The report analyzes Medicaid funding in governors’ proposed state budgets for fiscal year 2013, which begins July 1, 2012 for most states.
Here are several key findings:
• At least 11 states proposed policies to restrict Medicaid payment rates, while at least 13 proposed to increase some provider rates.
• At least six states proposed Medicaid eligibility and enrollment restrictions. These restrictions may be prohibited under the Patient Protection and Affordable Care Act, however. Six states proposed eligibility expansions.
• At least 12 states proposed eliminating or restricting Medicaid benefits, including dental, home health, personal care, therapy and vision services. At least five states proposed increasing benefits, primarily for behavioral health.
• Twenty-five states proposed a new managed care initiative, such as the “health homes” program under the PPACA.
• Twenty-two states proposed increasing funds for health IT projects, including those that will upgrade Medicaid eligibility systems.
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