Mississippi Today
Some worry thousands of Mississippi children will lose health coverage as public health emergency ends
Some worry thousands of Mississippi children will lose health coverage as public health emergency ends
In just over two weeks, the state’s Division of Medicaid will begin the daunting process of determining whether hundreds of thousands of low-income Mississippians are still eligible for health coverage for the first time in three years.
As a result, Mississippians, adults and children, who have had coverage as the result of a federal pandemic-era policy of continuous enrollment could lose health insurance as soon as July, according to the division.
Mississippi’s Medicaid division will begin examining its roughly 890,000 recipients to determine their eligibility starting April 1. But with a staff vacancy rate of 12% and an onslaught of work, national health care experts and local advocates are worried about eligible children, especially, falling through bureaucratic cracks and losing coverage.
Those who work with Medicaid recipients have a litany of concerns: from the division’s ability to effectively communicate with families known to frequently move to the low rate of automatic electronic renewals the state has done in the past.
“It’s nothing new that parents, once they get over a very low income level, they have no coverage because the state hasn’t expanded Medicaid,” said Joan Alker, the executive director and researcher at Georgetown University’s Center for Children and Families. “What is new is we might see thousands of eligible children lose coverage during this process.”
The stakes are high.
Mississippi children in low-income families make up more than half of the state’s overall Medicaid recipients. Some have coverage through Children’s Health Insurance Program, or CHIP. During continuous coverage, Medicaid rolls in Mississippi have increased by more than 130,000 people – 80,000 of which are children.
The U.S. Department of Health and Human Services said as many as 15 million people nationwide could lose Medicaid or CHIP coverage. About 6.8 million people could be disenrolled even though they are still eligible, the department estimates, because of enrollees struggling to navigate the renewal processes, states unable to successfully contact enrollees or other administrative hurdles.
On its end, the state’s Medicaid division said it’s hired 22 new workers in the past week and has 100 contractors to help manage caseloads. The biggest push from the office so far has been asking recipients to ensure their contact information and mailing addresses are up-to-date.
“To raise awareness about redeterminations and the importance for members to update their contact information, (Mississippi Division of Medicaid) launched a Stay Covered campaign in January and invited community partners to sign up to be Coverage Champions,” spokesman Matt Westfield said in a statement. “Our Coverage Champions partners include a diverse mix of health centers and advocacy groups.”
Posts are all over Facebook. Flyers have been shared both online and in-person with scannable codes that link an online form.
Medicaid coverage is determined by income, but the threshold for children to still qualify in Mississippi is higher than that of their parents and other adults.
Joy Hogge, the director of Families of Allies, a statewide nonprofit that supports children with health challenges, said her office is going to start asking every family who contacts them if they’re aware of the upcoming renewal process.
“We haven’t had families ask questions (on their own),” Hogge said. “So, I don’t know if it’s not reaching them. I’m not sure of what the awareness level is from families being affected.”
So far, Mississippi hasn’t published a detailed unwinding plan. The one document the division was required to upload for the federal government includes a long checklist of measures where the agency could check “already adopted” or “planning or considering to adopt.”
But details of where the state was in the process of adding improvements wasn’t included. That makes it hard to decipher exactly what’s going on, said Garrett Hall, a policy analysis at health advocacy organization Families USA.
Westfield said the state does plan to post a more detailed unwinding plan online once it’s ready. This is something states such as California and Arizona have already done.
Mississippians, for example, don’t have online accounts to easily login into Medicaid – something 48 other states have, according to KFF. In a tweet earlier this month, Mississippi Division of Medicaid Director Drew Snyder said it was something his office was testing and planned to deploy this year.
Mississippi is taking the full 12 months allowed by the federal government to work through its redetermination process. Arkansas, for example, is planning to do the same process in only six months – something that raises major red flags for health care advocates.
While Hall is glad Mississippi won’t rush through the process in half the time, he does point out that Mississippi doesn’t have a high percentage of “ex parte,” or automatic, renewals. The division told Mississippi Today its automatic renewal rate was 24% before the pandemic – though that’s a rate they expect to go up over the next year.
