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County may keep some Medicaid work

September 12, 2012
By MICHAEL ANICH , The Leader Herald

JOHNSTOWN - The Fulton County Board of Supervisors voted Monday to submit a statement of interest to the state Department of Health to have the county perform Medicaid administrative functions for people incarcerated in state or local correctional facilities.

The action, which meets a Sept. 21 state deadline, was a followup to action by the board in August in which the county expressed interest in performing administrative duties.

The only two supervisors opposed Monday to the latest statement of interest submission to the state were Northampton Supervisor Linda Kemper and Bleecker Supervisor David Howard.

"It's just poorly defined," Kemper said. "It's very vague. The devil's in the details."

The state Department of Health will assume responsibility for administration of the Medicaid programs from local social services districts by March 31, 2018. The DOH this year has been soliciting statements of interest from counties to determine interest in contracting with DOH to perform certain Medicaid administrative work.

Supervisors last month - on the recommendation of Department of Social Services Commissioner Sheryda Cooper - authorized submission of a statement of interest to the DOH to have the county provide administrative services for the county's Medicaid adjusted gross income population as well as certain specialty populations.

The DOH is now soliciting interest from counties in contracting with the state to process Medicaid eligibility determinations for people incarcerated in New York state or local correctional facilities. If agreed upon by both the state and the interested county, the state will reimburse participating counties above the Medicaid administrative cap for the work.

County officials noted the statements of interest are used by the state for planning purposes only and are not binding on the county.



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