State Requirements

State Requirements / en Sun, 27 Apr 2025 03:23:05 -0500 Thu, 01 Oct 20 14:58:56 -0500 CMS: State Medicaid programs must now cover medication-assisted treatment /news/headline/2020-10-01-cms-state-medicaid-programs-must-now-cover-medication-assisted-treatment State Medicaid programs must cover medication assisted treatment under a new mandatory benefit that takes&nbsp;effect today. The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018 added the benefit to increase access to evidenced-based treatment for opioid use disorder for Medicaid beneficiaries. Specifically, states must cover all forms of drugs and biologicals that the Food and Drug Administration has approved or licensed for MAT to treat OUD, the Centers for Medicare &amp; Medicaid Services said today in a <a href="https://content.govdelivery.com/accounts/USCMSMEDICAID/bulletins/2a3b044">reminder notice</a>.&nbsp; &nbsp; Thu, 01 Oct 2020 14:58:56 -0500 State Requirements SHA Efforts to Secure State CARES Funds <table> <tbody> <tr> <th>States</th> <th>SHA Efforts to Secure State CARES Funds</th> </tr> <tr> <td>Illinois</td> <td> Our legislature created what is known as the CURES fund where the federal CARES dollars were deposited then subsequently appropriated. The legislature also provided budget implementation language that established a program referred to as “pandemic stability payments for healthcare providers” that outlines how these funds should be spent and various limitations. I have included that language as well. All Medicaid providers are eligible for this funding, but 30% of the funding must be spent in zip codes experiencing the highest COVID positivity rates. <a href="/system/files/media/file/2020/08/CARES-FUNDING-ALLOCATION-in-new-state-budget.docx" target="_blank">Supporting Document</a> </td> </tr> <tr> <td>Indiana</td> <td>We are asking for a stabilization fund for vulnerable hospitals (and likely other providers like behavioral health. But I am not sure we will get it—our state is really holding back on the funds. I think I just saw where Montana is giving some money to BH providers. I wonder if there is a single source for how all states are giving out CARES Act dollars to hospitals/others? I know we have a number of responses here, but a more formal survey might be helpful for those of us still pushing. I’d be happy to set it up, but don’t want to bug everyone with the same question again or if NCSL or someone else is tracking this.</td> </tr> <tr> <td>Michigan</td> <td>In March, the Michigan Legislature appropriated $25 million to hospitals for relief from COVID losses and expenses. The money went to hospitals in early April. This was originally state general fund monies. Recently the state supplanted the GF with CARES funding.</td> </tr> <tr> <td>Mississippi</td> <td>The Mississippi legislature allocated $80,000,000 to our hospitals.The disbursement methodology is pretty simple $40,000,000 is allocated on license beds and $40,000,000 is allocated on the number of COVID patients admitted through June 21st. This is not the method we advocated for, but it was intended to be simple so it could be processed promptly. You guessed it hospitals are still waiting on the distribution, the legislature has been recessed for a month. As for other healthcare disbursements physicians, dentist, EMS, Nursing Homes, DME providers ….all were provided a predetermined amount with some variability regarding the size of the group. We advocated for a minimum of $320,000,000 to meet the expense and revenue losses of our hospital through May and decreasing losses through December.</td> </tr> <tr> <td>Montana</td> <td>Montana pushed to accelerate the release of its supplemental payments which were disbursed in March instead of June. The total payments were $392M. We were also successful in bumping nursing home and swing bed rates thru 12/31. This was done in collaboration with the Governor. MT’s legislature meets every two years and to date, there is limited interest in a special session unless our revenue forecast shows a significant decline in our reserves and rainy day fund, or a dramatic increase in wildfires. All testing costs have and PPP expenses have been paid for the state.</td> </tr> <tr> <td>New Hampshire</td> <td>Hospitals in NH have received approximately $35 million in state grants—out of the $1.25 billion NH received through the CARES Act. Our Governor established a $100 million relief fund…initially talked about it being for hospitals, but ultimately opened it up to all providers and earmarked $30 million of it for long-term care providers. Those grants (not loans) have been by application, not a general distribution to all hospitals (less than half of our hospitals have received these state grants…not all applied, but a majority of them did).