KHN Morning Briefing

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Effort To ‘Carve Out’ Pediatric Dental Services From Florida Medicaid Program Takes Step Forward

The Florida Legislature’s bill calls for a study of dental services in the state’s managed care system. If lawmakers take no action by July of 2017, the program would “carve out” dental by 2019 and revert it to the independent, prepaid system that existed before managed care. Meanwhile, in Kansas, a House subcommittee recommends delaying a plan to combine Medicaid waiver services.

Health News Florida: Fight Over Medicaid Dental Changes Head To Governor Rick Scott
A decade ago, a group of providers sued the state, charging Florida’s Medicaid program shortchanged medical and dental care for kids. Proponents said Medicaid Managed Care was supposed to make it better, but five years into the new system, the legislature is poised to remove dental coverage for kids and roll it into a separate program. The Florida Department of Health, along with the United Way, goes around to elementary and middle schools, performing routine cleanings and dental sealants for second and sixth graders. That’s when adult molars start coming in. At Tallahassee's Sable Palm Elementary School, the brightly colored furniture of the teachers' break room has been transformed into a dental clinic, where six kids are laying backs down, feet up, as dentists hover over them with a range of hoses, humming machines, and bright lights. (Hatter, 3/13)

The Kansas Health Institute News Service: Legislators Want To Postpone Waiver Integration
Legislative support is growing for a further delay of a plan to combine Medicaid waiver services — part of a recent pattern of the Republican lawmakers pushing back against Republican Gov. Sam Brownback’s administration. A subcommittee of four members of the House Health and Human Services Committee recommended last week that the administration postpone the waiver integration one year to Jan. 1, 2018. (3/14)

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