Family members of developmentally disabled New Mexicans suing the state say a Medicaid assessment system puts recipients of services at risk.
The Albuquerque Journal reports attorneys for eight families asked a judge Wednesday to halt a new method for evaluating recipients to determine their level of services, which can include 24-hour residential care as well as occupational and speech therapy.
Midnight Monday is the deadline to sign up for healthcare under the Affordable Care Act. Over the weekend in New Mexico people lined up to get covered, either through the insurance marketplace or Medicaid.
From those in their 60s to young people under 26 covered under their parents’ plan, hundreds stood in the bright spring sunshine sign up under Medicaid, or with one of four insurance plans.
Community health workers can be paid through Medicaid after a measure signed by Gov. Susana Martinez on Sunday, March 9, goes into effect. As things stand, workers’ salaries are primarily funded by grants.
The legislation also creates a state certification program and funding for trainings.
Thousands of people with developmental disabilities in New Mexico have been waiting to receive the full spectrum of services available through a government program, some for more than 10 years. The Tatz family is inching towards that benchmark, as they and their kids grow older.
“I had back surgery," Lesly Tatz announced. Lesly's mom, Jill Tatz, explained, "She has had medical issues, and had open heart surgery at 18 months.” Her daughter has had numerous surgeries.
The director of the state's Behavioral Health Services Division is resigning. Diana McWilliams submitted her resignation letter on Monday, Dec. 16, and her last day is tomorrow. She'll be heading back east to Philadelphia to become the chief operating officer for a nonprofit behavioral health and child welfare organization, she said.
Medical residents at UNM created a free app to help New Mexicans get hooked into health care.
The app, called Get Covered New Mexico, can aid folks in calculating what they're eligible for. It links directly to websites people can use to apply for Medicaid and the health care exchange. It also points the way to the nearest physical location to apply for services in-person.
Around 25-thousand Native Americans in New Mexico will become eligible for Medicaid when the Affordable Care Act goes into effect next year. The change translates to more money for the Indian Health Service. But as KUNM’s Poverty and Public Health Reporter Tristan Ahtone explains: in Albuquerque, Medicaid expansion will also force Native health providers to deal with something they’ve never faced before: competition from non-tribal health programs.
A bill that would allow Medicaid eligible tribal citizens in New Mexico to opt-out of the states Medicaid plan, Centennial Care, has taken it’s first steps in the legislature. HB 376, which gives Native Americans the ability to opt-out of Centennial Care has passed out of committee.
Under the states proposed Medicaid program entitled Centennial Care, all Medicaid enrollees in the state would be required to enroll in one of four managed care organizations (MCO) to receive healthcare.
For New Mexico’s tribal population, this proposal is causing problems.
The New Mexico Human Services Department has announced the selection of four, new Centennial Care Managed Care Organizations responsible for providing healthcare to nearly 600,000 New Mexicans.
Medicaid is the public health insurance program for low-income people which currently serves about 560,000 New Mexicans, and will expand to include about 170,000 more come 2014. Centennial Care is the new name for New Mexico’s Medicaid program.