</td> </tr> <tr> <td>New Mexico</td> <td>In NM, the legislature did not provide any target funding for hospitals from their CARES dollars or their FMAP enhancement. However, the Medicaid agency did roll out inpatient rate increases for hospitals during the term of the public health emergency and retroactive to April 1: 50% add-on for ICU admissions, 12.4% for all other admissions. (All admissions, not just COVID admissions.) Medicaid has estimated that will have a value of $66 million.</td> </tr> <tr> <td>North Carolina</td> <td>North Carolina hospitals received $102 million in relief funds from our general assembly. The money allocated to hospitals is from section 5001 CARES funds NC received. The breakdown of the $102 million is: <ul> <li>$65,000,000 Rural Hospitals Relief Fund. Allocated to eligible hospitals based on 2018 cost.</li> <li>$15,000,000 Teaching Hospitals Relief Fund. $3 million to each teaching hospital.</li> <li>$15,000,000 Non-rural, non-teaching Relief Fund. Allocated to eligible hospitals based on 2018 cost.</li> <li>$7,000,000 to the seven most impacted hospitals in NC. $1 million to each hospital. <ul> </ul> </li> </ul> </td> </tr> <tr> <td>Oregon</td> <td>The Oregon Legislature’s Emergency Board (interim body) allocated $50 million in CARES Act funding to be distributed as grants to Oregon’s 33 Type A/B (small/rural) hospitals. The legislative intent was to make as many rural hospitals eligible as possible for the funds, but the first round formula was too restrictive, limiting the application eligibility to only six eligible hospitals. We are now on the second attempt at a formula and more hospitals are now eligible. However, the grant comes with labor terms and conditions which make it unattractive for some of our members. We don’t yet know what the uptake will be. As you can tell, this has been a process with many twists and turns.</td> </tr> <tr> <td>Pennsylvania</td> <td> In Pennsylvania, the hospital community has requested relief in the amount of $500 m (based on Quality Care Assessment payments for Q3 and Q4) and additional funding for the Healthcare Coronavirus Emergency Response Fund ($2.5 billion), similar to the CARES Act provider relief fund, to support healthcare-related expenses or lost revenue attributable to COVID-19 to all health care providers in the state. To demonstrate financial need, HAP has shared a report by Health Management Associates (HMA), individual hospital case studies, detailed information showing the distribution of federal payments, projected losses and reserve information. General Assembly and the Governor’s budget office Response: Pennsylvania was awarded $3.9 billion in discretionary federal stimulus dollars intended to aid in the relief effort. At this time, the state has spent $2.6 billion on assisting long-term care facilities, agricultural programs, educational institutions, county entities, and arts organizations. While the overall hospital community has not yet received funding, allocations were made for: <ul> <li>Critical access hospitals ($10 million)</li> <li>Establishing the Regional Response Health collaboration to assist LTCs in readying and responding to COVID-19 ($175 million)</li> <li>Health care system assistance - Funds can be used to acquire medical equipment and supplies for health care entities to meet urgent patient and staff needs to address surge demand — entities include: hospitals, nursing facilities and emergency medical services ($50 million)</li> <li>Long-term living programs ($692 million)</li> </ul> We remain hopeful that an allocation to hospitals will be forthcoming sometime later this month or in September. The outcome of efforts in Congress will likely be determinative, especially since PA lawmakers have been pushing hard for the ability to use the CARES allocation to offset state revenue losses. </td> </tr> <tr> <td>Rhode Island</td> <td>Rhode Island has created a program, Hospital Assistance Partnership Program, (HAPP) . Phase one reflected assistance to hospitals based upon lost revenue and additional COVID – 19 expenses, less total direct CARES ACT grant funding received. The total distribution was approximately 90 million dollars.</td> </tr> <tr> <td>Wyoming</td> <td> Wyoming allocated $200 million for hospitals, nursing homes, municipalities and counties. Hospitals and nursing homes go through an application process that is considered by a board comprised of elected officials and that is consulted by the state AG. The money can be approved for payroll expenses, hardship and hazard pay, PPE and other supplies and cap. construction project all related and tied to the COVID response. Another $200 million was put into a fund to help all businesses around the state get help with business interruption losses and again goes through an application process. </td> </tr> </tbody> </table> The attached Excel spreadsheet summarizes state hospital association efforts to secure state CARES funds for hospitals. table, th, td { border: 1px solid black; } Mon, 03 Aug 2020 11:02:54 -0500 State Requirements