost laughable claim in both radio commercials and mailers that were sent to homes in the court’s central district, where a runoff election will be held on Tuesday.

Improve Mississippi is an independent, third party political action committee created to aid state Sen. Jenifer Branning of Neshoba County in her efforts to defeat longtime Central District Supreme Court Justice Jim Kitchens of Copiah County.

The PAC should receive an award or at least be considered for an honor for best fiction writing.

At least seven current members of the nine-member Supreme Court would be shocked to know anyone considered them liberal.

It is telling that the ads do not offer any examples of “liberal” Supreme Court opinions issued by the current majority. It is even more telling that there have been no ads by Improve Mississippi or any other group citing the liberal dissenting opinions written or joined by Kitchens.

Granted, it is fair and likely accurate to point out that Branning is more conservative than Kitchens. After all, Branning is considered one of the more conservative members of a supermajority Republican Mississippi Senate.

As a member of the Senate, for example, she voted against removing the Confederate battle emblem from the Mississippi state flag, opposed Medicaid expansion and an equal pay bill for women.

And if she is elected to the state Supreme Court in Tuesday’s runoff election, she might be one of the panel’s more conservative members. But she will be surrounded by a Supreme Court bench full of conservatives.

A look at the history of the members of the Supreme Court might be helpful.

Chief Justice Michael Randolph originally was appointed to the court by Republican Gov. Haley Barbour, who is credited with leading the effort to make the Republican Party dominant in Mississippi. Before Randolph was appointed by Barbour, he served a stint on the National Coal Council — appointed to the post by President Ronald Reagan who is considered an icon in the conservative movement.

Justices James Maxwell, Dawn Beam, David Ishee and Kenneth Griffis were appointed by Republican Gov. Phil Bryant.

Only three members of the current court were not initially appointed to the Supreme Court by conservative Republican governors: Kitchens, Josiah Coleman and Robert Chamberlin. All three got their initial posts on the court by winning elections for full eight-year terms.

But Chamberlin, once a Republican state senator from Southaven, was appointed as a circuit court judge by Barbour before winning his Supreme Court post. And Coleman was endorsed in his election effort by both the Republican Party and by current Republican Gov. Tate Reeves, who also contributed to his campaign.

Only Kitchens earned a spot on the court without either being appointed by a Republican governor or being endorsed by the state Republican Party.

The ninth member of the court is Leslie King, who, like Kitchens, is viewed as not as conservative as the other seven justices. King, former chief judge on the Mississippi Court of Appeals, was originally appointed to the Supreme Court by Barbour, who to his credit made the appointment at least in part to ensure that a Black Mississippian remained on the nine-member court.

It should be noted that Beam was defeated on Nov. 5 by David Sullivan, a Gulf Coast municipal judge who has a local reputation for leaning conservative. Even if Sullivan is less conservative when he takes his new post in January, there still be six justices on the Supreme Court with strong conservative bonafides, not counting what happens in the Branning-Kitchens runoff.

Granted, Kitchens is next in line to serve as chief justice should Randolph, who has been on the court since 2004, step down. The longest tenured justice serves as the chief justice.

But to think that Kitchens as chief justice would be able to exert enough influence to force the other longtime conservative members of the court to start voting as liberals is even more fiction.

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 1968

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mississippitoday.org – Jerry Mitchell – 2024-11-24 07:00:00

Nov. 24, 1968

Credit: Wikipedia

Black Panther leader Eldridge Cleaver fled the U.S. to avoid imprisonment on a parole violation. He wrote in “Soul on Ice”: “If a man like Malcolm X could change and repudiate racism, if I myself and other former Muslims can change, if young whites can change, then there is hope for America.” 

The Arkansas native began to be incarcerated when he was still in junior high and soon read about Malcolm X. He began writing his own essays, drawing the praise of Norman Mailer and others. That work helped him win parole in 1966. His “Soul on Ice” memoir, written from Folsom state prison, described his journey from selling marijuana to following Malcolm X. The book he wrote became a seminal work in Black literature, and he became a national figure. 

Cleaver soon joined the Black Panther Party, serving as the minister of information. After a Panther shootout with police that left him injured, one Panther dead and two officers wounded, he jumped bail and fled the U.S. In 1977, after an unsuccessful suicide attempt, he returned to the U.S. pleaded guilty to a reduced charge of assault and served 1,200 hours of community service. 

From that point forward, “Mr. Cleaver metamorphosed into variously a born-again Christian, a follower of the Rev. Sun Myung Moon, a Mormon, a crack cocaine addict, a designer of men’s trousers featuring a codpiece and even, finally, a Republican,” The New York Times wrote in his 1998 obituary. His wife said he was suffering from mental illness and never recovered.

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 1867

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mississippitoday.org – Jerry Mitchell – 2024-11-23 07:00:00

Nov. 23, 1867

Extract from the Reconstructed Constitution of the State of Louisiana, 1868. Credit: Library of Congress

The Louisiana Constitutional Convention, composed of 49 White delegates and 49 Black delegates, met in New Orleans. The new constitution became the first in the state’s history to include a bill of rights. 

The document gave property rights to married women, funded public education without segregated schools, provided full citizenship for Black Americans, and eliminated the Black Codes of 1865 and property qualifications for officeholders. 

The voters ratified the constitution months later. Despite the document, prejudice and corruption continued to reign in Louisiana, and when Reconstruction ended, the constitution was replaced with one that helped restore the rule of white supremacy.

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

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