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See running total of how much money Mississippi is turning down by not expanding Medicaid

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Mississippi would receive an additional $2.04 billion the first year Medicaid was expanded to care coverage for the working poor, according to projections compiled in June by the state’s Research Center.

Based on that projection, is unveiling a digital tracker that will continuously displaying how much money the state is losing in federal funds by not expanding Medicaid. The tracker reflects the amount of money loss per millisecond for the year based on Medicaid expansion beginning on the start of the fiscal year, July 1st.

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Estimates calculated by the Hilltop Institute

The tracker is not exact: The amount of Medicaid money the state receives is based on a number of factors, primarily the health care needs of those covered by Medicaid. Medicaid provides funds to health care providers for rendering medical services to those who qualify for Medicaid.

The state might receive more federal Medicaid funds, for example, during a flu or outbreak because Medicaid recipients would be receiving more health care.

But for the sake of the tracker, it will be assumed the money received over a year – a projected $2.04 billion – would be distributed evenly.

The tracker presumes that Medicaid expansion would begin in Mississippi on July 1 – the first day of a new fiscal year.

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It’s also helpful to explain how the University Research Center derived the projection the state would receive $2.04 billion the first year in federal funds for expanding Medicaid.

The bulk of the federal funds would from taking the projected number of enrollees – nearly 250,000 — and multiplying that number by the estimated $6,139 expenditure per enrollee. The federal pays 90% of that cost.

Included in that is money the state would receive by moving certain groups of people currently enrolled in Medicaid where the federal government pays 77.3% of the costs to the new expansion population where the federal government pays 90% of the costs.

In addition, the state would receive funds from the federal government paying a tax to the state – a 3% insurance tax on each new expansion enrollee.

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And during the first two years of expansion, the state would receive an estimated $335.4 million in new funds the first year of expansion and an estimated $345.5 million in new funds the second year. The funds would be provided to the state as an incentive to expand Medicaid as 40 other states have done.

The amount of the incentive funds to expand Medicaid is derived by adding 5% to the federal match the state receives from the federal government for the traditional Medicaid program. The federal match Mississippi receives for the traditional Medicaid program is 77.3%. In other words, for every dollar spent on Medicaid, the federal government pays 77.3 cents. Mississippi receives the highest federal match for the traditional Medicaid program of any state in the nation because of multiple reasons, such as the state’s high poverty rate. If Mississippi expanded Medicaid, the federal match non-expansion enrollees would go to 82.3% for two years, resulting in $680 million to the state over two years.

After two years, the 5% increase in the federal match for the traditional Medicaid program would go away. With the removal of the 5% enhanced match, the University Research Center projects the total federal expenditure on Medicaid expansion would drop to $1.78 billion in year three.

At that point, if Medicaid is not expanded, Mississippi Today will have to recalculate its tracker.

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

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Mississippi Today

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 recipients’ transportation to medical  appointments  – or three times the allowable limit – were late or missed in July.

The company’s first 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. 

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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 facilities, transportation providers, and members across the 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. 

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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, 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 rides to doctor appointments to 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. 

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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 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. 

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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 standards for Medicaid transportation services, but the legislation died in committee. 

This month, The Maine Monitor wrote that 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

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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.

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Mississippi Today

On this day in 1968

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mississippitoday.org – Jerry Mitchell – 2024-09-17 07:00:00

Sept. 17, 1968

Diahann Carroll and Sammy Davis Jr. on The Hollywood Palace, 1968. Credit: Wikipedia

Diahann Carroll starred in the title role in “Julia” — the first Black actress to star in a non-stereotypical role in her own television

She grew up loving singing, dancing and performing in the theater, and she began modeling for Ebony magazine at 15. Three years later, she appeared on the TV show, “ of a Lifetime,” taking home the top prize for her performance of the song, “Why Was I Born?” That same year, she acted in the film, “Carmen Jones”, and appeared in the Broadway musical “House of Flowers”. 

In her TV show “Julia”, her performance garnered an Emmy nomination for her, and she won a Golden Globe for Best Actress in a Television Series. Mattel even created a Barbie in her image. 

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After “Julia” ended, she returned to Broadway and Hollywood, earning an Academy Award nomination for her performance in the 1974 film “Claudine”. She went on to portray Dominique Deveraux in the primetime soap opera “Dynasty”. In 1996, she became the first African American to play the role of Norma Desmond in the Andrew Lloyd Webber musical, “Sunset Boulevard”. 

Carroll devoted much of her time to the Celebrity Action Council, which works with women in rehabilitation from problems with , alcohol or prostitution. Eight years before she died in 2019, she was inducted into the Television Academy Hall of Fame.

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

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Mississippi Today

Favre loses another round in lawsuit agaisnt ex-talk show host

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mississippitoday.org – Jerry Mitchell – 2024-09-17 04:00:00

Former “Undisputed” host Shannon Sharpe remains undefeated in his defense of critical remarks toward fellow NFL Hall of Famer Brett Favre.

On Monday, the U.S. 5th Circuit Court of Appeals rejected a request by Favre to resurrect a defamation against Sharpe, who said on his Sept. 14, 2023, show that the former Southern Miss and Green Bay Packers quarterback stole funds from the Temporary Assistance for Needy Families program meant for those living in poverty.

Favre hasn’t been charged in the scandal in which six people have been convicted of and federal charges involving $77 million in federal TANF funds.

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In 2022, the state Department of Human Services sued Favre and many others to try and recoup the $77 million that was illegally diverted between 2016 and 2019. A year earlier, the department had sought to recover $1.1 million in TANF funds that Favre received for speeches he never delivered. (The speaking fees had through the nonprofit Mississippi Community Education Center.)

After a Sept. 13, 2022, article appeared in , Sharpe said on the Fox show, “Skip and Shannon: Undisputed,” that “Bretty Favre is taking money from the underserved” and that he “stole money from people that really needed that money.”

Favre sent Sharpe a letter, demanding a retraction and asking him to stop making any “further defamatory falsehoods against Favre.”

Sharpe refused, and Favre sued for defamation, saying that Sharpe had falsely accused him of serious crimes and his reputation. Sharpe responded that his remarks are “a classic example of the king of rhetorical hyperbole and loose, figurative language” protected by the First Amendment.

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A federal judge ruled in Sharpe’s favor, and so did the 5th Circuit. “Nothing in or our guarantees a person immunity from occasional sharp criticism,” 5th Circuit District Judge Leslie H. Southwick wrote.

Favre has paid back the $1.1 million, but State Auditor Shad White said in February that Favre still owed more than $700,000 in interest.

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

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