Alabama pulls plug on Med­i­caid man­aged care

Modern Healthcare - - REGIONAL NEWS - —Vir­gil Dick­son

Alabama is back­ing off plans to tran­si­tion its Med­i­caid pro­gram from a feefor-ser­vice struc­ture to man­aged care.

The on­go­ing na­tional de­bate over Med­i­caid fund­ing sparked the change. Alabama’s pro­gram was set to launch in 23 coun­ties on Oct. 1, and would have cap­tured more than 650,000 of the state’s 1 mil­lion Med­i­caid re­cip­i­ents. Eleven lo­cal providers had been ap­proved by the state so far to par­tic­i­pate.

In­stead, the state plans to seek yet-tobe-de­ter­mined changes to its Med­i­caid pro­gram, ac­cord­ing to a no­tice posted on Alabama’s Med­i­caid web­site.

Hos­pi­tals were dis­heart­ened by the news given that the state had been promis­ing since 2013 to make the change to man­aged care.

“Our hos­pi­tals have been work­ing to pre­pare for the im­ple­men­ta­tion,” said Danne Howard, ex­ec­u­tive vice pres­i­dent at the Alabama Hos­pi­tal As­so­ci­a­tion. “Many have in­vested a sig­nif­i­cant amount of time and re­sources into the ef­fort.”

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