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- This week, our In Focus reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 33 states. Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This Read MoreRoundup:
California Governor May Veto PACE Telehealth Bill
Colorado Begins Scaling Back Medicaid NEMT Contract
Florida Officials Expect ‘Imminent’ Federal Approval of HCBS Spending Plan
Minnesota to Waive Premiums for Certain Expansion Members
New Jersey Hospital System to Exit Medicaid Plan Network
New York Appoints Mary Bassett Commissioner of Health
Vermont Hospital to Be Sole Parent of OneCare Vermont
Most Medicaid Members Face Inadequate Housing, Study Says
AmeriHealth Caritas Forms Subsidiary to Address Social Determinants of Health
Wayspring Receives Investment to Expand Substance Use Disorder Treatment Model
- Aimed at shifting and improving the delivery of addiction treatment within county jails, Health Management Associates (HMA) will partner with the Washington/Baltimore High Intensity Drug Trafficking Area (W/B HIDTA) and Fairfax County Sheriff’s Office to deliver a novel Project ECHO Read MoreRoundup:
Connecticut to Combine Medicaid, Housing Services
Florida Approves Exchange Premiums Hike of 6.6 Percent
Michigan to Continue Expanded Medicaid Program in Flint
Mississippi Economist Says Uncompensated Care Savings Would Cover State Cost of Medicaid Expansion
Oklahoma Fails to Win HCBS Residency Requirement Approval
Oregon to Seek Federal Funding for Health Equity
Puerto Rico Secures $2.9 Billion in Federal Medicaid Funding
CMS to Include Dual-Eligible Plan Features in Medicare Plans
Exchange Plan Enrollment Hits All Time High at 12.2 Million
Molina to Bid on 40 Percent of Medicaid Procurements
Intermountain Healthcare, SCL Health to Merge
- This week, our In Focus reviews the the New Jersey Department of Human Services (DHS), Division of Medical Assistance and Health Services (DMAHS) draft proposal for the renewal of its 1115 Comprehensive Demonstration Waiver, released on September 10, 2021. The Read MoreRoundup:
Colorado to Address Maternal Health Disparities
District of Columbia Delays MedStar Contract Extension
Georgia to Begin Bidding Process for Medicaid Plans in 2022
Louisiana Appoints Medicaid Executive Director
Michigan to Hold Hearings on Carving Behavioral Health Into Medicaid Managed Care
New Hampshire Renews MMIS Contract with Conduent
Ohio Medicaid Plan Faces 600 Layoffs Without State Contract
Tennessee Sees Opposition to Block Grant Waiver
Democrats Detail Plan to Close Medicaid Coverage Gap
HHAeXchange Secures Investment from Hg
Health Plans to Expand Exchange Offerings in 2022
- This week, our In Focus reviews the Texas Health and Human Services Commission (HHSC) draft request for proposals (RFP) for Texas STAR Health, the state’s Medicaid managed care program for foster care kids. The state is also seeking public input Read MoreRoundup:
California Launches Enhanced Care Management Program
California Awards EVV Contract to Sandata
District of Columbia Extends MedStar Medicaid Contract; To Release Medicaid Managed Care RFP in November
Idaho Awards Correctional Health Contract to Centurion
Maine Medicaid To Raise Residential SUD Treatment Rates
Ohio ACO to Serve 100,000 CareSource Medicaid Members
Vermont All-Payer System Achieves Medicare Savings
CMS Gives 13 States $452 Million for Reinsurance Programs
LHC Group to Acquire Brookdale Health Agencies
Highmark Health Acquires Remaining Stake in Gateway
- This week, our In Focus section reviews key takeaways from the report, Medicaid Non-Emergency Transportation Benefit: Stakeholder Perspectives on Trends and Innovations, prepared by Health Management Associates (HMA) for the Medicaid and CHIP Payment and Access Commission (MACPAC). The report Read MoreIn Focus:Roundup:
MedStar Health May Drop CareFirst, AmeriHealth Caritas Medicaid Plans from Network
Illinois Medicaid to Expand Maternal, Child Health
Missouri Medicaid Expansion Applications Hit Snag
