Florida: CMS Proposes Extended but Reduced LIP Funding

CMS announced a preliminary decision to support Florida’s Low-Income Pool through a “phased-in approach,” with federal, state and local program funds providing $1 billion for the upcoming fiscal year (half of what Florida received this past year) and $600 million for the next and possibly subsequent fiscal years. CMS explained in a letter to the State that the first phase reduces the pool to its pre-2014 level while the second phase is intended to pay for the uncompensated care costs of those who would not be covered by Medicaid expansion. This is a preliminary decision which will be finalized after reviewing the State’s LIP funding amendment request; CMS noted in the letter that the amendment posted for public comment falls short of the three principles CMS has said it will consider in its renewal decision. CMS released this preliminary funding determination to inform the State’s special session, during which the Legislature will seek to finalize a State budget.

North Carolina: Secretary Announces New State Medicaid Director

The Secretary of the North Carolina Department of Health and Human Services announced that Dave Richard, deputy secretary of Behavioral Health and Developmental Disabilities Services, will replace current Medicaid director, Robin Cummings, who is stepping down to become the chancellor of the University of North Carolina-Pembroke. Since joining DHHS in his current position, Richard has been directly involved in oversight of the Local Management Entities and Managed Care Organizations system, which handles the State’s managed care delivery system.