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Mississippi Today

Over 110,000 Mississippi children lost Medicaid coverage in the past year

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mississippitoday.org – Gwen Dilworth – 2024-06-25 14:41:14

Over 150,000 have lost coverage in the year after the Medicaid “unwinding” process began. 

Many are kids, who account for about half of the state's total Medicaid recipients. In June of 2023, the number of covered peaked at 456,314. By May, the rolls fell by more than 110,000 to 344,517. 

The state began the process of reviewing each Medicaid recipient's eligibility in April of 2023 as pandemic provisions requiring states not to terminate people's health care coverage ended after three years. 

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Though this represents a significant decline in children covered, it's more than were covered before continuous enrollment began. In March 2020, 342,043 children were covered by Medicaid – 2,000 fewer than in May 2024. 

“When state Medicaid programs are directed to return to pre-pandemic enrollment rules, it's not surprising to see Mississippi's Medicaid enrollment returning to around pre-pandemic enrollment levels,” Matt Westerfield, spokesperson for the Mississippi Division of Medicaid, said in an email to Mississippi .

He said 45,000 of the people disenrolled were children when the pandemic began but have since aged out of the program, which covers individuals up to 19 years old. 

Khaylah Scott, program for the Mississippi Health Advocacy Program, noted that because children are often healthy, changes in coverage have caught some families as a surprise. The Mississippi Health Advocacy Program works to improve health policies and practices in the state for underserved and poor communities. 

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“When it's time to get a back-to-school visit or vaccination or physical exam, they may show up to the doctor and that's when they'll find out that they no longer have their health care coverage,” she said. 

Scott said the ramifications of children missing out on visits to the pediatrician are broad. “We know that when kids don't have the care that they need they sometimes miss out on the services that support healthy ,” she said.

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The state has seen an increase in enrollment in the Children's Health Insurance Program (CHIP), a program that provides or low-cost health insurance to children that are not eligible for Medicaid but have an annual income under $31,200 for a family of four. CHIP enrollment in Mississippi has grown from about 42,000 children at the start of the unwinding process a year ago to over 50,000 in May. 

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This change – 8,000 additional children covered – makes only a small dent in the 110,000 young people who lost Medicaid coverage in the past year. 

When children are deemed ineligible for Medicaid coverage in Mississippi, they are automatically enrolled in CHIP when they meet eligibility requirements. 

Adults, too, are impacted

To date, about 74.5% of completed reviews for adults have resulted in a renewal.

Most were completed by recipients filling out a renewal form. The other 31% were ex parte renewals, or automated decisions the agency made using existing information.

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Of Mississippians who have lost coverage during the unwinding process, 26.2% were deemed ineligible. The remaining 73.8% were dropped for procedural reasons, or for reasons other than being determined ineligible. This may mean they did not return, complete or required paperwork.

The state does not report how many procedural disenrollments were children. 

At the start of the unwinding process, the rate of procedural disenrollments neared 80% for enrollees who lost coverage. In April, procedural reasons accounted for 72.4% of terminations. 

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This is slightly higher than the nation's average of 69% for procedural disenrollments, according to KFF.

Scott said she is concerned by the state's high rates of procedural disenrollment. 

“We're seeing [them] go down over time, but they're not where we would like them to be,” she noted. “… We don't want kids to be caught up in the red tape issues of this unwinding process.”

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The Centers for Medicare and Medicaid Services (CMS) introduced waivers, or opportunities for increased flexibility in making determinations, to states last year in response to high procedural disenrollment rates and to ensure that eligible people nationwide maintained coverage. 

Mississippi has since adopted six waivers to increase ex parte renewal rates, support enrollees with renewal form submissions and ensure the department has access to accurate contact information. 

Westerfield said the waivers have had a “positive impact” on the disenrollment process. 

He said that the department has also instituted monthly text blasts to families with information about when and how to return renewal forms and launched a self-service portal to make it easier to complete renewals online. 

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Nationwide, most people disenrolled from Medicaid have been able to regain coverage, though they may have experienced a temporary lapse. 

According to a KFF survey, 47% report that they were able to re-enroll in Medicaid, 28% acquired other health care and about 23% remain uninsured. 

Mississippi, along with 39 other states, is projected to complete the unwinding process this month, as reported by CMS. The state has 2,000 cases left to out of 750,000 total cases, according to Westerfield.

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 1942

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JUNE 28, 1942

Joyce and Dorie Ladner discuss their roles in the movement. Credit: Library of

Dorie Ladner was born in Hattiesburg, Mississippi. She and her sister, Joyce, became involved early with the civil rights movement, working with Medgar Evers, Vernon Dahmer, Clyde Kennard and others.

