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In the world of social programs, Medicaid is one of the hardest to understand. It’s something of a catch-all program for low-income people, covering broad and divergent needs. Included are healthy children and adults with eligible dependent children, people with disabilities or special health needs, and the elderly. Eligibility is income-based and it varies according the category of qualification for the program.During the state’s 2011 fiscal year, more than three quarters of the funding allocated to the Department of Health and Welfare’s budget went to Medicaid. The program received about $1.55 billion in federal and state funding, with 74 percent of those dollars coming from the federal government.Enrollment in Idaho’s Medicaid program has grown substantially in recent years. The average monthly Medicaid enrollment was fairly stable between 2006 and 2008. It grew by about 3.5 percent. But in the last three years, the program’s enrollment has grown nearly 21 percent. Ballooning from about 185,000 in 2008 to 228,897 in 2012.

Mental Health Care Providers Blast Private Manager

Mental health professionals blasted a private company managing behavioral health care for low-income Idaho residents, saying the system is plagued with hours-long delays that could put their clients at risk.

A joint House and Senate Health and Welfare Committee meeting Friday provided a venue to criticize Optum, a Minnesota-based health care services management company.

Since September, it's being paid $10.5 million monthly to administer outpatient behavioral health services for Idaho's Medicaid program as the state seeks to as it seeks to control costs.

However, providers in Idaho say this transition has been fraught with problems, including hours on hold with company representatives to authorize payment for services for people suffering from mental illnesses.

The Idaho Department of Health and Welfare is mulling penalties because Optum isn't meeting its contract obligations.

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