Hall said states should hit a 50% ex parte rate at minimum.
Using state databases – like of families who qualify for food assistance or individuals receiving unemployment – Medicaid divisions can automatically enroll people they know are still eligible. Hall said it’s the most seamless way to ensure people retain coverage who still qualify.
“No one who is still eligible for coverage should lose it because they are subjected to a confusing and cumbersome renewal process,” Hall said. “Looking at Mississippi’s unwinding plan, they have some steps in the right direction but they need to follow through on some of those further steps.”
Alker worries about whether notices will even reach families. Low-income families are often mobile, and may not know they need to update their address. If the letter does find them, she wonders what the language will be like and if it could be misleading. Alker pointed to a prior instance where Mississippi’s Division of Medicaid shifted enrollees’ coverage without making a public announcement.
“Is it going to be clear that even if a parent loses coverage, their child may still be eligible?” Alker said. “Is there going to be adequate support at the call center to work through the renewal process or questions? Sometimes there are just glitches and delays due to short staffing. All sorts of things can go wrong.”
Westfield said when the Mississippi division begins its redetermination process, it will first focus on auto-renewing benefits using state data systems for electronic verification. If someone can’t be approved this way, they will be mailed a renewal form which they will have 30 days to return to the office.
If the Medicaid division determines someone no longer qualified they will receive a notice by mail explaining the decision and how to file an appeal, according to Wesftield. Their information will also be sent to the Health Insurance Marketplace, and they will be notified about their options through the Affordable Care Act.
Michael Minor, the executive director of Oak Hill Regional Community Development Corporation, has been working closely with families who qualify for Medicaid or CHIP since 2019. The initiative is called “Healthy Kids MS,” and it aims to keep kids covered and up-to-date on doctor’s visits.
“We see ourselves as being that unseen, invisible hand there that’s helping folks to work with the system,” Minor said. “It’s a matter of meeting folks where they are.”
That means churches, schools, and doctors offices. Volunteers will even drive forms to Medicaid offices on behalf of families with transportation struggles. Hogge and Minor both said their workers will sit on a phone call to Medicaid with a recipient if that’s the support families need.
Minor and his team of Medicaid navigators are bracing for the surge of questions – but they’re not worried.
‘We’re set up for this,” he said. “And we’re just doing what we normally do.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1961
Nov. 22, 1961
Five Black students, made up of NAACP Youth Council members and two SNCC volunteers from Albany State College, were arrested after entering the white waiting room of the Trailways station in Albany, Georgia.
The council members bonded out of jail, but the SNCC volunteers, Bertha Gober and Blanton Hall declined bail and “chose to remain in jail over the holidays to dramatize their demand for justice,” according to SNCC Digital Gateway. The president of Albany State College expelled them.
Gober became one of SNCC’s Freedom Singers and wrote the song, “We’ll Never Turn Back,” after the 1961 killing of Herbert Lee in Mississippi. The tune became SNCC’s anthem.
After her release from jail, Gober joined other students, and police arrested her and other demonstrators. Back in the same jail, she sang to the police chief and mayor to open the cells, “I hear God’s children praying in jail, ‘Freedom, freedom, freedom.’”
Albany State suspended another student, Bernice Reagon, after she joined SNCC. She poured herself into the civil rights movement and later formed the Grammy-nominated a cappella group Sweet Honey in the Rock to educate and empower the audience and community.
“When I opened my mouth and began to sing, there was a force and power within myself I had never heard before,” a power she said she did not know she had.
Other members of the Freedom Singers included Cordell Reagon, Bernice Johnson, Dorothy Vallis, Rutha Harris, Bernard Lafayette and Charles Neblett. On the third anniversary of the sit-in movement in 1963, they performed at Carnegie Hall.
“This is a singing movement,” SNCC leader James Forman told a reporter. “The songs help. Without them, it would be ugly.”
