Implementation of health care law proceeds

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Mitt Romney (file photo)
Governor Mitt Romney announced on Monday that his administration has hit the first milestone in the implementation of the new health insurance law by submitting to the federal government for approval a comprehensive plan detailing how it will substantially reduce the number of uninsured in the Commonwealth. Romney also announced the formation of the MassHealth Fraud Prevention unit to insure the integrity of the $7 billion per year program, funded by $1.5 million in the health care reform bill. Until now, MassHealth had several programs in different parts of the agency addressing the issue of fraud. Approval by the federal Centers for Medicare and Medicaid Services (CMS) is required to maintain the availability of $385 million of federal Medicaid funding during each of the next two fiscal years. Last year, CMS advised Massachusetts to submit its plan by January 15, noting that a minimum of 120 days would be needed to review the proposal without jeopardizing the continuous availability of the $385 million after July 1. The state missed that deadline as health care reform was not passed by the Legislature until April. “Despite the legislative delays, it is our hope that our partners in the federal government will expedite their review and approve the Commonwealth’s plan by July 1,” said Romney. “We will be aggressive in our efforts to secure the maximum level of federal funding and stand ready to provide any and all additional information that may be required.” Romney said a rapid response team comprised of Health and Human Services and MassHealth staff has been assembled to assist the CMS review process. Health and Human Services Secretary Tim Murphy said: “Implementation will be just as challenging as getting the legislation passed, but it is a challenge we relish. We look forward to working closely with the federal government and other stakeholders to make health care insurance available to every resident of Massachusetts.” According to the plan filed today, the recently approved health insurance law accomplishes the following key goals sought by the federal government: Subsidizes the purchase of private insurance for low-income individuals to reduce the number of uninsured; Directs more federal and state dollars to individuals and less to institutions; and Improves the fiscal integrity of the MassHealth program. Key milestones in the timeline submitted as part of the plan include the operationalization of the Connector Authority between May and October, the offering and enrollment of lower-income residents into premium assistance programs by October, the offering of private, non-subsidized products by January, and statewide open enrollment between March and May 2007 in anticipation of the individual insurance requirement that starts July 1, 2007. Meanwhile, the Legislature and the Executive branch are redoubling efforts to ensure program integrity in MassHealth. MassHealth is also planning a comprehensive effort to re-credential its providers. The effort, suggested by national program integrity experts consulted by MassHealth, will begin with an immediate targeted review of high-risk providers. “We’ve created this unit to build and document a coordinated process of detecting, identifying and referring suspected fraud and abuse within both the provider and member communities,” said Massachusetts Medicaid Director Beth Waldman. “Centralization will allow MassHealth to direct resources strategically and provide an efficient way to inform providers and members that we take fraud very seriously.” “We believe re-enrolling our providers will pay dividends and reduce risk to the program,” said Murphy. “And we are confident that the creation of the Fraud Prevention Unit will enhance our efforts to build an efficient and sound system for fraud and abuse identification and referral in MassHealth.” Massachusetts’ full submission to CMS is available at www.mass.gov/eohhs .
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2nd Street Second Chances Receives Mass Sheriffs Association Award

By Brittany PolitoiBerkshires Staff

The event took place Tuesday in the Great Hall at the State House.

PITTSFIELD, Mass. — Second Street Second Chances has garnered statewide recognition for its efforts to prevent recidivism.

The Massachusetts Sheriffs Association honored it with the Program of the Year Award during its second annual law enforcement and corrections award ceremony on Tuesday.

"I'm so proud of Second Street Second Chances for winning the Program of the Year award, which they truly deserve," Berkshire County Sheriff Thomas Bowler said.

"Under the guidance of Executive Director Lindsay Cornwell, 2nd Street has become a trusted and respected resource for formerly incarcerated persons in Berkshire County. 2nd Street's dedication and genuine care have paved the way for their clients to reenter their communities with dignity and purpose."

Personnel from across the commonwealth gathered at the State House in Boston to applaud their colleagues. There were 10 categories of awards for individuals, departments, and programs.

Hampden County Sheriff Nick Cocchi, president of the MSA, led the ceremony which was live-streamed on social media.

"Our correctional and law enforcement professionals are the unsung heroes of our justice system. Day in and day out, they commit themselves to challenging a vital mission and that mission is to make a difference, both in our communities and in the lives of the justice-involved individuals entrusted in our care," Cocchi said.

"These individuals who have faced their share of difficulties deserve our respect, compassion, and the opportunity for a successful re-entrance. It is the dedication and tireless efforts of our sheriff's offices, their professionalism, that make this a reality. These devoted professionals play a pivotal role in ensuring that the individuals in our care have the chance to rebuild their lives to return home better, brothers, sisters, husbands, wives, sons, and daughters."

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