Healthcare

Healthcare
5:00 am
Thu August 28, 2014

Feds Investigate Idaho Medicaid Mental-Health Contractor For Privacy Violations

Becky diVittorio is the executive director of Optum Idaho, the company Idaho pays $10.5 million each month to manage the mental-health portion of Medicaid.
Credit Idaho Statesman

A federal agency is investigating whether the company Idaho hired to manage part of its Medicaid program has violated patient-privacy laws.

Optum Idaho, a unit of United Behavioral Health, took over insurance management for Idaho Medicaid's mental-health and substance-abuse patients last fall.

Local health-care providers who treat those patients say Optum has erroneously sent them reports meant for other providers. The reports show patient names and mental-health or substance-abuse services the patients received or were authorized by Optum to receive.

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Healthcare
4:30 am
Mon August 25, 2014

Medicaid Payment Woes Plague Idaho Mental Health Service Providers

Taylor Moore, a 30-year-old Boise resident with a mental-health diagnosis, reads questions on a vocational-rehab services application at the library in Downtown Boise, with assistance from Maegan Wagner, his community-based rehabilitation services worker through Idaho Behavioral Health. The agency has experienced a pattern of problems over several months getting paid for a variety of services, sometimes getting pennies back on a $100 claim. Optum Idaho said it has corrected the problem.
Credit Darin Oswald / Idaho Statesman

The state’s effort to rein in Medicaid costs has created deep friction between small businesses that deliver behavioral-health services to Medicaid patients and a new contractor hired to manage them.

Service providers across Idaho have raised complaints over the last 11 months that the contractor, Optum Idaho, a unit of United Behavioral Health, has created red tape and cut services needed by at-risk patients.

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Medicaid
9:56 am
Fri August 15, 2014

Governor-Appointed Panel Recommends Expanding Medicaid In Idaho...Again

Credit Emilie Ritter Saunders / Boise State Public Radio

An Idaho work group says the state should expand its Medicaid eligibility, but committee members voiced concerns that their recommendation will be ignored by both the governor and legislators.

The 15-member group voted Thursday to submit their recommendation to Gov. C.L. "Butch" Otter.

This is the second time this work group has supported expanding Medicaid to provide coverage to the state's working poor. Their 2012 recommendation, however, has been ignored for the past two years.

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