{"id":4502,"date":"2023-12-15T12:25:00","date_gmt":"2023-12-15T12:25:00","guid":{"rendered":"https:\/\/tennesseetexan.com\/?p=4502"},"modified":"2023-12-15T12:25:03","modified_gmt":"2023-12-15T12:25:03","slug":"to-be-poor-in-texas","status":"publish","type":"post","link":"https:\/\/tennesseetexan.com\/?p=4502","title":{"rendered":"To Be Poor In Texas"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>Texas has booted the most people from Medicaid of any state in the country. A majority of those removed lost their health insurance coverage because of procedural errors.<\/em><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img data-recalc-dims=\"1\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/thumbnails.texastribune.org\/_SWijs_-QHWfdT6HQICNSWHhHv0%3D\/850x570\/smart\/filters%3Aquality%2875%29\/https%3A\/\/static.texastribune.org\/media\/images\/2014\/05\/16\/TexTrib-NURSE-009.jpg?w=810&#038;ssl=1\" alt=\"Dr. Rose Okoro, a nurse practitioner, who owns Daystar Family Clinic in Katy, is shown on May 12. 2014. She says she has struggled to treat a greater number of Medicaid patients because of state regulations.\"\/><figcaption class=\"wp-element-caption\"><em>Dr. Rose Okoro, a nurse practitioner, who owns Daystar Family Clinic in Katy, is shown on May 12. 2014. She says she has struggled to treat a greater number of Medicaid patients because of state regulations.\u00a0<\/em><strong>photo by\u00a0Michael Stravato<\/strong><\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\">If the old adage is true, &#8220;you can judge a society by the way it treats its children and old folks,&#8221; is true then Texas is still a world-class leader failure in governance. Still pulling in millions of dollars from the lottery scam promising majority of the funds will be used to improve the quality of public schools.  Now nearly 1.7 million Texans have lost their health insurance \u2014 the largest number of people any state has removed \u2014 in the months since Texas began peeling people from Medicaid as part of the post-pandemic \u201cunwinding.\u201d Around 65% of these removals occurred because of procedural reasons, according to the\u00a0<a href=\"https:\/\/www.hhs.texas.gov\/sites\/default\/files\/documents\/dec-2023-monthly-enrollment-report-cms.xlsx\">state<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Texas\u2019 Health and Human Services Commission has neared the end of a chaotic and overburdened process to remove people from state Medicaid insurance who became ineligible during the coronavirus pandemic. The state had not unenrolled people before this year because of federal pandemic rules, which forbid states from cutting coverage.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As a result, more than 5 million Texans had continuous access to health care throughout the pandemic through Medicaid, the joint federal-and-state-funded insurance program for low-income individuals. In Texas, the program\u2019s eligibility criteria is so restrictive, it mainly covers poor children, their mothers, and disabled and senior adults.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But the effects of speedrunning this process have reverberated: still-eligible Texans were kicked off both in error and for procedural reasons, adding to backlogs of hundreds of thousands of Medicaid applications and pushing wait times back several months. Backlogs for SNAP food benefits applications, which the same state agency also manages, also skyrocketed because of the burden.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe state handled this with an incredible amount of incompetence and indifference to poor people,\u201d U.S. Rep.\u00a0Lloyd Doggett, D-Austin, told the Texas Tribune. \u201cIt&#8217;s really appalling.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Doggett has repeatedly demanded for changes in the process, most recently sending a&nbsp;<a href=\"https:\/\/doggett.house.gov\/sites\/evo-subsites\/doggett.house.gov\/files\/evo-media-document\/medicaid-timely-processing-letter-to-cms-12.4.23.pdf\">letter<\/a>&nbsp;to the U.S. Centers for Medicare and Medicaid Services calling their scrutiny of the state \u201cwoefully inadequate.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">He said he also contacted the agency overseeing the nation\u2019s Supplemental Nutrition Assistance Program program, the U.S. Department of Agriculture, about improving the state\u2019s food benefit access during this time. He suggested pausing upcoming SNAP renewals so Texas staffers could focus on working through backlogs first.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Neither federal agency had responded to him as of Thursday morning, he said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/policies.google.com\/privacy\"><\/a><a href=\"https:\/\/policies.google.com\/terms\"><\/a>As of Dec. 8, there were 207,465 SNAP applications and 288,939 Medicaid applications waiting to be processed, according to HHSC spokesperson Tiffany Young.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cNobody who watched this is surprised about the backlog. We had delays before the unwinding, and then we put a gigantic amount of work on the system that wasn&#8217;t spaced in any sort of even, realistic way, that was totally front-loaded,\u201d said Stacey Pogue, a senior policy analyst at Every Texan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe way the state&#8217;s choosing to do this is one gigantic, long backlog. That&#8217;s a choice, and it hurts people in need,\u201d she added. \u201cBut they had other choices to take workload off the system without asking people to wait and wait and wait and wait.