HMA Weekly Roundup

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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. Read More

    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

    More News Here

    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

    More News Here

  • 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. Read More

    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. Read More

    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. Read More

    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

  • This week, our In Focus section considers the increasing emphasis on quality at all levels of our healthcare system, especially for work that affects federally funded health insurance programs. Read More

    Arkansas DHS Collaborates with State University to Strengthen Medicaid HCBS Programs

    Delaware Senate Passes Provider Tax to Support Medicaid

    Kansas to Face Protest from Aetna Over KanCare Awards

    Oregon Names Emma Sandoe as Medicaid Director

    Minnesota Medicaid Managed Care Program Will Stop Contracting with For-profit Insurers in 2025

    New Hampshire Senate Committee Advances Legislation to Alter Medicaid Enhancement Tax

    New York to Invest $30 Million at Increasing Inpatient Psychiatric Capacity

    South Carolina Lawmakers Propose Study Committee to Examine Medicaid Expansion

    Express Scripts to Collaborate with CPESN USA to Improve Healthcare Access at Independent Pharmacies

    Elevance Health Foundation to Provide $10 Million in Funding to Address Health-related Social Needs

  • 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. Read More

    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. Read More

    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. Read More

    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). Read More

    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

  • This week, our In Focus section reviews a wide-ranging and comprehensive final rule released April 4, 2024, by the Centers for Medicare & Medicaid Services (CMS). Read More

    California Medicaid FFS Contracts with Heali’s Food as Medicine Platform Jump to section

    Colorado Settles Lawsuit Regarding Mental Health Care for Children, Agrees to Outside Examination of Program Jump to section

    Avesis, Elevance Health Partner with Uber to Improve Maternal Health in Georgia Jump to section

    Michigan Announces Medicaid Managed Care Awards Jump to section

    New York Governor Invests $359 Million to Expand Supportive Housing Options Jump to section

    North Dakota Approves Pilot Program for Paid Family Caregivers Jump to section

    Vermont Receives Approval for Medicaid Mobile Crisis State Plan Amendment Jump to section

    Virginia Governor Vetoes Prescription Drug Affordability Board Legislation Jump to section

    CMS Announces Final Rule to Promote Competition, Access to Care in Medicare Advantage, Part D Plans Jump to section

    Medicaid Supplemental, Base Payments Vary Among States, MACPAC Finds Jump to section

    Lawmakers Call on FTC, DOJ to Block Optum-Steward Acquisition Jump to section