Medicaid Pilot Program to Speed Up Eligibility Decisions for Older Adults

The Kansas Department of Health and Environment (KDHE) and Prefix Health Technologies are rolling out a pilot program to accelerate the process of determining Medicaid eligibility for older state residents seeking coverage for long-term care (LTC), reports the Hays Post . "We are excited to partner with Prefix Health to bring a data-driven, transparent approach to improving the determination process," said KDHE Secretary Jeff Andersen. Hold-ups in Medicaid eligibility determinations often leave LTC providers to shoulder the cost of a resident's care for months before the LTC center can be paid. The Prefix Health solution leverages data retrieval and machine learning innovations to quickly access and analyze data from secure, trusted third-party sources, reducing the information-gathering burden on residents and their families while delivering additional usability and security. "Streamlining this process and identifying areas where more information is needed gives LTC communities more control in the process, enabling them to sustain this vital work," said Kansas Health Care Association CEO/President Cindy Luxem.