HMA Weekly Roundup

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  • This week, our In Focus section examines President Trump’s budget for fiscal year (FY) 2021. The budget includes a number of legislative and administrative proposals related to Medicare that are estimated to reduce net Medicare spending by $872 billion over Read More
    Roundup:

    Washington Medicaid Rate Increase Bill Passes State Senate

    Texas Health Plans Point to Scoring Inconsistencies in STAR+PLUS Contract Awards

    Medicaid Work Requirements News: Arkansas, Iowa

    California Exchange Sees Big Increase in New Enrollees

    District of Columbia Further Extends Medicaid Managed Care RFP Deadline

    Expansion News: Kansas, Wyoming

    Missouri Lawmakers Seek Halt to Medicaid Disenrollments

    South Dakota Issues Medicaid Job Training RFP

  • This week, our In Focus section covers the report, Medicaid Expansion in Missouri – Economic Implications for Missouri and Interviews Reflecting Arkansas, Indiana, and Ohio Experiences, prepared by HMA Medicaid Market Solutions (MMS) Managing Director Matt Powers and Managing Principal Read More
    Roundup:

    DC Medicaid Managed Care RFP Deadline Is Extended to February 14

    Georgia Proposal to Drop ACA Exchange Is Delayed by Trump Administration

    Illinois Medicaid Director to Step Down

    Senate Committee Advances Bill to Limit Number of Medicaid Plans, Eliminate Role of PBMs

    Texas HHSC Commissioner to Step Down

    Medicaid Expansion updates in Missouri, Tennessee, Wyoming

    Proposed HHS Funding Cuts to Impact Medicaid, Medicare

    States Criticize Proposed Medicaid Fiscal Accountability Rule

  • This week, our In Focus section comes from HMA Medicaid Market Solutions (MMS) Managing Director Matt Powers and Senior Consultant Desmond Banks. On January 30, 2020, the Centers for Medicare & Medicaid Services (CMS) convened an event titled, Transforming Medicaid: Read More
    Roundup:

    California Health Plan Tax Is Blocked

    California Taps Brad Gilbert for Health Care Services Post

    Florida Bill Would Require ‘Essential’ Providers to Contract with Medicaid Plans or Lose Supplemental Payments

    Idaho Releases Behavioral Health Plan RFI

    Montana Hopes to Invest in Community-Based Mental Health

    Oklahoma Governor Announces Medicaid Plan, Including Alternative Expansion, Managed Care, Block Grants

    Pennsylvania Partners with Medicaid Plans on Jobs, Training

    Tennessee Governor Hopes to Extend Medicaid Postpartum Coverage to Full Year

    Texas Further Delays STAR, CHIP Medicaid Plan Awards

  • This week, our In Focus section reviews value-based payment (VBP) opportunities for long-term care providers. HMA Principal Dana McHugh authored the article, “Life Plan Communities and Value-Based Payments: Aligning Incentives So Everyone Benefits”, for LeadingAge national magazine, discussing how life Read More
    Roundup:

    Hawaii Announces Medicaid QUEST Integration Awards

    Louisiana Health Department, Medicaid Plans Appeal Decision to Throw Out Contracts

    Nevada Intends to Issue Medicaid Managed Care RFP in January 2021

    New Jersey Temporarily Freezes Enrollment in UnitedHealth Medicaid Plan

    WellCare Withdraws Protest Against Texas STAR+PLUS Awards

    Medicaid Expansion Updates in Kansas, Missouri, Oklahoma, Wyoming

    Supreme Court Allows Trump Administration to Enforce Public Charge Rule

  • This week, our In Focus section reviews two Medicaid managed care requests for proposals (RFPs) released on January 10, 2020. The District of Columbia Department of Health Care Finance (DHCF) issued an RFP for the DC Healthy Families Program (DCHFP); Read More
    Roundup:

    Medicaid Director Changes: California, Minnesota, Tennessee

    Illinois Again Delays Transition to Managed Foster Kids

    Kansas Governor to Prioritize Medicaid Expansion

    Louisiana to Rebid Medicaid Managed Care Contracts

    New York Medicaid Redesign Team to Tackle Budget Shortfall

    Ohio Issues Plan to Address Medicaid Applications Backlog

    Pennsylvania-based Hospital May Buy Health Partners Plans

    Texas Wins Approval of Medicaid Waiver for Women’s Health

    CMS to Again Issue Guidance on Medicaid Block Grants

  • This week, our In Focus section reviews the Texas STAR Kids Medicaid Managed Care in the Dallas Service Area (SA) request for proposals (RFP) released by the Texas Health and Human Services Commission (HHSC) on December 13, 2019. The RFP Read More
    Roundup:

    Arkansas PBM Case To Be Heard by U.S. Supreme Court

    District of Columbia Releases Medicaid Managed Care RFP

    Medicaid Expansion News: Florida, Kansas

    Kentucky Releases Medicaid Managed Care RFP

    Montana Awards Contract for Medicaid Medical Review

    North Carolina Hasn’t Yet Set Medicaid Managed Care Transition Date, Official Says

    Oklahoma Files Lawsuit Against Three Opioid Distributors

    Rhode Island Issues Rite Smiles Medicaid Managed Dental LOI

    Texas Delays Dallas Area STAR Kids RFP Implementation Date

  • This week, our In Focus section reviews the West Virginia Mountain Health Trust request for proposals (RFP) released by the West Virginia Department of Administration (DOA) for the Department for Health and Human Resources (DHHR) on December 17, 2019. Mountain Read More
    Roundup:

    District of Columbia Releases Medicaid Quality Strategy

    Expansion News: Georgia, Iowa, Kansas, Michigan, Mississippi, Nebraska, Utah, Wyoming

    Kentucky to Rebid Medicaid Managed Care Contracts

    Louisiana Awaits Approval of Emergency Medicaid Contracts

    Massachusetts Announces One Care Dual Demo Awards

    New York to Cut Medicaid Provider Reimbursements 1 Percent

    Pharmacy News: New York, Ohio, Pennsylvania

    Transportation News: Oregon, Texas

    Rhode Island Issues Medicaid Dual Eligible Strategy RFI

    WellCare Protests Texas STAR+PLUS Awards

  • This week, our In Focus section reviews highlights and major findings from the study, Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities, conducted by The Kaiser Family Foundation (KFF) and Health Management Associates (HMA). Read More
    Roundup:

    Arkansas to Limit Health Plan Ownership of PASSEs

    Florida AHCA Secretary Addresses Medicaid Funding Priorities in Governor’s Budget Proposal

    Massachusetts Issues Social Determinants of Health RFP

    Puerto Rico Medicaid Funding Is Reduced

    Texas Faces Lawsuit Over STAR+PLUS Awards

    West Virginia Releases Medicaid Managed Care RFP

    Appleas Court Rules ACA Mandate Unconstitutional

  • This week, our In Focus section provides a high-level overview of the new Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) integration requirements in the Centers for Medicare & Medicaid Services (CMS) April 16, 2019, final rule for calendar year (CY) Read More
    Roundup:

    Connecticut Reaches Agreement on Hospital Provider Tax

    Kentucky Legislative Committee Rejects Medicaid Managed Care Awards, Governor-Elect Pledges to Review

    North Carolina Official Says Transition to Managed Care Will Eventually Happen

    Expansion News: North Dakota, Wyoming

    Virginia Medicaid Beneficiaries Turn to ER for Dental Care

    West Virginia Medicaid Plan Cancels Proposed Merger with WVU Medicine

  • This week, our In Focus section reviews the annual Medicaid health plan ratings released in September by the National Committee for Quality Assurance (NCQA), which rated 171 Medicaid plans. For 2019-20, NCQA used a ratings methodology that scored each health Read More
    Roundup:

    Arizona Announces Medicaid Whole Person Care Initiative

    Florida Unveils Five-Year Medicaid Housing Assistance Pilot

    Indiana Seeks Extension of HIP Medicaid Expansion

    KY Announces Medicaid Plan Awards, Likely to Face Protests

    Missouri Cuts Lead to HCBS Waiting Lists

    Oklahoma Hires HMA for Alternative to Medicaid Expansion

    Tennessee Submits Medicaid Block Grant Proposal to CMS

    Texas Releases Scoring Sheets for STAR+PLUS Awards