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Children in Maryland getting wrongly dropped from Medicaid because of automation `glitch’

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Children in Maryland getting wrongly dropped from Medicaid because of automation `glitch’


JEFFERSON CITY, Mo. (AP) — Children in many states are being wrongly cut off from Medicaid because of a “glitch” in the automated systems being used in a massive eligibility review for the government-run health care program, a top Medicaid official said Wednesday.

The federal Centers for Medicare and Medicaid Services is asking all states to review their computer-automated processes to make sure that children are evaluated separately from their parents — and aren’t losing coverage merely because of their parents’ ineligibility or inaction.

Though federal officials remained vague about the scope of the problem, it likely involves at least half the states and potentially affects millions of children, said Joan Alker, executive director of Georgetown University Center for Children and Families.

“I think it’s a very significant problem,” said Alker, whose center is tracking the Medicaid renewal process in each state.

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In most states, children can qualify for Medicaid at household incomes that are several times higher than allowed for adults.

Yet in many states, “eligible kids are not being successfully renewed, and that is a violation of federal requirements,” said Daniel Tsai, director of the CMS Center for Medicaid and Children’s Health Insurance Program Services.

All states are in the midst of an enormous eligibility review for Medicaid. A pandemic-era prohibition on removing people from Medicaid ended in the spring, triggering the resumption of annual eligibility determinations. While the freeze was in effect, Medicaid enrollment swelled by nearly one-third, from 71 million people in February 2020 to 94 million in April 2023.

States are encouraged to automatically renew people for Medicaid by using computer programs to review income and household information submitted for other social services, such as food aid or unemployment benefits. When that doesn’t work, states are to send notices to homes asking people to verify their eligibility information. When people fail to respond, they are dropped from Medicaid — a move described as a “procedural termination” by Medicaid officials.

Tsai said a “systems glitch” in some states is flagging entire households for further information — and dropping all family members when there’s no response — instead of reviewing each individual separately and automatically renewing children who remain eligible.

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A top Medicaid official in Maryland confirmed it’s one of the states with that problem.

“Maryland has responded immediately and is working closely with CMS to resolve this issue in a way that helps keep eligible individuals, particularly children, covered on Medicaid,” said Ryan Moran, the state’s Medicaid director and deputy secretary of health care financing.

He said Maryland is pausing all procedural terminations in August, retroactively reinstating coverage for children who weren’t renewed in the automated process and working to fix its system as quickly as possible.

Moran said the state has identified 3,153 children who were potentially affected — a little less than 5% of the state’s total procedural terminations to date. Some of those children still could eventually be determined to be ineligible.

CMS sent letters Wednesday to states giving them until Sept. 13 to report whether their automated renewal systems have similar problems. Those that do are instructed to pause procedural terminations for affected individuals, reinstate coverage for those already dropped and devise a way to prevent further wrongful cutoffs until their automated systems can be fixed.

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Some states already have taken steps to prevent such situations. Missouri’s computer system cannot automatically renew coverage when a child is eligible but a parent’s eligibility is in question. So staff are handling those cases manually, often causing the process to extend into another month, said Caitlin Whaley, a spokesperson for the Missouri Department of Social Services.

(© Copyright 2022 The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten or redistributed.)



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Maryland

Maryland, D.C. and Virginia get more money for house calls for moms and infants – WTOP News

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Maryland, D.C. and Virginia get more money for house calls for moms and infants – WTOP News


The U.S. Health Resources and Services Administration will provide an additional $23.1 million in federal aid to the agency’s national Home Visiting Program in the District, Maryland and Virginia.

More money is on the way for a home-visiting health care program designed to provide better care for pregnant women, new parents and infants.

The U.S. Health Resources and Services Administration (HRSA) announced an additional $23.1 million in federal aid to the agency’s national Home Visiting Program in the District, Maryland and Virginia.

The extra money is the first time in a decade that the program has received an increase in federal funds, HRSA administrator Carol Johnson said.

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“What those resources mean is that we’re able to support nurses, social workers and trained home visitors, and help with those early days of being a new parent,” Johnson said. “All of this has been shown to really make a difference in kids’ outcomes. Kids are so much stronger because they get these kinds of supports.”

Johnson said the program’s success hinges on convenient health visits in a comfortable at-home setting.

