Passed 78 to 31 in the House on February 28, 2013, to appropriate $30.5 million in federal grant money to set up a consumer assistance call center related to insurance subsidies provided by the federal health care law. The actual subsidy administration and eligibility determinations will be performed by a federal entity styled under the law as an "exchange" (in 2012 the legislature declined to create a state-run version of this entity). The money will also be used for state Medicaid system software upgrades required in part because of this law.
See Who Voted "Yes" and Who Voted "No" at http://www.michiganvotes.org/
I would like to see the proposal for the Medicaid system software upgrades because there are also oversight requirements to ameliorate fraud, waste and abuse.
My interest in the software upgrades are centered around cost reimbursements and referral mechanisms to the Medicaid Fraud Control Unit in child welfare. I want to see how the state is going to "upgrade" the privacy constraints and the role of the DHS Inspector General.
Currently, Michigan's Front-End Eligibility program does not deal with child welfare and the Office of Monitoring and Internal Controls seems to function as a self-validating cover-up to counter federal audit findings of questionable costs. Sounds like Madame Corrigan's work.
The Michigan Department of Community Health Office of Inspector General does not seem to be designed for any authority to touch child welfare programs, so it looks like the oversight function for Medicaid in child welfare is still an open question with a system upgrade.
Any speculation?
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