Today, the Albany Civil Rights Institute houses exhibits on these protesters, Martin Luther King Jr. and others who joined the Albany Movement.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
IHL deletes the word ‘diversity’ from its policies
The governing board of Mississippi’s public universities voted Thursday to delete the word “diversity” from several policies, including a requirement that the board evaluate university presidents on campus diversity outcomes.
Though the Legislature has not passed a bill targeting diversity, equity and inclusion initiatives in higher education, the Institutions of Higher Learning Board of Trustees approved the changes “in order to ensure continued compliance with state and federal law,” according to the board book.
The move comes on the heels of the re-election of former President Donald Trump and after several universities in Mississippi have renamed their diversity offices. Earlier this year, the IHL board approved changes to the University of Southern Mississippi’s mission and vision statements that removed the words “diverse” and “inclusiveness.”
In an email, John Sewell, IHL’s communications director, did not respond to several questions about the policy changes but wrote that the board’s goal was to “reinforce our commitment to ensuring students have access to the best education possible, supported by world-class faculty and staff.”
“The end goal is to support all students, and to make sure they graduate fully prepared to enter the workforce, hopefully in Mississippi,” Sewell added.
On Thursday, trustees approved the changes without discussion after a first reading by Harold Pizzetta, the associate commissioner for legal affairs and risk management. But Sewell wrote in an email that the board discussed the policy amendments in open session two months ago during its retreat in Meridian, more than an hour away from the board’s normal meeting location in Jackson.
IHL often uses these retreats, which unlike its regular board meetings aren’t livestreamed and are rarely attended by members of the public outside of the occasional reporter, to discuss potentially controversial policy changes.
Last year, the board had a spirited discussion about a policy change that would have increased its oversight of off-campus programs during its retreat at the White House Hotel in Biloxi. In 2022, during a retreat that also took place in Meridian, trustees discussed changing the board’s tenure policies. At both retreats, a Mississippi Today reporter was the only member of the public to witness the discussions.
The changes to IHL’s diversity policy echo a shift, particularly at colleges and universities in conservative states, from concepts like diversity in favor of “access” and “opportunity.” In higher education, the term “diversity, equity and inclusion” has traditionally referred to a range of efforts to comply with civil rights laws and foster a sense of on-campus belonging among minority populations.
But in recent years, conservative politicians have contended that DEI programs are wasteful spending and racist. A bill to ban state funding for DEI in Mississippi died earlier this year, but at least 10 other states have passed laws seeking to end or restrict such initiatives at state agencies, including publicly funded universities, according to ABC News.
In Mississippi, the word “diversity” first appeared in IHL’s policies in 1998. The diversity statement was adopted in 2005 and amended in 2013.
The board’s vote on Thursday turned the diversity statement, which was deleted in its entirety, into a “statement on higher education access and success” according to the board book.
“One of the strengths of Mississippi is the diversity of its people,” the diversity statement read. “This diversity enriches higher education and contributes to the capacity that our students develop for living in a multicultural and interdependent world.”
Significantly, the diversity statement required the IHL board to evaluate the university presidents and the higher learning commissioner on diversity outcomes.
The statement also included system-wide goals — some of which it is unclear if the board has achieved — to increase the enrollment and graduation rates of minority students, employ more underrepresented faculty, staff and administrators, and increase the use of minority-owned contractors and vendors.
Sewell did not respond to questions about if IHL has met those goals or if the board will continue to evaluate presidents on diversity outcomes.
In the new policy, those requirements were replaced with two paragraphs about the importance of respectful dialogue on campus and access to higher education for all Mississippians.
“We encourage all members of the academic community to engage in respectful, meaningful discourse with the aim of promoting critical thinking in the pursuit of knowledge, a deeper understanding of the human condition, and the development of character,” the new policy reads. “All students should be supported in their educational journey through programming and services designed to have a positive effect on their individual academic performance, retention, and graduation.”
Also excised was a policy that listed common characteristics of universities in Mississippi, including “a commitment to ethnic and gender diversity,” among others. Another policy on institutional scholarships was also edited to remove a clause that required such programs to “promote diversity.”
