HMA Weekly Roundup

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  • CMS Approves Maryland All-Payer Model Connecticut Budget Reverses Medicaid Cuts Fidelis Care Files Petition with New York Attorney General Alaska Medicaid Backlog Stalls Provider Payments Vermont Voluntary All-Payer ACO Enrollment Hits 112, 000 Trump Administration Announces Plan to Lower Drug Read More
    Roundup:

    CMS Approves Maryland All-Payer Model

    Connecticut Budget Reverses Medicaid Cuts

    Fidelis Care Files Petition with New York Attorney General

    Alaska Medicaid Backlog Stalls Provider Payments

    Vermont Voluntary All-Payer ACO Enrollment Hits 112,000

    Trump Administration Announces Plan to Lower Drug Prices

  • This week, our In Focus, written by HMA Principal Jen Burnett in collaboration with the National Association of States United for Aging and Disabilities (NASUAD), summarizes key considerations and policy decisions that states should consider as they work to implement Read More
    Roundup:

    CMS Rejects Kansas Medicaid Lifetime Limit Waiver Proposal

    Medicaid Expansion to Appear on Utah Ballot

    New Hampshire Gains Approval for Medicaid Work Requirements

    Texas HHSC Commissioner Retires Amid Contract Scrutiny

    Illinois to Expand Medicaid Mental Health, Substance Abuse Treatments

    Harvard Pilgrim Health Care, Partners Healthcare in Merger Discussions

  • This week, our In Focus is the second in a series written by HMA Medicaid Market Solutions (MMS). MMS works with states to design and implement Section 1115 Demonstration Waivers that support individual state goals for member engagement and personal Read More
    Roundup:

    Florida Announces Winners of Medicaid MCO Procurement, Protests Follow

    Idaho to Decide on Medicaid Expansion with Ballot Initiative

    Maine Advocates File Lawsuit to Force Governor to Expand Medicaid

    New Jersey MCO Carve-In of Mental Health, SUD Services for Certain Eligibility Groups Planned for July 1

    Ohio Medicaid Submits Work Requirements Waiver

    Non-Expansion States Should Reconsider Medicaid Work Requirements, CMS Cautions

    Uninsured Rate Rises, Commonwealth Fund Report Shows

  • This week, our In Focus reviews two recently released papers outlining North Carolina’s and New Hampshire’s plans to implement Medicaid managed care long-term services and supports (MLTSS). The North Carolina Department of Health and Human Services released “North Carolina’s Vision Read More
    Roundup:

    Florida Announces Winners of Statewide Medicaid Managed Care Procurement

    Alabama Releases RFP for Administrator of LTSS Patient-Centered Care Program

    District of Columbia Proposes 4 Percent Cut to Medicaid MCO Rates

    Medicaid Work Requirements Debated in Kansas, Michigan, Pennsylvania, Tennessee

    New York DoH Approves Centene, Fidelis Deal

  • This week, our In Focus section highlights HMA Medicaid Market Solutions (MMS) which is supporting state flexibility in designing and implementing initiatives, including Section 1115 Demonstration Waivers, promoting member engagement and personal responsibility. Over the coming weeks, HMA MMS will Read More
    Roundup:

    Utah to Decide on Medicaid Expansion through Ballot Initiative

    Tennessee House Rejects Medicaid Expansion Amendment

    Louisiana Medicaid Expansion Results in Jobs, Generates Tax Revenues, Study Says

    Illinois Freezes Medicaid Enrollment at BCBS-IL

    New York Receives Approval for Care Coordination for Individuals with I/DD

    More Governors Propose Medicaid Enhancements Than Cuts, Says Kaiser Study

  • This week, our In Focus section reviews Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. After submitting a freedom of information act request to CMS, we have received a draft version of the CMS-64 report that is Read More
    Roundup:

    Texas Releases MCO RFP for STAR, CHIP

    Texas Cancels Rural CHIP MCO Contract Awards

    Pennsylvania Court Rules in Favor of MCO Award Protest

    New Hampshire Releases MLTSS Implementation Plan

    New Jersey Outlines Anti-Addiction Program Spending Plans

    New York Legislature Approves Final SFY 2018-19 Budget

    Ohio Medicaid To Investigate PBM Pricing

    Virginia Moves Closer to Medicaid Expansion

    CMS Issues Final Rule Allowing States Flexibility in Defining ‘Essential Health Benefits’

    Study: Medicaid Enrollees Have Better Access to Care Than Uninsured

  • This week, our In Focus section reviews Alabama’s Integrated Care Network (ICN) program, based on a concept paper released by the Alabama Medicaid Agency in March 2018. The ICN program will establish a new Medicaid long-term care program focusing on Read More
    Roundup:

    Arkansas, Kentucky Implement Medicaid Work Requirements

    California Files Antitrust Lawsuit Against Sutter Health

    Kansas Rejects Proposed Medicaid Expansion Amendment

    Louisiana Rejects Bill to Transition LTSS to Managed Care

    New York Reaches Deal with Fidelis, Centene

    Admissions, ER Visits Lower Among Duals Who Receive Home-Delivered Meals, Study Says

    ACA Exchange Enrollment Falls 3 Percent in 2018

  • This week, our In Focus section, written by HMA Principal Denise Soffel, reviews New York’s Medicaid Redesign Team Structural Roadmap: Roles and Responsibilities in a Value Based Payment World, released by the state’s Department of Health on March 19, 2018. Read More
    Roundup:

    Utah Passes Partial Medicaid Expansion; Awaits CMS Approval

    Nebraska Nursing Facilities Put Into Receivership

    Community Health Systems to Sell Three Tennessee Hospitals

    New York Governor Proposes Budget Strategy to Take Medicaid Health Plan Reserve Funds

    OIG Claims California Enrolled 450,000 Ineligible Medicaid Expansion Members

    Sendero Health Plans to Exit Texas STAR Medicaid, CHIP Programs

    CMS Proposal Would Roll Back Certain Medicaid Access to Care Monitoring Requirements

  • This week’s In Focus section highlights four briefs written by Health Management Associates (HMA) in collaboration with the National Council on Assisted Living that address key areas of compliance with the Centers for Medicare & Medicaid Services (CMS) home and Read More
    Roundup:

    Florida Governor Scott Signs Opioid Bill

    Michigan Awards Behavioral Carve-In Contracts

    Montana Medicaid Expansion Boosts Economy, Report Says

    New York Senate, House Respond to Governor’s Executive Budget Proposal

    New York Names Frescatore Medicaid Director

    Exchange Stabilization Efforts Stall in House

    MACPAC Calls for Streamlining Medicaid Managed Care Authority

  • This week’s In Focus section reviews the recent Bipartisan Budget Act of 2018 (the Act), which adopts policies aimed at improving care for Medicare beneficiaries with chronic conditions, including individuals dually enrolled in Medicare and Medicaid (dual eligible individuals). The Read More
    Roundup:

    Florida, New Jersey FY 2019 Budgets Include Key Healthcare Provisions

    CMS Denies Idaho Plan to Skirt ACA Requirements

    Illinois Passes Hospital Assessment Plan

    Iowa Announces Medicaid Managed Care RFP Respondents

    Minnesota Releases Special Needs BasicCare RFP

    Nebraska Medicaid Expansion Advocates Launch Ballot Initiative

    New York FQHCs Plan Merger

    Texas Awards CHIP Rural and Hidalgo Service Areas Contracts