Health Plan Issues Arise in Transition Plan for ADHC

APS Healthcare -- one of the firms that the state could contract with under the adult day health care services transition -- earlier this year paid $13 million to the U.S. Department of Justice to settle allegations that it did not provide services to hundreds of Georgia Medicaid beneficiaries. Meanwhile, the California Association of Health Plans -- a trade group representing managed care plans -- has sent a letter to the state Department of Health Care Services stating that managed care plans "are not responsible for" administering services previously provided by ADHC centers and that state officials should "temper beneficiaries' expectations" of what benefits might be offered.

• "State Turns to Troubled Firms After Adult Care Cut" (Jewett, California Watch, 8/29).
• "Insurers Question Plan To Cover Adult Day Care Patients" (Jewett, California Watch, 8/31).