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- 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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreIn Focus: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 MoreRoundup:
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
- This week’s In Focus highlights a recently released report written by Health Management Associates colleagues Sharon Silow‐Carroll, Diana Rodin, and Anh Pham, titled “Interagency, Cross-Sector Collaboration to Improve Care for Vulnerable Children: Lessons from Six State Initiatives.” Prepared for the Read MoreRoundup:
Arizona Awards Medicaid Managed Care Contracts
CMS Approves Arkansas Medicaid Work Requirements Waiver
Hawaii Awards Community Care Services Contract to Ohana Health Plan
Massachusetts Providers Expect Confusion as State Rolls Out ACO Networks
Quality Performance Results Published for New Jersey Nursing Facilities
New York Announces Care Coordination Organizations for People with I/DD
North Carolina Releases Enrollment Broker Services RFP
South Carolina Awards Multi-Vendor Integrator Award to Cognosante
HHS Secretary Says Changes Coming to Provider Reimbursements
- This week’s In Focus section, written by HMA Principal Juan Montanez, reviews the request for proposals (RFP) issued by Puerto Rico earlier this month to deliver managed care services to the territory’s Government Health Plan (GHP) members. The government of Read MoreRoundup:
Colorado, Florida, Missouri, Consider Work Requirements
Michigan Receives Bids for Behavioral Health Carve-In
New Jersey Medicaid MCOs Expand Service Areas
New Mexico Judge Denies Injunction in Medicaid MCO Awards Dispute
Wisconsin Legislature Passes Exchange Reinsurance Bill
Justice Department to Support Local Officials in Lawsuits Against Opioid Distributors
FDA to Allow Drugs that Reduce Opioid Craving
- This week’s In Focus section reviews Washington’s 2019/2020 Integrated Managed Care (IMC) request for proposals (RFP) issued by the Washington State Health Care Authority (HCA) on February 15, 2018 to provide 1.6 million Medicaid enrollees with both physical and behavioral Read MoreRoundup:
New York Medicaid Director Jason Helgerson to Step Down
Virginia House Budget Plan Includes Medicaid Expansion with Work Requirements
Michigan To Consider Transitioning Long-Term Care wnto Managed Care
Molina, United Allege Bias in New Mexico Medicaid Contract Awards, State Responds
Kansas Hit with Lawsuit Over Medicaid Denials of Hepatitis C Drugs
New York Catholic Diocese Opposes Governor's Proposal for Fidelis Proceeds
Nebraska Names Matthew Van Patton Medicaid Director
Ohio Medicaid Agency Releases Draft 1115 Waiver with Work Requirements
Alaska State Senators Introduce Medicaid Work Requirements Bill
- This week, our In Focus, written by HMA Principals Nora Leibowitz and Donna Laverdiere, reviews Section 1332 State Innovation Waivers. Section 1332 of the Affordable Care Act allows states to apply for State Innovation Waivers to pursue innovative ways of Read MoreRoundup:
Puerto Rico Releases Medicaid Managed Care RFP
Florida Receives Bids from 8 Medicaid Dental Plans
Mississippi House Passes Bill to Rebid Medicaid Managed Care Program
Missouri Hospitals Win Lawsuit Over DSH Allotment Rule
New Jersey Provides MLTSS Update
New York Senate Opposes Governor’s Proposed Health Insurance Tax
Virginia Awards NEMT Contract to LogistiCare
CMS Is Developing Medicaid Scorecard
Budget Deal Further Extends CHIP Funding
- Texas Lawmaker Calls for Investigation of Medicaid Managed Care Contract Oversight Wisconsin Moves to Mandatory Enrollment for Certain SSI Beneficiaries Trusted Health Plan Responds to Iowa RFP Molina Protests New Mexico Contract Loss, Is Invited to Negotiate in Florida Region Read MoreRoundup:
Texas Lawmaker Calls for Investigation of Medicaid Managed Care Contract Oversight
Wisconsin Moves to Mandatory Enrollment for Certain SSI Beneficiaries
Trusted Health Plan Responds to Iowa RFP
Molina Protests New Mexico Contract Loss, Is Invited to Negotiate in Florida Region 11 Only
Tennessee Wins Federal Approval for Drug Management Pilot
Trump Administration Considers Lifetime Coverage Limits for Medicaid
Republicans Abandon ACA Repeal and Replace For Now
CMS to Release Rural Health Strategy for Providers
