HMA Weekly Roundup

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  • This week, our In Focus section reviews the Indiana Medicaid managed care request for proposals (RFP) for health plans serving beneficiaries enrolled in Hoosier Healthwise and Healthy Indiana Plan (HIP) programs. Contracts will be worth over $6 billion annually. The Read More

    Arizona Looks to Improve Health Outcomes for Homeless

    Georgia Is Asked for New Study on Exchange Waiver Impacts

    Illinois Awards MMIS Contract to CNSI

    Iowa Auto-Assigns Children to Medicaid Dental Plans

    Medicaid Expansion News: Nebraska, Montana, North Dakota, Oklahoma

    Ohio Lawmakers Seek Redo of Medicaid Plan Procurement

    Vermont Medicaid Director Resigns

    Lawmakers Seek More Transparency from CMMI on Value-Based Care Models

  • This week, our In Focus section reviews the draft Medi-Cal Managed Care Plans (MCPs) request for proposals (RFP) released on June 1, 2021, by the California Department of Health Care Services (DHCS). California will procure MCPs for the Two-Plan Model, Read More

    Florida Names Tom Wallace Medicaid Director

    Illinois Legislature Passes Bill to Enhance Medicaid Benefits

    Missouri Medicaid Expansion Court Trial to Begin June 18

    Nevada Senate Passes Public Option Proposal

    New Jersey Bill Would Facilitate Certification of Family Caregivers as Nursing Assistants, Raise Payments

    New York Home Care Providers Worry About New Medicaid Application Process

    New York Medicaid Director to Resign Effective August 11

    North Carolina Completes Medicaid Plan Auto-Enrollment

    Oklahoma Supreme Court Rules Against Transition to Medicaid Managed Care

  • In an issue brief prepared for The Commonwealth Fund and The SCAN Foundation, HMA consultant Jennifer Podulka and Vice President Jonathan Blum, analyze the temporary COVID-19-related changes to Medicare regulations, described the benefits and risks of the changes, and offered Read More

    Florida Medicaid Providers Lag in EHR ‘Meaningful Use’

    Georgia Is Likely to Extend Existing Medicaid Managed Care Contracts, Eyes Potential Clawbacks

    Medicaid Expansion News; Mississippi, Missouri, North Dakota, Wisconsin

    Oklahoma Legislature Approves Bill to Place Guardrails on Medicaid Managed Care Transition

    Washington Medicaid Director MaryAnne Lindeblad to Step Down Effective July 31

    ACA Exchange Premiums Decline for the Third Straight Year

    CMS to End Next Generation ACO Model

  • This week, our In Focus section reviews California’s May Revision to the Governor’s Budget, which proposes a $267.8 billion budget (with $196.8 billion General Fund) for fiscal year 2021-22. The revised budget includes $24.4 billion in reserves, the largest in Read More

    Connecticut Releases RFP for Behavioral Health ASO

    Delaware to Implement Medicaid ACO Contracts in January

    Minnesota Reaches Decision on Likely Medicaid MCO Winners

    Missouri Lawmakers Fail to Renew Medicaid Provider Tax

    Missouri Courts Likely to Decide Fate of Medicaid Expansion

    Nevada Budget Panel Approves Roll Back of Provider Cut

    New Jersey Releases RFA for Burlington County PACE

    North Carolina Extends Medicaid Plan Open Enrollment

    Texas to Resubmit 1115 Medicaid Waiver Extension Application

    SAMHSA to Offer State Block Grants for Behavioral Health

  • This week, our In Focus section reviews the key provisions of the Centers for Medicare & Medicaid (CMS) Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital (LTCH) Proposed Rule (CMS-1752-P), which includes Read More

    Arkansas Releases MMIS Fiscal Agent RFP

    California DHCS Announces Counties That Intend to Transition to Local Medi-Cal Managed Care Plan Model

    Hawaii Awards MMIS Contract to Conduent

    Medicaid Expansion News: Missouri, Montana, South Dakota, Wisconsin, Wyoming

    Ohio Health Plan Files Lawsuit to Access Medicaid Procurement Documents

    Texas House Passes Bill to Contract with Baylor Scott & White Health in Central RSA