Missouri Medicaid Director Slated to Return in September
New York Seeks Medicaid Waiver to Improve Health Disparities
Texas Medicaid Waiver Extension Is Upheld by Federal Judge
Wisconsin Releases Draft RFP for Medicaid Managed LTC
GuideWell to Acquire Triple-S Management
Independent Living Systems Completes Stock Buyback
Cityblock to Serve BCBS-NC Medicaid, Medicare Members
- This week, our In Focus section reviews the Arizona Health Care Cost Containment System (AHCCCS) Competitive Contract Expansion (CCE) request for proposals (RFP), released on August 4, 2021. The procurement will expand the current AHCCCS Complete Care (ACC) Medicaid contracts Read MoreRoundup:
Colorado to Continue Exchange Reinsurance Program
Illinois Enacts Medicaid Behavioral Network Adequacy Law
Kansas to Investigate Pharmacy Benefit Managers
Massachusetts to Submit MassHealth 1115 Waiver Extension
Missouri Looks to Release Medicaid Managed Care RFP in Fall
New York Auditors Question $1.5 Billion in Medicaid Payments
North Carolina Clears Mecklenburg County to Switch Managed Care Plans for Behavioral, IDD Beneficiaries
Ohio Awards Medicaid Managed Care Contract to Centene
Medicare Plan Is Subject to Overpayment Rule, Court Says
- President Biden and Senator Majority Leader Schumer have been pursuing a two-track strategy to advance major policy objectives in 2021. The first track, the bipartisan “Infrastructure Investment and Jobs Act, ” passed the Senate 69- 30. Attention now turns to Read MoreRoundup:
Missouri Is Ordered to Begin Medicaid Expansion Immediately
Mississippi Advocates Dispute Claims of Medicaid Fraud
Tennessee Medicaid Block Grant Waiver Is Open for Comment
Virginia Sees Medicaid Addiction Treatment Benefit Use Rise
Lawmakers Push CMS to Issue Guidance on Postpartum Medicaid Coverage Extension
- This week, our In Focus section highlights a Health Management Associates (HMA) report, commissioned by Arnold Ventures and the Joyce Foundation, titled Cost Estimate of Federal Funding for Gun Violence Research and Data Infrastructure. The report projects the cost to Read MoreRoundup:
Arizona RFP Seeks Medicaid Plans to Integrate Coverage for Individuals with Serious Mental Illness
California to Stagger CalAIM Behavioral Health Changes
California Delays Implementation of Medi-Cal Rx
Georgia Medicaid Plans Could Face $500 Million in Clawbacks
New York Releases NEMT Brokerage Management RFP
Pennsylvania Receives Federal Funding I/DD, LTSS
Texas Submits Medicaid Managed Care Waiver Amendment to Federal Regulators
Biden Seeks to Overturn Medicaid Waiver Guardrails
CMS Scraps Provider, Medicare Plan Contract Transparency Requirement
- This week, our In Focus section highlights a recent pair of reports prepared for Arizona for Better Medicaid. HMA colleagues examined the impact of managed long-term services and supports (MLTSS) in state Medicaid programs. The first report, Growth in MLTSS Read MoreRoundup:
Alaska Medicaid Covers Gender Reaffirming Health Care
Connecticut to Use Medicaid Funds for Violence Prevention
NEMT News: Connecticut, Georgia, Idaho
Missouri Supreme Court Upholds Medicaid Expansion
North Carolina Awards Medicaid Managed Care Regional Behavioral Health I/DD Contracts to Seven Plans
- This week our In Focus section reviews Vermont’s Global Commitment to Health Section 1115 waiver renewal application. In the proposed five-year demonstration extension, Vermont seeks to move the Medicaid population to a new a risk-bearing public, state-run managed care organization Read MoreRoundup:
California Budget Eliminates Asset Test for Dual Eligibles
Delaware to Release Medicaid Managed Care RFP in December
Florida Medicaid Enrollment Surpasses State Projections
Indiana Releases Medicaid MLTSS RFI
Kentucky Health Plans Appeal Ruling that Would Force Medicaid Managed Care Rebid
Medicaid Waiver Renewals: Maryland, Massachusetts
North Carolina Medicaid Plans Join Care Coordination Platform
Washington Medicaid Drug Payment Plan Is Remanded to CMS
Senate Democrats Agree to Medicare, Medicaid Expansions
