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- This week our In Focus section reviews the Minnesota request for proposals (RFP) for Families and Children Medical Assistance (MA), the state’s traditional Medicaid managed care program, and MinnesotaCare, the state’s Basic Health Program (BHP), in 80 counties outside of Read MoreRoundup:
Arkansas Budget Proposal Assumes Rising Medicaid Costs
Georgia Seeks to Reinstate Medicaid Work Requirements
Indiana Delays Release of MLTSS RFP Until May 2022
Maryland Senators Seek Enhanced Adult Dental Coverage
Montana Lawmakers Consider CCBHCs
New York Expects Savings from Medicaid Plan Procurement
Wyoming Medicaid Administrator Teri Green Retires
Medication Assisted Treatment Use for SUD Rises, CMS Reports
States Prepare to Restart Medicaid Redeterminations
Exchange Plan Offerings Increase in 2021
- This week, our In Focus section highlights the Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicare Advantage (MA) and Part D programs for contract year 2023 and how these changes may impact plan applications, bid submissions, Read MoreRoundup:
Florida Governor Snubs Federal COVID-19 Vaccine Mandate
Georgia Budget Proposal to Fund New Insurance Exchange
Louisiana Releases Medicaid PBM Services RFP
Minnesota Releases Medicaid Managed Care, MinnesotaCare RFP Covering 80 Counties
Missouri Receives 3 Bids for Medicaid Managed Care Program
New Mexico to Extend Medicaid Postpartum Coverage
New York Eyes Competitive Bidding for Medicaid Plans
New York Governor Proposes Medicaid Rate Increases
Wisconsin Releases HCBS Care Management System RFP
Behavioral Health Group Buys Center for Behavioral Health
- This week, our In Focus section highlights a Wakely white paper titled, CMS Changes to the Medicare Advantage Star Rating Program Drive Significant Increases to Overall Star Ratings. Read MoreRoundup:
Arkansas Reaches Settlement with Empower Healthcare
California FQHCs to Receive Less 340B Funding
Florida Bill Would Reshape Medicaid Managed Care Regions
Indiana Awards Medicaid Managed Care Contracts
Expansion News: Kansas, Missouri, South Dakota, Wyoming
Minnesota Seeks Models that Increase HCBS Provider Wages
New York Looks to Rebuild State Healthcare Economy
Oregon Clears Centene/Trillium to Enroll New Members
CMS Looks to Partnerships to Address Costs, Disparities
- This week, our In Focus highlights a new report prepared by Health Management Associates (HMA) on the potential for Medicaid Managed Care to enable states to address social determinants of health (SDOH) and health equity above and beyond what’s possible Read MoreRoundup:
California Receives Approval for CalAIM Demonstration
Georgia Must Remove Medicaid Expansion Work Requirements
Idaho Seeks Offers to Administer Behavioral Health Plan
Iowa Delays Release of Medicaid Managed Care RFP
Montana Must Wind Down Medicaid Expansion Premiums Above 2 Percent of Income, CMS Says
Anthem Acquires Ohio Medicaid Contract from Paramount
South Dakota Voters to Decide on Medicaid Expansion
CMS Proposes Rule to Standardize Exchange Plans
- This week, our In Focus reviews the Mississippi request for qualifications (RFQ) for the state’s traditional Mississippi Coordinated Access Network (MississippiCAN) Medicaid program and the state Children’s Health Insurance Program (CHIP). Read MoreIn Focus:Roundup:
Arkansas Is Cleared to Continue Covering Medicaid Expansion Eligibles Through Exchange Plans
California to Tighten Medicaid Plan Subcontracting Rules
District of Columbia Delays Carve-In of Medicaid Behavioral
Louisiana Is Cleared to Launch Medicaid Coverage for Children with Disabilities
Montana to Increase Income Eligibility Limit for Medically Needy Program
Utah Appoints Jack Szczepanowski as Medicaid Director
Individual Health Plans Pay $1.3 Billion in MLR Rebates
CMS to Investigate PBM Fees Charged to Pharmacies
CMMI to Launch New Payment Models in 2023 at the Earliest