She and her sister were kicked out of State for their support of the Tougaloo Nine, who integrated the all-white library in Jackson. They became even more active at Tougaloo College. They worked with the Riders, joined the Student Nonviolent Coordinating Committee and helped with the 1963 March on Washington.

Dorie escorted Fannie Lou Hamer to register to vote. Joyce pursued graduate school, earning a doctorate in sociology, becoming the first female president of University. Dorie continued her civil rights work, participating in every major civil rights march through 1968. In Washington, D.C., she earned her master's in social work, counseling emergency room , visiting schools and working with the Rape Crisis Center.

The sisters were honored at the Kennedy Center, and Dorie received the Fannie Lou Hamer National Institute on Citizenship and Democracy Humanitarian Award. A decade before her in 2024, she received an honorary doctorate from Tougaloo.

A new Freedom Trail marker will be erected in Hattiesburg to honor the Ladner sisters.

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

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https://www.biloxinewsevents.com/?p=370858

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Mississippi Today

Photo Essay: Myesha Stovall brings hope to Delta Wellness Center

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mississippitoday.org – Eric J. Shelton – 2024-06-28 06:00:00

Personal trainer Myesha Stovall, right, shows Carolsue Billingsley exercises during their workout at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Credit: Eric Shelton/Mississippi

As dawn breaks over the Delta Wellness Center in Leland,  Myesha Stovall steps into the room, infusing it with a palpable sense of hope and promise for the day ahead. 

With a warm smile, she greets her clients, and her interactions are driven by her unwavering commitment to their holistic well-being. 

Among them is Tarkevious Shells of Leland. He navigates the gym with grace despite being blind, and Stovall's steady presence and encouraging words guide him. 

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Personal trainer Myesha Stovall, 24, poses for her portrait at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Credit: Eric Shelton/Mississippi Today

The Delta Wellness Center, part of the Leland Medical Clinic, is an initiative supported by the Delta Alliance, a nonprofit dedicated to improving health and education in the Mississippi Delta. The Leland Medical Clinic, by Delta Health Alliance since 2013, provides primary and behavioral to Bolivar, Sharkey, Sunflower, and Washington Counties.

The clinic offers a sliding scale discount program to make health care affordable based on household income and size, benefiting uninsured and those with limited insurance coverage.

The wellness center offers monthly memberships at $10 for youth and seniors, $15 for adults, $30 for families, and $20 for senior households. The organization tackles health challenges like obesity, chronic conditions and infant mortality by enhancing health care access and promoting healthier lifestyles through education.

Myesha Stovall, right, guides Tarkevious Shells with performing latissimus dorsi pulldowns during a workout session at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Tarkevious, 28, lost his sight entirely after sustaining a gunshot wound at 17-years-old. Credit: Eric Shelton/Mississippi Today

Stovall's journey from running her own business to her pivotal role at the center reflects her dedication to making a tangible difference. 

“I received my personal license while also at Mississippi , and I've been utilizing it ever since,” Stovall said. Her passion for helping others was ignited by her experiences caring for her aging aunt. Stovall stresses the significance of establishing connections on both physical and emotional levels, catering to a diverse clientele that includes seniors, athletes and individuals grappling with chronic illnesses.

Myesha Stovall, left, guides Tarkevious Shells to the treadmill during a workout session at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Credit: Eric Shelton/Mississippi Today

Her inclusive approach extends to clients like Shells, who finds solace and progress in Stovall's guidance despite his challenges. 

“Myesha's patience and humor have made my workouts enjoyable and effective,” Shells said. 

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Carolsue Billingsley, also of Leland,  has pre-diabetes and is a client of Stovall's and credits her with positively impacting her overall health.

“Myesha is more than a trainer to me; she's a lifeline,” she said.

