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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 MoreRoundup:
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 MoreRoundup:
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 MoreIn Focus:Roundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreIn Focus:Roundup:
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 MoreRoundup:
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
