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Wednesday, December 27, 2017 The Nugget Newspaper, Sisters, Oregon
A quilt for Christmas...
Medicaid carrier will shut down
PORTLAND (AP) —
Oregon’s second largest
Medicaid carrier will shut
down after the company and
state failed to agree on a con-
tract for next year.
FamilyCare President and
CEO Jeff Heatherington said
he met with Gov. Kate Brown
on Wednesday afternoon
and declined the state’s offer
because the rates were too
low.
A spokeswoman for the
governor declined to describe
the conversation but wrote in
an email that Brown found
reports that Medicaid mem-
bers in FamilyCare’s net-
work already were being
denied services unacceptable,
The Oregonian/OregonLive
reported.
FamilyCare and the state
have a long-running dispute
over reimbursement rates.
FamilyCare contends the
rates are too low and would
force the company into bank-
ruptcy next year.
The state now must
transfer the approximately
113,000 children and adults
in the Portland area cur-
rently under the provider
to other Medicaid adminis-
trators. FamilyCare Health
agreed to continue serving
Medicaid members until
January 31.
The situation does not
affect patients’ eligibility
for Medicaid, and those cur-
rently undergoing treatment
can continue to see the same
healthcare providers for at
least 90 days, said Patrick
Allen, director of the Oregon
Health Authority.
FamilyCare’s board voted
last week not to sign a new
contract with the state, and
Heatherington gave the
company a slim chance of
survival.
The state is working
with three other coordinated
care organizations to take
on FamilyCare’s members:
Health Share of Oregon,
Yamhill Community Care,
and Willamette Valley
Community Health.
PHOTO PROVIDED
Jordan Oathes, a 4-year-old “Dragonfly” in the SPRD pre-school
program was one of the children who received a quilt from Santa
last week, through the efforts of the East of the Cascade Quilters
and Quilts For Kids. This long standing Sisters tradition was
part of the winter program held at Sisters Elementary School
on December 21, where the children visited with Santa, sang
Christmas songs to their families and decorated cookies.
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