McAuliffe announces Medicaid reform program

File photo of Governor Terry McAuliffe. (WAVY)

RICHMOND, Va. (WAVY) – Virginia has become the third state to implement a coordinated care program for Medicare-Medicaid enrollees.

Thursday, Gov. Terry McAuliffe announced the Commonwealth Coordinated Care (CCC) program, which will “blend and coordinate Medicare and Medicaid benefits for approximately 78,000 eligible Virginians.”

Development began in 2011 after the General Assembly instructed the Virginia Department of Medical Assistance Services (DMAS) to help Virginians receiving both benefits.

“Nationwide, individuals who are dually eligible for Medicare and Medicaid typically have the highest and most complex medical needs but are often underserved by the misaligned rules and financial incentives of the two separate programs,” McAuliffe said. “CCC will blend all of the benefits currently provided under Medicare and Medicaid into one plan with a designated care manager who will ensure person-centered and efficient health care services are provided. This will not only make it easier to manage the system from the beneficiary’s perspective, this innovative program will bring greater efficiencies and cost savings to the state’s overall healthcare delivery system.”

Anthem Healthkeepers, Humana and Virginia Premier have all signed on with the Centers for Medicare and Medicaid Services (CMS) and DMAS to provide services. Those who are eligible will receive letters in the next few weeks. Information on how to enroll in the program and comparison charts will also be included.

Eligible Virginians include those who are full beneficiaries of Medicare and Medicaid benefits, 21 or older and live in designated regions, including Tidewater. Those receiving long-term supports and services through nursing facilities and the Elderly Disabled and Consumer Direction Waiver will also be eligible.

“Now we must continue to improve our healthcare system by bringing $2 billion of taxpayer funds per year back to the Commonwealth to cover hundreds of thousands of Virginians,” McAuliffe added. “Every day that we wait, we forego over $5 million in taxpayer funds that could be used towards ensuring that more of our friends and neighbors have access to the quality healthcare they deserve.”

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