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  • This week’s second In Focus section delves into the Ensuring Access to Medicaid Services final rule. The Centers for Medicare & Medicaid Services (CMS) published the access rule May 10, 2024, alongside the similarly significant Medicaid managed care final rule.

    Roundup:

    California Governor Retracts on Budget Deal to Use MCO Tax Revenue for Medicaid, Hospital Investments

    Colorado Releases Accountable Care Collaborative Phase III RFP

    Colorado Releases Behavioral Health ASO RFP

    Florida Governor Signs Bill Allowing Medicaid Home Health Services Ordered by Nurses, Physician Assistants

    Kansas Announces Intent to Award KanCare, CHIP Medicaid Managed Care Contracts

    Michigan Invests $1.3 Million to Expand Hospital Rooming-in for Substance-exposed Babies

    Missouri House Committee Advances Medicaid Hospital Tax Renewal

    New York Releases RFA for Medicaid Housing Subsidies, Services through $87 Million Grant Funding

    Oklahoma Hospitals See Higher Payments Under Managed Care

    Texas Releases STAR Kids RFP

    CMS Extends Medicaid Unwinding-related Waiver Demonstrations to June 2025

    DOJ Creates Antitrust Task Force to Combat Healthcare Consolidations, Acquisitions Violating Laws

    Eventus WholeHealth Acquires Premier Geriatric Solutions

  • This week, our In Focus section highlights a new Health Management Associates, Inc. (HMA), report released on May 7, 2024, titled Medicare Physician Fee Schedule Reform: Structural Topics and Recommendations to Strengthen the System for the Future.

    Roundup:

    Arizona Restructures Medicaid Agency, Expands Leadership Roles

    Arkansas Launches Four Preventative Pilot Programs for Children with Behavioral Health Conditions

    Massachusetts Submits Amendment Request for MassHealth Section 1115 Demonstration

    Michigan Requests Section 1115 Demonstration Extension Including SUD Pilot Program

    Montana Medicaid Expansion Helps Decrease Inpatient, Emergency Service Costs

    Nebraska Seeks Input on Medicaid Enterprise System Modernization Jump to section

    Joint Commission to Launch Rural Health Clinic Accreditation Program

    Senate Finance Committee Introduces Legislation to Create Medicare Drug Shortage Prevention, Mitigation Program

    Justice Department Advances Cigna’s Medicare Advantage Sale

  • In this week’s In Focus section, Health Management Associates (HMA) Managing Director Matt Powers and Associate Principal Lora Saunders discuss observations and perspectives as we approach completion of the Medicaid unwinding.

    Roundup:

    Alabama Legislators Hear from Arkansas, North Carolina Officials on Medicaid Expansion Jump to section

    Arkansas Cancels Medicaid Dental Services Procurement; Fails to Reach Agreement with Bidders Jump to section

    California to Adopt Health Care Spending Limit Beginning 2025 Jump to section

    Colorado Extends Medicaid Eligibility for Beneficiaries Living with Disabilities Jump to section

    Connecticut House Passes Bill Aimed at Improving Elder Health Care System Jump to section

    Illinois CBOs to Receive More than $5 Million in Funding for Maternal, Infant Healthcare Jump to section

    Kansas to Implement Supplemental Waiver to Shorten IDD, Physical Disability Waiver Waitlists Jump to section

    Mississippi Medicaid Expansion Bill Heads to House, Senate for Vote Jump to section

    Oregon Medicaid Program Offers Equipment to Protect Beneficiaries Against Climate Change Jump to section

    CMS, NCQA Grant Two Week Extension for Insurers to Submit Star Quality Data Jump to section

    FTC Finalizes Rule to Prevent Digital Health Apps from Releasing Sensitive Medical Data Jump to section

    CVS to Acquire Medicare Advantage Broker Hella Health Jump to section

  • This week, our In Focus section reviews significant Medicaid policy announcements from the Centers for Medicare & Medicaid Services (CMS).

    Roundup:

    Connecticut Lawmakers Plan to Revisit Medicaid Managed Care for Enrollees Jump to section

    Florida Receives Eight Intents to Protest Against SMMC Awards Jump to section

    Georgia Governor Signs Bill to Relax Certificate-of-need Regulations, Form Health Commission Jump to section

    Maryland Total Cost of Care Model Improved Medicare Spending, Decreased Health Disparities in First Four Years Jump to section

    Massachusetts Receives Federal Approval to Provide Medicaid-funded Temporary Housing for Emergency Shelter Program Jump to section

    Michigan Medicaid to Offer Maternal Health Quality Payments Jump to section

    New York Enacted Fiscal 2025 Budget Invests in Health Equity, New Policies Promoting Access to Care Jump to section

    New Mexico Extends Medicaid Coverage for Seniors Receiving Long-term Care, Individuals with Disabilities Jump to section

    Texas Lawmakers Urge Governor to Cancel, Delay STAR, CHIP Awards Jump to section

    HHS Launches Investigation Examining PBMs Jump to section

    Change Healthcare’s Patient Personal Data Still in Jeopardy Jump to section

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