HIPP

[Guest guest]

Thank you very much to all of you who shared your experiences about HIPP. I did some research on HIPP - Health Insurance Premium Payment and thoguht I would pass it on to any of you who are interested. I don't think it is an extensive bit of research at this point but it has been enough to help me understand what I want to fight for. Wisconsin is deceiving in that they say they have it but it is actually only for people with AIDS or people who are making less than 185% of the federal poverty level. I am going to try to change things in my state and I think it would be wonderful if we could change things in other states as well. It is fiscally irresponsible for any state to use MA funds to pay for kids like mine to be on straight MA ( Beckeet waiver ) simply because the family cannot afford the premiums for commercial insurance. It would cost about 1% of Sam's annual health care bills for MA pay for our entire family's premium (and that does not even count Zachary's bills). How in the world does it make sense for them to advise me to put my kids on straight T-19 in these times of budget crunches. Anyway here is what I found and all I can say it you are blessed if you are in a state that truly does this. Wisconsin is so deceiving because they really only do it for the poorest people in the state and it leaves out so many families that are working and trying to retain commercial insurance as best as they can. Wish me luck! Anne The Omnibus Budget Reconciliation Act of 1990 (OBRA '90) required all states to enact a program to identify cases in which enrollment of a Medicaid recipient in a group health plan is cost effective. An individual's enrollment in a group health plan is considered cost effective if the expenditures in Medicaid payments are likely to be greater than the cost of paying the premiums and cost sharing obligations under an employer group health plan for those services. Enrollment in a cost effective employer group health plan is a condition of Medicaid eligibility, except for an individual who is unable to enroll on his/her behalf. The Bureau of Financial Operations within the Department of Public Welfare was given the responsibility to implement this initiative, which is called the Health Insurance Premium Payment (HIPP) Program. http://www.workworld.org/wwwebhelp/health_insurance_premium_payment_hipp_.htmVery helpful explanation of HIPP and very thorough http://www.state.sd.us/drr2/reg/insurance/LHRatesForms/ihps.ppt.This is a power point of a Govornor’s meeting on HIPP http://www.statecoverage.net/hipp.htmThis lists all the states that have HIPP http://www.gao.gov/archive/1997/he97159.pdfCompares the experiences of 3 states http://www.cms.gov/review/02spring/mitchell.pdfThe Massachusetts experience with HIPP http://www.dss.state.va.us/pub/pdf/032-03-842.pdfVirginia’s MA fact sheet re: HIPP http://www.ihps.org/2-00Sex.htmIowa HIPp Fact Sheet http://www.apla.org/apla/benefits/MEDICAL.HTMMediCAL (California HIPP Program http://www.hhsc.state.tx.us/Medicaid/programs/hipp/hipp_start.htmlTexas HIPp Program http://www.dpw.state.pa.us/oa/oaRdHipp.aspPennsylvania HIPP Program

[Guest guest]

Dear Anne-

I would like to see US wide Medicaid coverage, meaning that all states can take Medicaid from any other state/rather than just the states that border your home state.

I am drafting a letter to send to Congress, asking them to help in whatever way they can.

I find it absolutely ridiculous that if you are away from your coverage area and your child needs immediate medical care-You are stuck. got sick on a vacation and we had to take him to the ER, costing us $200+ in hospital fees alone. What about those that travel outside coverage for medical care?? I think the health care system needs to understand that just because your child/or family has Medicaid/Medical Assistance-we still deserve fair treatment.

I wish the best of luck in your endeavor.

AnnAnne K Juhlmann wrote:

Thank you very much to all of you who shared your experiences about HIPP. I did some research on HIPP - Health Insurance Premium Payment and thoguht I would pass it on to any of you who are interested. I don't think it is an extensive bit of research at this point but it has been enough to help me understand what I want to fight for.

Wisconsin is deceiving in that they say they have it but it is actually only for people with AIDS or people who are making less than 185% of the federal poverty level.

I am going to try to change things in my state and I think it would be wonderful if we could change things in other states as well. It is fiscally irresponsible for any state to use MA funds to pay for kids like mine to be on straight MA ( Beckeet waiver ) simply because the family cannot afford the premiums for commercial insurance. It would cost about 1% of Sam's annual health care bills for MA pay for our entire family's premium (and that does not even count Zachary's bills). How in the world does it make sense for them to advise me to put my kids on straight T-19 in these times of budget crunches.

Anyway here is what I found and all I can say it you are blessed if you are in a state that truly does this. Wisconsin is so deceiving because they really only do it for the poorest people in the state and it leaves out so many families that are working and trying to retain commercial insurance as best as they can. Wish me luck! Anne

The Omnibus Budget Reconciliation Act of 1990 (OBRA '90) required all states to enact a program to identify cases in which enrollment of a Medicaid recipient in a group health plan is cost effective. An individual's enrollment in a group health plan is considered cost effective if the expenditures in Medicaid payments are likely to be greater than the cost of paying the premiums and cost sharing obligations under an employer group health plan for those services. Enrollment in a cost effective employer group health plan is a condition of Medicaid eligibility, except for an individual who is unable to enroll on his/her behalf. The Bureau of Financial Operations

within the Department of Public Welfare was given the responsibility to implement this initiative, which is called the Health Insurance Premium Payment (HIPP) Program.

http://www.workworld.org/wwwebhelp/health_insurance_premium_payment_hipp_.htm

Very helpful explanation of HIPP and very thorough

http://www.state.sd.us/drr2/reg/insurance/LHRatesForms/ihps.ppt.

This is a power point of a Govornor’s meeting on HIPP

http://www.statecoverage.net/hipp.htm

This lists all the states that have HIPP

http://www.gao.gov/archive/1997/he97159.pdf

Compares the experiences of 3 states

http://www.cms.gov/review/02spring/mitchell.pdf

The Massachusetts experience with HIPP

http://www.dss.state.va.us/pub/pdf/032-03-842.pdf

Virginia’s MA fact sheet re: HIPP

http://www.ihps.org/2-00Sex.htm

Iowa HIPp Fact Sheet

http://www.apla.org/apla/benefits/MEDICAL.HTM

MediCAL (California HIPP Program

http://www.hhsc.state.tx.us/Medicaid/programs/hipp/hipp_start.html

Texas HIPp Program

http://www.dpw.state.pa.us/oa/oaRdHipp.asp

Pennsylvania HIPP Program

Please contact mito-owner with any problems or questions.

Ann (mito), mom to (3 ys) - asthma, seizures, tremors, milk intolerance, reflux, ptosis, *speech has improved greatly, suspected mito__________________________________________________