The Oklahoma Health Care Authority on Friday will submit to the
federal government a state plan amendment seeking to expand Medicaid in
Oklahoma as soon as this summer.
"The Health Care
Authority has the authority to send in the paperwork to expand, and we’re going
to get that out on Friday," Gov. Kevin Stitt told The Oklahoman on
Thursday.
The state plan amendment
will get the ball rolling for Oklahoma to seek federal approval to expand
Medicaid.
When a state wants to change
its Medicaid program, the state must submit to the Centers for Medicare and
Medicaid Services a state plan amendment for review and approval. The amendment
is separate from the Healthy Adult Opportunity
waiver Stitt has expressed an interest in seeking.
As Stitt seeks to move
forward with expanding Medicaid on July 1 through his SoonerCare 2.0
plan, he's still in talks with the Legislature on how to fund the
expansion.
If Oklahoma expands
Medicaid, the state will have to cover 10% of the costs, which consultants for
the governor have estimated will be around $150 million annually. The federal
government would cover the other 90%, which will be around $1 billion annually.
Stitt said he thinks he's
close to a funding deal with the House, Senate and hospital industry, which may
have to pay higher fees to
help cover the state's share of the expansion. The state doesn't have to submit
a funding proposal as part of the state plan amendment, Stitt said.
One of the sticking points
appears to be the Supplemental Hospital Offset Payment Program, a hospital fee
that may be increased to fund the expansion. Saying Oklahoma hospitals wouldn't
have time to budget for a fee increase that would take effect this year, the
Oklahoma Hospital Association pushed back
against the increase.
Stitt wants to raise the fee
to 4%, the highest point allowable under current state law. But Senate
lawmakers have indicated they don't want to raise the fee higher than 3.25%
because the fee, which is based on Medicaid expenses, fluctuates annually.
"We’re going to be
talking about how you fund it, whether it’s SoonerCare 2.0 or if the state
question passes," Stitt said. "We’ve got to have this discussion.
Let’s just talk about it, let’s put this to bed and move on."
Stitt proposed his
SoonerCare 2.0 expansion plan as an alternative to State Question
802, which seeks to expand Medicaid in Oklahoma by inserting it into
the state constitution. Unlike the state question, Stitt seeks to impose modest
premiums and work requirements on those who would receive Medicaid benefits
under an expansion.
Supporters of SQ 802 are pushing Stitt to
set an election date for the question. Together Oklahoma, the
advocacy group for the Oklahoma Policy Institute, delivered to the governor's
office Thursday a petition signed by hundreds of Oklahomans asking Stitt to set
a date.
"Full Medicaid
expansion through the state constitution is the cleanest, most transparent way
to expand health care coverage in Oklahoma," she said in a statement.
"It’s time for the governor to do his job by announcing an election date
so Oklahomans can decide best how to proceed."
About OrionNet Systems
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applications created both for the client-server and web environments, as well
as developing, marketing and supporting a commercial application for the
counseling centers industry.
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