- This week, our In Focus section reviews the District of Columbia (DC) Medicaid managed care request for proposals (RFP), released on November 19, 2021, by the District of Columbia Department of Health Care Finance. Read MoreRoundup:
California OKs Single Medicaid Plan Model in 3 Counties
Delaware Releases Medicaid Managed Care RFP
HCBS News: Arkansas, New Hampshire, Wisconsin
Mississippi Releases RFQ for MississippiCAN, CHIP
Missouri ACOs Produce $58 Million in Medicare Savings
Nebraska Seeks Input Ahead of Medicaid Plan Procurement
Virginia Releases Medicaid Dental Benefits Administrator RFP
Medicaid, CHIP Enrollment Rises 8.9 Percent, MACStats Says
States Turn to Medicaid Plans to Address SDOH
- This week, our In Focus section highlights a recent HMA analysis of the impact of Medicaid managed care on key quality indicators. Read MoreRoundup:
Arkansas Investigates Medicaid PASSE for Fraud
Colorado RAE Won’t Recoup Behavioral Provider Claims
Louisiana Expects to Make Medicaid Managed Care Contract Award Recommendations This Week
CareSource, TrueCare Eye Mississippi Medicaid Plan Contract
North Dakota Contracts with Conduent to Upgrade MMIS
Ohio Issues Dental OPTIONS Program RFI
Oregon Releases Medicaid 1115 Waiver Renewal Draft
Wisconsin Medicaid Director to Step Down
CMS Says State Medicaid Can Cover Audio-Only Telehealth
- This week our In Focus reviews the Missouri MO HealthNet (MHD) Medicaid Managed Care Program request for proposals (RFP), released on November 19, 2021, by the Department of Social Services (DSS). Read MoreRoundup:
Arkansas Suspends New Enrollment in Empower Healthcare
District of Columbia Releases Medicaid Managed Care RFP
Maryland Expects Medicaid Enrollment to Fall in Fiscal 2023
Nevada Seeks Equal Distribution of Medicaid Plan Membership
North Carolina to Appoint Kody Kinsley Secretary of Health
Pharmacy Chains Helped Fuel Opioid Crisis, Jury Finds
Texas to Pilot LTSS Managed Care Carve-in
Vermont Will Not Be Penalized for Failing to Meet All-Payer ACO Enrollment Target, CMS Says
- This week our In Focus reviews the Rhode Island Medicaid managed care request for qualifications (RFQ), released on November 12, 2021, by the Executive Office of Health and Human Services (EOHHS). Contracts are worth approximately $1.4 billion annually and cover Read MoreRoundup:
Florida Releases Invitations to Negotiate for MMIS Upgrades
Louisiana Releases Medicaid NEMT RFP
North Carolina Delays Launch of Behavioral Health IDD Tailored Plans to December 2022
Oregon Seeks Waiver for In-Home Personal Care, Family Caregiver Assistance Program
Michigan Issues RFP for Senior Center Wellness Program
Medicaid Expansion News: Missouri, North Carolina
Pennsylvania Court Rules in Favor of State in Two Separate Protests of Medicaid Managed Care Awards
Virginia Reports $654 Million Medicaid Surplus
CMS Announces Increased Medicare Part B Premiums for 2022
- This week our In Focus reviews Minnesota Department of Human Services (DHS) requests for proposals (RFPs) for two of the state’s Medicaid managed care programs: Minnesota Senior Health Options/Minnesota Senior Care Plus and Special Needs BasicCare/Integrated Special Needs BasicCare. Both Read MoreRoundup:
Arkansas Governor Expects Approval of Expansion Waiver
alifornia Medicare Plan Faces Whistleblower Lawsuits
District of Columbia to Increase Procurement Oversight
Maryland Announces Medicaid Rate Increases for HCBS
Minnesota Names Medicaid Managed Care Award Winners
New Hampshire Releases MMIS RFI
Ohio Official Says PBMs are Improperly Collecting Clawbacks
Oregon Publishes Concept Papers for 1115 Waiver Renewal
Jefferson Health Buys Stake in Health Partners Plans
Wisconsin Transitions Medicaid NEMT Business to Veyo
Democrats Agree to Let Medicare Negotiate Some Drug Prices
Centene Sells Majority Stake in U.S. Medical Management
Centene to Put PBM Business Out to Bid
