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  • This week, our In Focus section provides an initial overview of recent US Supreme Court rulings that reshape the landscape of national healthcare policy and operations.

    Roundup:

    Idaho Releases Medicaid Dual, MLTSS Programs RFP

    Illinois Receives Federal Approval for Section 1115 Healthcare Transformation Demonstration

    Illinois Advisory Council Begins Hearings on Medicaid Financing for Sickle Cell Disease Therapies

    Minnesota Rural Hospitals Form Clinically Integrated Network

    New York Medicaid Seeks Approval to Provide Continuous Medicaid, CHIP Coverage for Children

    Oregon Launches OHP Bridge to Expand Adult Medicaid Coverage

    North Carolina Seeks Federal Approval to Help Relieve $4 Billion Medical Debt

    Texas Faces Lawsuit Over Medicaid STAR, CHIP Contract Awards

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    Five States Receive Federal Approval to Provide Reentry Services for Incarcerated Individuals Prior to Release

    CMS Proposes 1.7 Percent Cut to Medicare Home Health Provider Rates

    Optum Drops Out of Bid to Purchase Steward Health Care Physician Group

    Elara Caring Acquires Caregivers Home Health

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  • This week, our In Focus section delves into important and complex regulatory policy changes that affect coverage and services for the 12.9 million individuals who are dually enrolled in both Medicare and Medicaid.

    Roundup:

    Alaska Releases Coordinated Care Demonstration Project RFI

    California Budget Deal Delays Healthcare Worker Minimum Wage Raise

    District of Columbia Submits 1115 Behavioral Health Transformation Demonstration Renewal Request

    Florida Awards Two Incumbents With Statewide Medicaid Prepaid Dental Program Contracts

    Kansas Faces Protests from Aetna, CareSource Over KanCare Awards

    Nevada Receives Approval for Dental Benefit Demonstration for Adults with Diabetes

    New York City Awards $10.3 million in Funding to Expand Supportive Housing

    Oregon Awards Contract to Acentra to Help Implement Medicaid HRSNs

    Pennsylvania to Submit LTC Demonstration Amendment Requests in September 2024

    Washington Opens Apple Health Expansion Registration for Undocumented Adults

    CMS Releases Final Rule on Medicare Part D Electronic Prescribing, Adoption of Health IT Standards

    CMS Releases D-SNP Enrollee Advisory Committee Insights

    BrightSpring Health Services to Acquire FL-based Hospice Care Providers

  • This week, our In Focus section highlights a report that the Center for Workforce Solutions (CWS) released on May 28, 2024, titled Crosswalk of National Behavioral Health Workforce Recommendations.

    Roundup:

    California Medicaid Doctors Introduce Ballot Measure for Higher Pay

    Idaho to Release Dual Eligible, LTSS Managed Care Procurement in June 2024

    Illinois Governor Signs Medicaid Omnibus Bill

    Michigan Releases HIDE SNP RFP to Transition MI Health Link Dual Demo

    New Mexico Medicaid to Reimburse Tribal Community Health Workers

    Oregon Receives Federal Approval to Establish Basic Health Program

    Rhode Island Submits Addendum Request to Section 1115 Comprehensive Demonstration for HRSN Services

    Texas HHSC Rejects Protests Over Medicaid, CHIP Awards

    Texas Medicaid Application Delays May Cost State Millions in Federal Funding

    MACPAC Releases June 2024 Report to Congress

    Insurers Estimate $1.1 Billion in MLR Rebates Across Commercial Markets in 2024

    Addus HomeCare Signs Agreement to Acquire Gentiva Personal Care

    Elevance Wins Medicare Advantage Star Rating Lawsuit

    Judge Blocks DOJ from Dismissing Humana Medicare Advantage Lawsuit

    Judge Denies FTC Injunction to Block Novant Health’s Acquisition of North Carolina Hospitals

  • This week’s In Focus section delves into the Next Generation MyCare Ohio managed care program, spotlighting the request for applications (RFA) that the Ohio Department of Medicaid (ODM) released on May 31, 2024.

    Roundup:

    Arkansas to Transition Medicaid Managed Care Dental Program Back to Fee-for-Service

    Colorado Governor Signs Bills Addressing Housing, Nutrition Support Funding, Prescription Drug Access

    Florida Governor Signs Bill to Establish Rural Emergency Hospitals

    Indiana Receives Federal Approval to Transition LTSS to Managed Care

    Michigan Selects Eight PIHPs for Substance Abuse Recovery Incentives Pilot Program

    Minnesota Releases Medicaid, MinnesotaCare IHP RFP

    Tennessee Awards Medicaid Dental Contract to Renaissance Life & Health Insurance Company

    CMS Releases ACO Primary Care Flex Model RFA

    HHS Selects Ten Additional States to Participate in CCBHC Demonstration

    Evolent Health to Acquire AI Assets from Machinify

    Solarity Announces Strategic Growth Investment from Private Equity Firm TA Associates

    More News Here

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