Personal trainer Myesha Stovall, right, watches as Carolsue Billingsley performs exercises at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Credit: Eric Shelton/Mississippi Today
Myesha Stovall, right, assists Tarkevious Shells with latissimus dorsi pulldowns during a workout session at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Credit: Eric Shelton/Mississippi Today
Personal trainer Myesha Stovall, right, assists Carolsue Billingsley with a core exercise at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Credit: Eric Shelton/Mississippi Today
Myesha Stovall, right, spots Tarkevious Shells as he performs a benchpress exercise at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Credit: Eric Shelton/Mississippi Today
Carolsue Billingsley works out at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Credit: Eric Shelton/Mississippi Today
Myesha Stovall, left, and Tarkevious Shells share a laugh as Tarkevious works out on the treadmill at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Credit: Eric Shelton/Mississippi Today
Carolsue Billingsley performs squats as she works out at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Credit: Eric Shelton/Mississippi Today
Personal trainer Myesha Stovall, right, and Carolsue Billingsley finish a workout session at the Delta Wellness Center in Leland, Miss., on Thursday, June 6, 2024. Credit: Eric Shelton/Mississippi Today

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

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Tunica school district returns to local control Monday, after nearly a decade

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mississippitoday.org – Violet Jira – 2024-06-27 15:47:38

After almost a decade under conservatorship, Tunica County School District will return to local control on July 1. 

The takeover of the schools, which was placed under state control in July 2015, is the longest district takeover in state history. 

Margie Pulley has been at the helm throughout the district's transformation. She previously served as superintendent of the Greenwood School Board before acting as conservator for the Oktibbeha County School District which merged with Starkville's school district in 2015. She described the of turning the Tunica district around as challenging but rewarding. 

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“We put our emphasis on teaching and learning,” Pulley told . “That was the focus of the Tunica County School District. We put emphasis on , and we put academics and teaching first.”

The district was initially placed into a conservatorship after a slew of failures that state officials at the time said jeopardized the safety, security and educational interests of the children enrolled in the district. 

In addition to years of D and F ratings and low graduation rates, the school was found to be in violation of six of eight accreditation standards, and in violation of federal laws like the Federal Education Rights and Privacy Act. 

Today, all schools in the district are C rated or higher, the district's overall rating is a B, and the district's graduation rate has grown from 57.3% in 2015 to 88.8% in 2023. 

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“Teachers have done an outstanding job, and the have done an excellent job,” Pulley said. “Students here in Tunica County have proven that they can learn and are good students — we just made sure that they were taught.”

One of the major issues with the district pre-conservatorship was its failures in educating students with disabilities. Pulley pointed to the school's graduation rate for students with disabilities, which was one of the highest in the state last year. 

The district's financial situation has also improved, from $5,212,625 cash on hand in 2015 to $23,650,634 in 2023. At the district level, it now has one of the highest per-pupil expenditures rates in the state. In the 2022-23 school year, the district spent $17,737 per student. The state average was $11,738.

Pulley said the money always helps. 

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“If you want good results, you have to spend the money to get it,” she said. “We've spent money, we think, in the places where there was the greatest need. We've got full-time English Language Arts and math interventionists and that makes a difference in instruction. The students get the intervention they need. So, I feel good about the money we've spent and putting it in the places that it needs to be placed.” 

The district has also made a number of capital improvements to school facilities and purchased new school buses for every bus route. 

The State Board of Education voted in its June 20 meeting to initiate the return to local control, which it has been preparing the district for since late 2022, when it appointed an advisory board that will serve as members of the district's school board beginning on July 1. The new superintendent, selected by what will soon be the school board, will also be announced and sworn in on July 1.

Because school board members are elected , they will serve staggered terms with one election in 2025 and every year thereafter until all seats have been voted in. 

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At nine years, the state takeover of Tunica County schools is the longest since the state began conservatorships in the late 1990's. In 2018, the Legislature made changes to the concerning state takeovers of local school districts, mandating that schools which undergo conservatorship not be released from state control until the district has achieved a rating of C or higher for five consecutive years. 

For districts that cannot make the turnaround from the outset, state takeovers will last longer than they have in the past. 

For example — Noxubee County School District was placed under conservatorship prior to the 2018-2019 school year, but was unable to achieve a C rating until the 2022-23 school year. This means the earliest the district can achieve the necessary requirement to be released from conservatorship is at the conclusion of the 2026-2027 school year. By this point, the school will have been under state control for nine years — and that's only if the district is able to maintain a C rating for four more consecutive years. 

Holmes County Consolidated School District has been under state control since 2021.

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This is Tunica district's second conservatorship since 1996. When asked if she was confident in Tunica County School District's post-conservatorship Pulley said: “All the protocols are in place for Tunica to be successful. They should continue to be successful,” she said. 

The Mississippi Department of Education echoed this sentiment. 

“Successful school districts rely on effective leadership from their local school boards, district administrators and school principals,” Jean Cook, MDE communications chief, said. “Tunica County School District interim superintendent Dr. Margie Pulley has set the district up for success by implementing high-quality instruction, sound financial management and ensuring all accreditation standards are in compliance.”

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

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