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- 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
- This week, our In Focus section shares HMA’s takeaways from the Centers for Medicare & Medicaid Services (CMS) white paper on the CMS Innovation Center Strategy Refresh: Driving Health System Transformation – A Strategy for the CMS Innovation Center’s Second 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
- This week, our In Focus highlights a recent issue brief, Center for Medicare and Medicaid Innovation: Recommendations for Future Direction, which revisits questions raised in a previous HMA report and offers potential answers to guide progress and changes for demonstrations Read MoreIn Focus:Roundup:
Arizona Medicaid Plans Bid to Integrate Individuals With SMI
Florida May Realign Medicaid Districts in Next Procurement
Illinois Official Urges Action on Nursing Home Payments
Iowa Releases Medicaid NEMT RFP
Massachusetts, Plans Sign One Care Dual Demo Contracts
Montana Seeks Waiver to Address Substance Abuse
Ohio Medicaid Managed Care Trial Continues
Oregon to Release Medicaid Waiver Renewal Draft
CMS Aims to Move Medicaid Members to Accountable Care
BrightSpring Health Services Files for IPO
Commonwealth Care Signals National Expansion
- This week, our In Focus provides an analysis of 2022 Medicare Advantage (MA) Star Ratings, including a look at how regulatory changes during the COVID-19 pandemic resulted in a record number of Medicare plans receiving historically high scores. HMA Read MoreRoundup:
California Moves Medi-Cal RFP Release Date to February 2022
Delaware Releases RFP Seeking HCBS Providers
District of Columbia Releases Health Home Care Services RFQ
Long-term Care News: Illinois, Minnesota, Pennsylvania
AmeriHealth Caritas Launches NC Exchange Plans
Ohio Trial Over Medicaid Managed Contract Awards Begins
Oregon CCOs to Receive a 4.2 Percent PMPM Rate Increase
Tennessee Delays Medicaid Managed Care Contract Awards
Virginia to Release Draft Contract for Planned Medicaid Managed Care Program Consolidation
Washington Eyes Use of Medicaid Funds for Medical Respite
MACPAC Reports 8 Percent Medicaid, CHIP Churn Rate in 2018
Best Buy to Acquire Remote Monitoring Technology Company
Molina Healthcare Acquires LTC Business of AgeWell
- This week, our In Focus highlights the issue brief, Strategic Approaches to Utilization of American Rescue Plan Act Funds to Support Older Adults, written by HMA Principal Madeleine Shea, PhD and Senior Consultant Aaron Tripp, MSW and distributed by Milbank. Read MoreIn Focus:Roundup:
Iowa Medicaid Managed Care Contract Is Eyed by CareSource
Medicaid Expansion News: Missouri, Nebraska, South Dakota
New York Seeks Applicants for Transformation Grants
North Carolina Strengthens Regulation of PBMs
Ohio to Increase Medicaid Provider Rates for HCBS
Oklahoma Isn’t Reducing HCBS Wait List Enough, Report Says
Oregon Eyes Giving CCOs More Flexibility to Cover SDOH
Texas Releases STAR Health Foster Care RFP
Wisconsin Chooses Veyo for Medicaid NEMT Services
CMMI Eyes More Mandatory Payment Models
Medicare Advantage Premiums to Decline 10 Percent in 2022
Sun Life Financial to Acquire DentaQuest
