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Medicaid underfunded to start year, director tells lawmakers

Mississippi’s Medicaid director says there are straightforward reasons the program is requesting an additional $75 million to get through the final six months of the state budget year. David Dzielak says legislators didn’t put enough money into Medicaid in the first place. Plus, it was one of the agencies that lost money because of state budget cuts in September. Medicaid ...

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Costs grow faster for states lacking Medicaid expansion

By BOBBY HARRISON Barely a word was spoken of possible Medicaid expansion recently during meetings of legislative working groups formed by House Speaker Philip Gunn and Lt. Gov. Tate Reeves to look at state’s revenue collections and expenditure. Instead, the focus of the working group dealing with Medicaid was the growth in the existing state program that Executive Director David Dzielak ...

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Memorial Hospital and Singing River Health System file second lawsuit over Medicaid underpayments

Memorial Hospital at Gulfport and Singing River Health System (SRHS) have filed a second lawsuit in Hinds County Chancery Court following a denial of their appeal to the Division of Medicaid (DOM) regarding underpayments that occurred in State Fiscal Year (SFY) 2014. The lawsuit claims that DOM has a payment methodology   that is contrary to state law. The lawsuit seeks ...

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2 hospitals to sue state over Medicaid reimbursements

PASGACOULA — Two health care systems plan to sue the Mississippi Division of Medicaid over what they describe as a flaw in the state’s funding formula for Medicaid. In a news release Wednesday, Memorial Hospital at Gulfport and Singing River Health System assert the payment formula used to reimburse community hospitals for care provided to the uninsured and Medicaid beneficiaries ...

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Houston woman sentenced for Medicaid fraud

A 42-year-old Chickasaw County nurse is headed to prison for one year after pleading guilty to Medicaid fraud. Mississippi Attorney General Jim Hood said in a news release Tuesday Cheryl Renee Hamblet, of Houston, appeared before Choctaw County Circuit Court Judge Joseph Loper Jr. on Monday and pleaded guilty to one count of Medicaid fraud and one count of obtaining ...

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Medicaid fraud indictments name JRA member Andria Jones and business partner

Jackson Redevelopment Authority Commissioner Andria Jones and business partner Jennifer Green were jailed Tuesday after a Hinds County grand jury indicted the pair on charges of Medicaid fraud and conspiracy to commit Medicaid fraud. Attorney General Jim Hood said Green, 36, of Pearl, and Andria Jones, 38, of Jackson, are charged with  three counts of Medicaid fraud and one count ...

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FOCUS ON HEALTHCARE — Medicaid now exchanging patient medical data in real time with with UMMC

By NASH NUNNERY Mississippi is no stranger to producing “firsts” in the health care field. After all, doctors performed both the world’s first human lung and heart transplants at the University of Mississippi Medical Center in 1963 and 1964, respectively. In 2013, UMMC researchers collaborated with other HIV experts in the first case of a so-called “functional cure” in an HIV-infected ...

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‘Obamacare’ foe tries to save expanded Medicaid in Arkansas

LITTLE ROCK — Long before the state turned solidly red, Asa Hutchinson was the face of the Republican Party in Arkansas. Born in the arch-conservative hometown of Wal-Mart, the mild-mannered attorney made a bold effort to unseat a Democratic political giant, Sen. Dale Bumpers, and later as a congressman even prosecuted the impeachment case against native son President Bill Clinton. ...

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Bill would computerize Medicaid records, audit recipients

A Mississippi Senate committee has passed a narrower version of a bill that would require an electronic records system for Medicaid and regular audit of Medicaid recipients. House Bill 1116 would contract an outside company to build a computerized record of Medicaid recipients’ information. The Senate version would have Medicaid officials then verify recipients’ financial information and residency to determine ...

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Bill would computerize Medicaid records, audit recipients

The Mississippi Senate passed a narrower version of a bill Monday that would require an electronic records system for Medicaid and a regular audit of Medicaid recipients. House Bill 1116 would hire an outside company to build a computerized record of Medicaid recipients’ information. The Senate version, approved Monday by a committee, requires that Medicaid officials periodically verify recipients’ financial ...

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