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New Medicaid barrier: Waivers ending retrospective eligibility shift costs to providers, patients
Modern Healthcare

Last year, Jackson Memorial Hospital in Miami admitted an uninsured, low-income patient who stayed in the hospital for 86 days and ran up total charges of more than $1 million.

It took the public hospital’s staff 65 days to complete a Medicaid application for the patient. Once it was approved, the Florida Medicaid agency covered bills for the previous 90 days, as per federal Medicaid policy in effect across the country since 1972. Jackson received a payment of $82,000, based on the state’s limit of 45 covered hospital days per year.

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