Saturday, July 13, 2024
Hawai'i Free Press

Current Articles | Archives

Sunday, May 26, 2019
Patient Dumping Alleged at Adult Care Home
By News Release @ 8:50 PM :: 3977 Views :: Health Care

LAWMAKER CONCERNED WITH PATIENT DUMPING, POSSIBLE MEDICAID VIOLATIONS AT A COMMUNITY MEDICAID FOSTER HOME

Rep. Mizuno says move may put $2.6 billion in Federal Medicaid funding in jeopardy

News Release from Office of Rep Mizuno, May 24, 2019

Honolulu, Hawaiʻi – Representative John M. Mizuno, Chair of the House Health Committee, is concerned that a Community Care Family Foster Home (CCFFH), hence a Medicaid care home, may force a current private pay patient to leave its three-patient facility because that patient is transitioning from private pay status to Medicaid pay status.

“I was contacted by a person concerned that his father, who is a private pay client in a Medicaid community care home, would be kicked out of his current care home because he will become a Medicaid status patient," Rep. Mizuno said.

Mizuno said the fee that homes can charge Medicaid patients each month is less than they charge a private patient. But Hawaiʻi Revised Statutes Sec. 321-481 provides in part, “The department, in its discretion, may certify a [community Medicaid] home for a third adult who is at the nursing facility level of care and is a Medicaid recipient.”

"What this means is that Medicaid care homes are allowed no more than two patients, however, if in the discretion of the health department such a Medicaid care home is allowed a third patient, such a patient MUST be a Medicaid patient," Mizuno said.

The intent of the law is for these Medicaid homes to ensure beds for the Medicaid patient population, he said.

"If a Medicaid care home 'dumps' a private pay patient because he/she will become a Medicaid patient, this action circumvents the entire foundation of legally certifying Medicaid care homes in our state. This may be a violation of the law,” Mizuno said.

Mizuno is also concerned that this type of dumping may put more than $2.6 billion in annual Federal Medicaid funding in jeopardy.

“I plan on submitting a letter to our State Attorney General’s office, the Department of Health, and the Department of Human Services to secure clarification and review of this incident," he said. "If a Medicaid care home dumps a patient simply because said patient is changing his or her status from private, it may be in conflict with federal requirements that are a prescribed condition for the allocation of federal Medicaid funds to the State."

Links

TEXT "follow HawaiiFreePress" to 40404

Register to Vote

2aHawaii

Aloha Pregnancy Care Center

AntiPlanner

Antonio Gramsci Reading List

A Place for Women in Waipio

Ballotpedia Hawaii

Broken Trust

Build More Hawaiian Homes Working Group

Christian Homeschoolers of Hawaii

Cliff Slater's Second Opinion

DVids Hawaii

FIRE

Fix Oahu!

Frontline: The Fixers

Genetic Literacy Project

Grassroot Institute

Habele.org

Hawaii Aquarium Fish Report

Hawaii Aviation Preservation Society

Hawaii Catholic TV

Hawaii Christian Coalition

Hawaii Cigar Association

Hawaii ConCon Info

Hawaii Debt Clock

Hawaii Defense Foundation

Hawaii Family Forum

Hawaii Farmers and Ranchers United

Hawaii Farmer's Daughter

Hawaii Federation of Republican Women

Hawaii History Blog

Hawaii Jihadi Trial

Hawaii Legal News

Hawaii Legal Short-Term Rental Alliance

Hawaii Matters

Hawaii Military History

Hawaii's Partnership for Appropriate & Compassionate Care

Hawaii Public Charter School Network

Hawaii Rifle Association

Hawaii Shippers Council

Hawaii Together

HiFiCo

Hiram Fong Papers

Homeschool Legal Defense Hawaii

Honolulu Navy League

Honolulu Traffic

House Minority Blog

Imua TMT

Inouye-Kwock, NYT 1992

Inside the Nature Conservancy

Inverse Condemnation

July 4 in Hawaii

Land and Power in Hawaii

Lessons in Firearm Education

Lingle Years

Managed Care Matters -- Hawaii

MentalIllnessPolicy.org

Missile Defense Advocacy

MIS Veterans Hawaii

NAMI Hawaii

Natatorium.org

National Parents Org Hawaii

NFIB Hawaii News

NRA-ILA Hawaii

Obookiah

OHA Lies

Opt Out Today

Patients Rights Council Hawaii

Practical Policy Institute of Hawaii

Pritchett Cartoons

Pro-GMO Hawaii

RailRipoff.com

Rental by Owner Awareness Assn

Research Institute for Hawaii USA

Rick Hamada Show

RJ Rummel

School Choice in Hawaii

SenatorFong.com

Talking Tax

Tax Foundation of Hawaii

The Real Hanabusa

Time Out Honolulu

Trustee Akina KWO Columns

Waagey.org

West Maui Taxpayers Association

What Natalie Thinks

Whole Life Hawaii