HMA Weekly Roundup

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  • This week, our In Focus section reviews the Texas STAR+PLUS request for proposals (RFP) issued on December 4, 2017. The STAR+PLUS Medicaid managed care program covers approximately 519, 000 individuals who have disabilities or are aged 65 or older. The Read More

    Kansas Secretary of Health to Step Down

    Illinois Finalizes Contracts with Seven Medicaid Managed Care Plans

    21 Florida MCOs Submit Bids for Medicaid Managed Care Procurement

    Colorado Expands Access to Hepatitis C Drugs for Medicaid Members

  • This week, our In Focus section examines the 10 states that have not expanded Medicaid under the Affordable Care Act but where citizens can initiate a public vote on the issue. In November, nearly 60 percent of Maine voters approved Read More

    Arizona Supreme Court Upholds Medicaid Expansion Funding

    Arkansas Approves Gateway-sponsored PASSE

    Florida Gov. Releases Proposed 2018-19 Budget

    Suits Force Florida, Missouri to Expand Hepatitis C Treatment

    Iowa Health Link RFP Attracts LOIs from Centene, Medica

    Iowa Appoints Randol as Medicaid Director

    Massachusetts Seeks Waiver to Negotiate Drug Rebates, Exclude Certain Medications

    OIG Report Says New Jersey Owes $300 Million for Special Education Services

    North Carolina Proposes Medicaid Premiums, Work Requirements in Waiver Amendment

  • This week, our In Focus section reviews the new guidelines issued by the Centers for Medicare & Medicaid Services (CMS) on expediting the approval process for Medicaid waivers and state plan amendments (SPAs) and improving quality, accessibility, outcomes, and transparency. Read More

    Trump Nominates Alex Azar as Health and Human Services Secretary

    Virginia announces medallion 4.0 Medicaid managed care notices of intent to negotiate

    Texas Names Muth as New Medicaid Director

    New Jersey DHS Expands Behavioral Health Benefits Covered Under NJ Family Care

    West Virginia Considers Medicaid Work Requirements for Expansion Population

    Senate Finance Committee Adds Repeal of Individual Mandate to Tax Bill

    CBO Projects 13 Million Additional Uninsured Following Repeal of Individual Mandate

  • This week, our In Focus section reviews two Medicaid managed care requests for proposals (RFPs) released on November 2, 2017. The Arizona Health Care Cost Containment System (AHCCCS) issued an RFP for the “Complete Care” program, which will integrate Medicaid Read More

    Maine Voters Approve Ballot Initiative to Expand Medicaid

    CMS Issues New Guidelines to Expedite Medicaid Waiver, State Plan Amendment Approval Process

    Verma Confirms Support for Medicaid Work Requirements

    Florida Medicaid Managed Care ITN Respondents Identified

    Utah Medicaid Expansion Waiver Approved

    Idaho Seeks Waivers to Expand Coverage, Create Complex Needs Program

    New Hampshire Submits 1115 Waiver Application, Includes Medicaid Work Requirements

    North Carolina Releases Managed Care RFIs

    Taylor Named Indiana Medicaid Director

    Pennsylvania Postpones Phase 2 and Phase 3 Rollout of Community HealthChoices

  • 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