    PBM Pricing Practices Under Scrutiny by Attorneys General in Eight States

    U.S. Senate Confirms Andrea Palm as HHS Deputy Secretary

  • This week, our In Focus section examines differences in Medicare Advantage (MA) churn rates among select provider-sponsored plans (PSPs) and nonPSPs. Enrollee churn rates, or rates at which enrollees switch plans, may be an indicator of enrollee satisfaction. In the Read More

    Indiana Medicaid NEMT Company Faces Criticism

    Iowa Medicaid Director to Focus on Social Determinants

    Kentucky to Rebid Medicaid Managed Care Contracts Again

    Mississippi Is Likely to Extend Centene Medicaid Contract

    Medicaid Expansion News: Mississippi, Missouri, National

    New Jersey Budget Proposal Includes Wage Increases for Critical Care Workers

    GAO Names Melanie Bella Chair of MACPAC

  • This week, our In Focus section reviews publicly available data on enrollment in capitated financial and administrative alignment demonstrations (“Duals Demonstrations”) for individuals dually eligible for Medicare and Medicaid (dual eligibles) in nine states: California, Illinois, Massachusetts, Michigan, New York, Read More

    Georgia Wins Approval to Extend Medicaid Postpartum Coverage to Six Months

    Iowa Governor Appoints Matney as Medicaid Director

    Medicaid Expansion News: Missouri, Texas

    Nevada Medicaid Home Care Bill Addresses Quality, Working Conditions

    Ohio Health Plans Protest Medicaid Managed Care Awards

    Molina to Acquire Cigna’s Texas Medicaid, MMP Contracts

    CMS to Ease Medicare Price Transparency Requirements for Hospitals, Raise Payment Rates Under Proposed Rule

  • This week, our In Focus reviews the fiscal year (FY) 2022 skilled nursing facility (SNF) proposed payment rule, released by the Centers for Medicare & Medicaid Services (CMS) on April 8, 2021. If the proposals contained in the rule are Read More

    Arkansas House Approves Medicaid Budget

    Florida Senate Budget Bill Rolls Back Medicaid Cuts

    Georgia Releases NEMT RFP

    Missouri Accepts Resignations of Two Top Health Officials

    Missouri House Passes Budget Without Medicaid Expansion

    Oklahoma House Moves to Halt Medicaid MCO Transition

    Texas Medicaid Waiver Extension Is Rescinded

    CMMI Director Discusses Alternate Payment Models

    CMS Issues Guidance on Pricing Transparency Rule

  • This week, our In Focus section reviews federal enacted and proposed investments in home and community-based services (HCBS). HCBS are critically important for millions of Americans with disabilities and older adults, assisting them to remain in their homes and participate Read More

    Medicaid Expansion News: Arkansas, Mississippi, Montana

    Arkansas PASSE Program Is Eyed By CareSource

    Medicaid Postpartum Coverage: Florida, Illinois

    North Carolina Falls Short in Medicaid Oversight Audit

    Ohio Awards Medicaid Managed Care Contracts

    Oklahoma House Committee Advances Bill Challenging State’s Planned Medicaid Managed Care Transition

    South Carolina Nominates Robert Kerr as Medicaid Director

    Biden Is Expected to Sign Bill Extending Moratorium on Medicare Provider Cuts

    CMMI Names New Model Winners

  • The COVID-19 pandemic highlighted nursing home safety and infection control as critical public health issues. A new report authored by HMA colleagues found compelling evidence that single rooms in nursing homes have numerous benefits for both public health and residents’ Read More

    Leavitt Partners Becomes Part of HMA

    Arkansas Names Elizabeth Pitman Medicaid Director

    Medicaid Expansion News: Indiana, North Carolina, Georgia, Missouri, Wyoming

    Iowa Senate Approves Medicaid Primary Care Capitation Pilot

    Michigan Medicaid Work Requirements Waiver Is Rescinded

    Missouri Taps Kirk Mathews as Interim Medicaid Director

    New York to Delay Medicaid Pharmacy Carve-Out Until 2023

    Ohio Awards OhioRISE Managed Behavioral Plan Contract

    South Carolina Awards Medicaid RAC Contract to HMS