HMA Weekly Roundup

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  • This week, our In Focus section reviews the request for proposals (RFP) issued on October 31, 2017, to add one or more Medicaid managed care organizations (MCOs) to the statewide IA Health Link managed care program. It was confirmed this Read More

    CMS Approves Iowa Request to End Retroactive Coverage

    Kansas Requests Work Requirement Under KanCare Waiver

    Mississippi to Transition Medicaid Eligibility Verification to DHS, Eyes Medicaid Work Requirements

    Veyo Ends Idaho NEMT Contract

    CMS Proposed Rule Provides States Flexibility in Defining Essential Health Benefits

    Exchange Enrollment Numbers Expected to Decline

  • This week, our In Focus section reviews highlights and shares key takeaways from the 17th annual Medicaid Budget Survey conducted by Health Management Associates for the Kaiser Family Foundation (KFF). Survey results were released on October 19, 2017, in three Read More

    1332 Waiver Update: Oregon Approved, Massachusetts rejected, Iowa Withdrawn

    New Jersey Provides Updates on FamilyCare Program

    Kansas Medicaid Director Steps Down

    Four More Plans to Exit New York FIDA Program

    Maryland Hospital Cost Comparison Website Launched

    Oklahoma to Cut Medicaid Provider Rates

    Wisconsin to increase behavioral health provider rates

    IRS to Enforce Individual Health Insurance Mandate Despite Executive Order

    Federal Judge Allows Administration to Halt CSR Payments

    California Spends Most on Inmate Health Care, Louisiana Spends Least, Report Finds

  • This week, our In Focus section reviews the bipartisan health deal reached by Senators Patty Murray (D-WA) and Lamar Alexander (R-TN), both members of the Senate’s Health, Education, Labor, & Pensions (HELP) Committee. Bipartisan talks around a bill to stabilize Read More

    Massachusetts Medicaid MCO Awards Announced

    KanCare Waiver Granted One-Year Extension

    Florida Releases Statewide Prepaid Dental ITN

    Pennsylvania Announces Approved 2018 Exchange Rates

    CMS to Permit Exchange Rate Changes After Deadline

  • This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 27 states. Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to Read More

    Drug Pricing Measures Become Law in California

    Florida Hospitals Face $1 Billion in Medicaid Cuts Under Proposed Budget

    New Jersey Governor Signs Medicaid Reimbursement Bill for Personal Care Services

    Oklahoma to Reduce Medicaid Provider Rates

    Pennsylvania Court Denies United MLTSS Award Protest

    MedPAC Calls for Repeal and Replace of Merit-Based Incentive Payment System (MIPS)

  • This week, our In Focus section highlights an article, Digitally Driven Integrated Primary Care and Behavioral Health: How Technology Can Expand Access to Effective Treatment, published in the Current Psychiatry Report, co-authored by HMA Principals Lori Raney, MD, and Read More

    Delaware Medicaid Managed Care Awards Announced

    Hawaii Submits 1115 Medicaid Waiver for Housing Services

    Massachusetts Waiver Proposes Moving Adults Off Medicaid, Limited Access to LTSS, Drugs

    Medicaid Expansion Saves Montana $30 Million

    North Shore LIJ to End MLTC Plan Operations

    Oklahoma Withdraws 1332 Innovation Waiver for Reinsurance Program

    Texas IDD Managed Care Pilot Canceled

    House, Senate Committees Move to Advance CHIP Bill

  • This week, our In Focus section reviews the Medicaid managed care procurement landscape for 2017, including those requests for proposals (RFPs) and other procurement vehicles that were awarded, are currently out to bid, or are expected to be released before Read More

    LA County Health Director Katz Joins NYC Health + Hospitals

    Florida Governor Proposes Funding to Combat Opioid Abuse

    Illinois' CountyCare to Acquire Medicaid Members from FHN

    Illinois Awards NextLevel Medicaid MCO Contract for Cook Co.

    Ohio Medicaid Proposes Hospital Reimbursement Cuts

    Graham-Cassidy ACA Repeal-Replace Bill Pulled

    Trump Admin to Shut Down on Sundays

  • This week, our In Focus section reviews the bill put forward last week by Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA) to repeal and replace the Affordable Care Act (ACA). General consensus, the HMA Roundup included, viewed ACA repeal-and-replace Read More

    D.C. Wins Ruling in Suit Filed by Nursing Home Residents Over HCBS

    Iowa Considering Managed Care Exemption for Individuals with Serious Disabilities

    New Jersey Governor Allocates $200M for SUD Initiatives

    New York Blames Correctional Health Company for Death of Three Inmates

    Pennsylvania Delays More Than $1B in Medicaid Payments

    Texas Draft STAR+PLUS RFP Released

    Graham-Cassidy Bill Gains Momentum, Vote Set for Next Week

  • This week, our In Focus section provides a recap of the second annual HMA Conference, The Future of Medicaid is Here: Implications for Payers, Providers, and States, held this Monday, September 11, and Tuesday, September 12, in Chicago, Illinois. More Read More

    MassHealth Submits 1115 Waiver Renewal to CMS

    Montana Legislative Committee Blocks Medicaid Cut

    New Jersey Requests Applications to Expand PACE

    New York May Have Made $1.4B in Improper MLTC Payments

    Ohio Releases Medicaid Managed Care Report Card

    Pennsylvania Provides Update on MCO Award Challenge

    Senate HELP Committee Holds Hearings on Health Reform

    Senate Finance Agrees on Five-Year CHIP Reauthorization

    MACPAC Set to Meet Thursday-Friday, September 14-15

  • This week, our In Focus section reviews the request for proposals (RFP) released by the New Mexico Human Services Department (HSD) to reprocure contracts for the state’s Medicaid managed care program in its second phase, Centennial Care 2.0. Centennial Care Read More

    Oregon Medicaid Audit Finds 55,000 Individuals Ineligible

    New York Drug Spending Exceeds Cap, Triggering Supplemental Rebate Provisions

    New Jersey Appropriates Funding Towards End-Of-Life Initiatives

    Governors Offer Bipartisan Blue Print to Stabilize Exchange

    Funding for ACA Exchange Enrollment Outreach Significantly Decreased

  • This week, our In Focus section reviews a report published by HMA on August 23, 2017, “Impacts of Imposing the ACA’s Health Insurance Tax on Medicaid Plans.” The report, authored by HMA Senior Fellow Jack Meyer, PhD, and Senior Consultant Read More

    Alabama MLTSS RFP Delayed

    Georgia DCH Names Fulenwider Medicaid Director

    MassHealth Selects ACOs, Community Partners

    CareConnect Leaves New York Marketplace

    Texas Medicaid Proposes 10 Percent Provider Rate Cut