\u201d The wait time for Texans who now apply for both SNAP and Medicaid has decreased to a little over a month, as they have to wait for their Medicaid application to go through first. This is a reduction from a five-month waiting period in place at the beginning of December, Young said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As of October 2023, some previously submitted applications in the queue had been sitting there for as long as four months, HHSC spokesperson Jennifer Ruffcorn said.\u201c HHSC is moving 250 eligibility staff from other priority projects to focus on processing applications that request SNAP and another benefit,\u201d Ruffcorn said in a statement. \u201cAdditionally, within the next five months, HHSC will be sending 600 of our newer staff to Medicaid training. This will also increase our capacity to process more SNAP and Medicaid combined applications.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For those without food, even a month is a long time. Food banks had&nbsp;<a href=\"https:\/\/www.texastribune.org\/2023\/09\/28\/texas-hhsc-medicaid\/\">already felt a strain<\/a>&nbsp;before the holidays approached.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cIt&#8217;s just a difficult time, it\u2019s sort of a perfect storm,\u201d said Celia Cole, CEO of the nonprofit Feeding Texas, earlier this fall. \u201cFood banks are seeing higher demand. They&#8217;re struggling to get food in and out the door, and it&#8217;s costing more to do that.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And for those without health insurance coverage, options remain limited, often to either stomach thousands of dollars in medical debt or turning to federally qualified health centers, which are required to provide medical care regardless of insurance.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cIt\u2019s tragic to think that children are missing their check ups or medications because their Medicaid application is collecting dust in a state office,\u201d said Diana Forester, Director of Health Policy at Texans Care for Children, in a Thursday news release.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some of the solutions the state has offered have been bleak. In a cheerfully-toned<a href=\"https:\/\/doggett.house.gov\/sites\/evo-subsites\/doggett.house.gov\/files\/evo-media-document\/hhsc-raffle-email.pdf\">\u00a0email<\/a>\u00a0from HHSC to its staffers obtained by Doggett\u2019s office, leaders suggested employees participate in a &#8220;6 Days of Merry Service Challenge&#8221; where they would work overtime every day through either extending hours or coming in on a Saturday. The email included a prize raffle for employees who worked more than 15 hours of overtime that week.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThere&#8217;s other pathways besides asking an overworked staff to work more,\u201d Pogue said of the email. \u201cOf all the solutions to pick, that&#8217;s just the last one on the list.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Texas also has made limited use of an automated eligibility checking system, which uses previously submitted data like pay stubs as well as federally provided data about people\u2019s work. Only 6% of Medicaid renewals came through the automated system, according to&nbsp;<a href=\"https:\/\/www.hhs.texas.gov\/sites\/default\/files\/documents\/nov-2023-end-continuous-medicaid-dashboard-rpt.pdf\">state numbers<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Throughout the process, advocates like Pogue made unheeded calls for a pause so HHSC staffers could catch up on backlogs before sending more eligible people to the back of the line.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Now that the state has gotten through most of its \u201ccohorts\u201d of trying to renew people \u2014 one million people\u2019s coverage has renewed \u2014 advocates say the state has an opportunity to fix the system.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cTexas lawmakers can look forward to like, \u2018What kind of system do we want? How hard should it be to get through the Medicaid renewal process? How do we staff our system to process paperwork?\u2019 \u201d Pogue said. \u201cIt&#8217;s no longer about how we&#8217;re going to do unwinding. It&#8217;s: \u2018How are we going to run the Medicaid program?\u2019 \u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Texas has booted the most people from Medicaid of any state in the country. A majority of those removed lost their health insurance coverage because of procedural errors. If the old adage is true, &#8220;you can judge a society by the way it treats its children and old folks,&#8221; is [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4503,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[171,175],"tags":[],"class_list":["post-4502","post","type-post","status-publish","format-standard","has-post-thumbnail","category-politics","category-tex"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>To Be Poor In Texas - tennesseetexan.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tennesseetexan.com\/?p=4502\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"To Be Poor In Texas - tennesseetexan.com\" \/>\n<meta property=\"og:description\" content=\"Texas has booted the most people from Medicaid of any state in the country. A majority of those removed lost their health insurance coverage because of procedural errors. 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A majority of those removed lost their health insurance coverage because of procedural errors. 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