CNMI Medicaid program runs out of money

5:44 am on 20 May 2019
Doctor in hospital corridor

Photo: 123rf

The US federal agency that provides health coverage to low-income people in the Northern Marianas says it has exhausted all its federal and local funding.

Because of this, the Saipan Medicaid Office will no longer reimburse services provided to Medicaid beneficiaries by clinics outside of the Commonwealth Health Care Corporation's system.

The office said effective June 1, Medicaid beneficiaries can only avail services from CHCC's clinics for outpatient care since it is the only agency designated as a medical provider for all children and adult outpatient care.

Exceptions, however, are reserved for medically necessary outpatient services that are not immediately available at the Commonwealth Health Center.

To be exempted, prior authorisation must be obtained from CHCC.

Medicaid provides health coverage to low-income people and is one of the largest payers for health care in the United States.