Utah Legislature wants your ideas on how to improve Medicaid

Ideas to Improve Utah Medicaid

With the Medicaid budget growing from $0.8 billion in 1999 to $1.8 billion in 2009 (with no slowing on the horizon), it is our desire to ensure professional, prudent stewardship over the use of all funds.  The Medicaid program is large and has many participants, therefore, coordination can be lost and some regulations may be unnecessarily cumbersome.  It is important for us to ensure that the money in this program goes toward providing high quality service for real identified needs in an efficient manner.

We are interested in any and all ideas for improving Medicaid in the State of Utah.  Please do not limit yourself to what is currently allowed by federal or state law as changes can be proposed to both.  In your professional opinion, what areas of Medicaid could be improved? As you consider your responses, please keep in mind the following points:

  • Since state funds are being used, some level of oversight is likely necessary
  • Money does not exist to fund every need for everyone
  • We want to reward and encourage positive health outcomes for clients

David Clark                                                  Michael Waddoups
Speaker of the House                                        President of the Senate

of Representatives
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2 Responses

  1. Focus on life.
    The more Utah focuses on abortion training and services, rather than life, the more depressed and unhealthy Utahns will become.
    Washington DC has the highest abortion rate in the country, and also very serious overall health problems.
    Good luck.

  2. Fee for service Medicaid pays significantly above other managed care rates – for example, DCFS pays $98 per 45-minute psychotherapy session, while most private insurance pays clinicians 60-80 for the same service. Also, there is insufficient oversight of how DCFS caseworkers refer clients – they refer to certain providers disproportionately – and this leads to the loss of qualified clinicians who are not getting referrals. Caseworkers should use a rotating referral system in order to improve impartial decisions and transparency. Too often referrals are just sent to the caseworkers’ friends and ex-DCFS employees now in private practice.

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