“IHL is committed to higher education access and success among all populations to assist the state of Mississippi in meeting its enrollment and degree completion goals, as well as building a highly-skilled workforce,” the institutional scholarship policy now reads.
The board also approved a change that requires the universities to review their institutional mission statements on an annual basis.
A policy on “planning principles” will continue to include the word “diverse,” and a policy that states the presidential search advisory committees will “be representative in terms of diversity” was left unchanged.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Closed St. Dominic’s mental health beds to reopen in December under new management
The shuttered St. Dominic’s mental health unit will reopen under the management of a for-profit, Texas-based company next month.
Oceans Behavioral Hospital Jackson, a 77-bed facility, will provide inpatient behavioral health services to adults and seniors and add intensive outpatient treatment services next year.
“Jackson continuously ranks as one of the cities for our company that shows one of the greatest needs in terms of behavioral health,” Oceans Healthcare CEO Stuart Archer told Mississippi Today at a ribbon cutting ceremony at its location on St. Dominic’s campus Thursday. “…There’s been an outcry for high quality care.”
St. Dominic’s 83-bed mental health unit closed suddenly in June 2023, citing “substantial financial challenges.”
Merit Health Central, which operates a 71-bed psychiatric health hospital unit in Jackson, sued Oceans in March, arguing that the new hospital violated the law by using a workaround to avoid a State Health Department requirement that the hospital spend at least 17% of its gross patient revenue on indigent and charity care.
Without a required threshold for this care, Merit Health Central will shoulder the burden of treating more non-paying patients, the hospital in South Jackson argued.
The suit, which also names St. Dominic’s Hospital and the Mississippi Department of Health as defendants, awaits a ruling from Hinds County Chancery Court Judge Tametrice Hodges-Linzey next year.
The complaint does not bar Oceans from moving forward with its plans to reopen, said Archer.
Oceans operates two other mental health facilities in Mississippi and over 30 other locations in Louisiana, Oklahoma and Texas.
“Oceans is very important to the Coast, to Tupelo, and it’s important right here in this building. It’s part of the state of Mississippi’s response to making sure people receive adequate mental health care in Mississippi,” said Lt. Governor Delbert Hosemann at the Nov. 21 ribbon cutting.
Some community leaders have been critical of the facility.
“Oceans plans to duplicate existing services available to insured patients while ignoring the underserved and indigent population in need,” wrote Hinds County Sheriff Tyree Jones in an Oct. 1 letter provided to Mississippi Today by Merit Health.
Massachusetts-based Webster Equity Partners, a private-equity firm with a number of investments in health care, bought Oceans in 2022. St. Dominic’s is owned by Louisiana-based Catholic nonprofit Franciscan Missionaries of Our Lady Health System.
Oceans first filed a “certificate of need” application to reopen the St. Dominic’s mental health unit in October 2023.
Mississippi’s certificate of need law requires medical facilities to receive approval from the state before opening a new health care center to demonstrate there is a need for its services.
The Department of Health approved the application under the condition that the hospital spend at least 17% of its patient revenue on free or low-cost medical care for low-income individuals – far more than the two percent it proposed.
Oceans projected in its application that the hospital’s profit would equal $2.6 million in its third year, and it would spend $341,103 on charity care.
Merit Health contested the conditional approval, arguing that because its mental health unit provides 22% charity care, Oceans providing less would have a “significant adverse effect” on Merit by diverting more patients without insurance or unable to pay for care to its beds.
Oceans and St. Dominic’s also opposed the state’s charity care condition, arguing that 17% was an unreasonable figure.
But before a public hearing could be held on the matter, Oceans and St. Dominic’s filed for a “change of ownership,” bypassing the certificate of need process entirely. The state approved the application 11 days later.
Merit Health Central then sued Oceans, St. Dominic and the State Department of Health, seeking to nullify the change of ownership.
“The (change of ownership) filing and DOH approval … are nothing more than an ‘end run’ around CON law,” wrote Merit Health in the complaint.
Oceans, St. Dominic’s and the Mississippi Department of Health have filed motions to dismiss the case.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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