“When you’re a new parent, if you have to take off from work and take a few buses to get to an appointment, you’re probably not going to do it,” she said. “But if that person comes to your house and they’re full of resources and knowledge, it’s going to make a huge difference to you.”

Rockville, Maryland-based HRSA spearheads the national program, teaming up with local health organizations to target and reach parents.

Home health care workers can provide breastfeeding support, safe sleep tips and developmental screening for babies. They can even help parents find key services like affordable child care or job and educational opportunities.

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“It’s changed my life,” past program participant Fatima Ray said.

Ray said she was introduced to the program in 2015 when she needed help with her infant daughter. She and her husband were first-time parents and stumbled through the first few months with a newborn.

“It felt good, like I had someone on my team,” Ray said. “Those questions you forget to ask the doctor sometimes, she would answer them.”

The experience impressed Ray so much that she became a home health visitor. She is the maternal health coordinator at Primo Center, a homeless shelter for families in Chicago.

“The same care that was given to me, I just want to pass it on,” Ray told WTOP. “I know how much it made a difference in my life. Home visiting matters.”

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President Joseph Biden signed bipartisan legislation in 2022 that doubles funding for the program over five years. The move was part of a campaign promise to lower risks linked to pregnancy and improve maternal health, especially among women in rural, tribal and low-income communities.

The national home visiting program will receive $440 million Maryland’s local programs will get $10 million of those funds. Virginia is slated to receive $11 million and D.C.’s home visiting programs will see a $2.5 million increase.

“This will push home visiting forward a lot more,” Ray said. “It’s just going to help tremendously.”

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© 2024 WTOP. All Rights Reserved. This website is not intended for users located within the European Economic Area.

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Watch Aidan Chiles, Nick Marsh talk MSU win over Maryland

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Watch Aidan Chiles, Nick Marsh talk MSU win over Maryland


Michigan State won a big time road game over Maryland, improving their record to 2-0, and giving head coach Jonathan Smith his first Big Ten conference victory as the head man of the Spartans.

A big part of that win was the connection between Aidan Chiles and Nick Marsh, and more specifically their 77-yard touchdown connection tying the game 24-24 late in the fourth quarter.

Chiles and Marsh spoke to the media after the team’s win, which you can watch via Spartan Mag on YouTube:

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Contact/Follow us @The SpartansWire on X and like our page on Facebook to follow ongoing coverage of Michigan State news, notes and opinion. You can also follow Cory Linsner on X @Cory_Linsner





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16-year-old arrested after 15-year-old fatally shot in Maryland high school bathroom

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16-year-old arrested after 15-year-old fatally shot in Maryland high school bathroom


A 16-year-old student at a high school in Maryland has been detained after he allegedly shot and killed a 15-year-old student in one of the school’s bathrooms.

The name of the suspect has yet to be released. The victim, Warren Curtis Grant, died following the shooting at Joppatowne High School. Harford County Sheriff Jeff Gahler made the announcement at a press briefing.

The suspect fled the scene but was detained close by just minutes later.

“He has yet to be charged but will be charged, and at the time those charges are preferred as an adult, we will release the name of the suspect,” Gahler told the press, according to The Guardian.

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The sheriff added that his office has handled more than 10 cases in the last two years “where the suspect was either the victim, witness or the suspect in an incident handled by the Harford county sheriff’s office.”

A member of the Harford County Sheriff's department tries to clear the way for an emergency vehicle as it heads toward Joppatowne High School after a shooting at the school, Friday, Sept. 6, 2024, in Joppatowne, Md
A member of the Harford County Sheriff’s department tries to clear the way for an emergency vehicle as it heads toward Joppatowne High School after a shooting at the school, Friday, Sept. 6, 2024, in Joppatowne, Md (AP)

While the sheriff’s office told the public to avoid the area after the shooting, it said that it was an “isolated incident, not an active shooter.”

An “active shooter” situation refers to when a suspect is firing against everyone they see rather than targeting a particular person.

An area church was used as a reunification center for students and their parents. The school is located about 20 miles northeast of Baltimore.

Gahler noted that more than 100 law enforcement officials responded to the scene.

The fight at Joppatowne High School took place just two days after the shooting at a high school outside Atlanta, Georgia where a 14-year-old shot and killed four people.

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