HMA Weekly Roundup

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  • This week, our In Focus reviews a case study called, “Spotlight on Health Center Payment Reform: Washington State’s FQHC Alternative Payment Methodology, ” authored and prepared for the National Association of Community Health Centers by Health Management Associates’ Principal Art Read More

    Texas Reissues STAR+PLUS RFP

    Kentucky Restores Dental, Vision Benefits to Medicaid Beneficiaries

    South Dakota Releases RFP for Medicaid, CHIP Eligibility System

    California Health Exchange Rates to Rise 8.7 Percent

    CMS to Resume Exchange Plan Risk-Adjustment Payments

  • This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 28 states.1 Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This Read More

    Arkansas Work Requirement Takes Effect; 7,000 Beneficiaries Fall Short

    Massachusetts to Release One Care RFP in August

    Ohio to Request 3-Year Extension of Dual Demonstration

    Kansas, Rhode Island to Lift Limits on Hepatitis C Treatment

    Oklahoma Medicaid Wins Approval for Value-Based Drug Program

    New Mexico Judge Grants UnitedHealth Stay in Contract Award Dispute

    New York Launches Care Management Program for People with Developmental Disabilities

  • This week, our In Focus reviews the Mississippi Children’s Health Insurance Program (CHIP) request for qualifications (RFQ) issued by the state’s Division of Medicaid on June 8, 2018. The Mississippi CHIP program provides statewide health coverage in all 82 counties Read More

    Alabama Awards Integrated Care Network Contract

    Arizona Releases Integrated Health Care Choice Plans RFP

    Florida Awards Medicaid Prepaid Dental Program Contracts

    Kansas Medicaid Managed Care Awards Face Protest

    Kentucky Medicaid Work Requirement Struck Down By Judge

    Maine House Sustains Medicaid Expansion Funding Veto

    Nebraska Medicaid Ballot Initiative Meets Threshold

    Puerto Rico Awards Medicaid Managed Care Contracts

    Texas Cancels STAR+PLUS RFP

  • This week, our In Focus comes from Senior Consultant Rachel Patterson, who provides an overview of Chapter 3 of the Medicaid and CHIP Payment and Access Commission (MACPAC) June 2018 Report to Congress on Medicaid and CHIP, which examines the Read More

    Florida to Award Children’s Medical Services Contract to WellCare

    Florida Decision to Award Molina Contract in Region 8 to Be Challenged By Best Care Assurance

    Kansas Awards Medicaid Managed Care Contracts

    Michigan Governor Signs Medicaid Work Requirements Bill

    New Jersey Releases January 2019 Amendments to Medicaid MCO Contract

    CMS to Increase Oversight of Medicaid Managed Care Plans, States

  • This week, our In Focus section comes from Ellen Breslin in our Boston office who provides an overview of MassHealth’s Duals Demonstration 2.0 (“Duals Demo 2.0”) proposal to the Centers for Medicare and Medicaid Services (CMS) which is designed to Read More

    Florida Awards Additional Medicaid Managed Care Contracts Following Protests

    Maine Judge Orders Governor LePage to Submit Medicaid Expansion Plan

    New Jersey Provides Update on Fiscal Intermediary Transition

    New York Director of the Division of Long Term Care Resigns

    New York Attorney General Approves Centene Acquisition of Fidelis Care

    Conservatives Release New Proposal for ACA Repeal, Replace

    SAMHSA to Award $930 Million in State Opioid Treatment Grants

  • This week, our In Focus section highlights HMA Medicaid Market Solutions’ (MMS) efforts to support state flexibility in designing and implementing Section 1115 Demonstration Waivers promoting member engagement and personal responsibility. Over the coming weeks, HMA MMS will present a Read More

    Florida Announces Additional Medicaid Managed Care Awards

    Arkansas Medicaid Director Resigns

    Maine Appeals Medicaid Expansion Court Order

    Mississippi Releases CHIP Managed Care RFQ

    New Hampshire Awards Centene Correctional Healthcare Contract

    Virginia Governor Signs Budget Expanding Medicaid

    CMS Releases Guidance on Combating Opioid Epidemic

    GAO Urges CMS to Address Risk of Overpayments to Medicaid Managed Care Plans

  • Health Management Associates is proud to announce its third annual conference on trends in publicly sponsored health care: The Rapidly Changing World of Medicaid: Opportunities and Pitfalls for Payers, Providers and States. Read More

    Judge Orders Maine Governor to Implement Medicaid Expansion

    Arkansas Launches Medicaid Work Requirements

    Florida Announces Additional Awards for Statewide Medicaid Managed Care Procurement

    New Jersey Passes Individual Health Insurance Mandate

    Alaska Announces Coordinate Care Demo Awards

    CMS Releases Medicaid, CHIP Quality Scorecard

  • This week, our In Focus section reviews the North Carolina Department of Health and Human Services (DHHS) Medicaid Managed Care Proposed Policy Paper released on May 16, 2018, Prepaid Health Plans in North Carolina Medicaid Managed Care. This policy paper Read More

    Washington Announces Medicaid MCO RFP Awards

    Florida to Enact Cuts to Correctional Treatment Programs

    Utah to Vote on Medicaid Expansion Ballot Measure in November

    Virginia Senate Approves Medicaid Expansion

    Minnesota Seeks Waiver to Use Medicaid Funding for Residential Drug Treatment

  • This week, our In Focus, written by HMA Principal Anne Winter and Senior Consultant Aimee Lashbrook, examines American Patients First: The Trump Administration Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, released May 11, 2018. Over time, the Read More

    Centene Awarded Managed Care Contract in Iowa, Correctional Health Contract in Tucson, Arizona

    New Mexico Rejects Protests of Medicaid Managed Care Contract Awards.

    Virginia Senate Delays Budget, Medicaid Expansion Talks

    Louisiana Tables Tax Reviews for Medicaid Eligibility

    Michigan Shelves Work Requirements Exemption Tied to County Unemployment Rate

    UnitedHealth Report Finds Exchange Coverage Is More Costly Than Medicaid

  • 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

    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