HMA Weekly Roundup

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  • 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

  • This week, our In Focus section reviews updated information issued by the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) on Medicaid expansion enrollment from the “May 2017 Medicaid and CHIP Application, Eligibility Determination, Read More

    Illinois General Assembly Passes Bill that Could Require Managed Care Rebid

    New York Announces 2018 Exchange Rates

    Ohio Medicaid MLTSS Plans on Hold

    Pennsylvania Governor Appoints Miller as Acting DHS Secretary

    HHS Delays Planned Changes to 340B Program

    Senate HELP Committee to Hear from Governors, Insurance Commissioners After Labor Day

  • This week, our In Focus section is taking a brief summer vacation. Below, we provide our regular HMA Roundups, Industry News, RFP and Duals Calendars, and HMA News sections. We also want to take a moment to remind our readers Read More

    Illinois Announces Medicaid Managed Care Awards

    Georgia Medicaid Director, Deputy Director Step Down

    Montana to End Medicaid Expansion TPA Contract

    Nebraska Releases Final Medicaid LTSS Redesign Plans

    CBO Releases Score of Exchange CSR Impact

  • This week, our In Focus section reviews “North Carolina’s Proposed Program Design for Medicaid Managed Care, ” a draft proposal published this week for public comment, which provides a detailed overview of the planned statewide Medicaid managed care program to Read More

    Arkansas Names DMS Director

    Temporary Cuts to Medi-Cal Reimbursements Ruled Improper

    Florida Medicaid Waiver Receives CMS Approval

    New Jersey 1115 Waiver Extension Approved

    New York FIDA Duals Demonstration Expands

    New York Previews CCOs for Individuals with I/DD

    Maine Waiver Calls for Work Requirements, Premiums

    Washington Duals Demo Shows Positive Quality, Cost Results

  • In deference to Miracle Max, after last week’s failed votes on “Repeal and Replace, ” “Straight Repeal, ” and “Skinny Repeal, ” the GOP’s efforts to undo the Affordable Care Act (ACA) through budget reconciliation appear to be at least Read More

    Alabama to Pursue an Alternative to Regional Care Organizations

    Colorado Issues Regional Accountable Entities RFP

    Florida Releases Medicaid Prepaid Dental Program RFI

    Illinois Begins Making Overdue Payments to Medicaid Plans

    Indiana Issues RFI for FFS Medicaid PBM

    New York Provides DSRIP Year 2 Results

    Pennsylvania Delays HealthChoices Implementation

    Centurion Retains Tennessee Correctional Health Contract

    CMS Outlines DSH Funding Reductions Set to Begin in October

  • This week, our In Focus section reviews the request for proposals (RFP) issued by the Virginia Department of Medical Assistance Services (DMAS) for the Medallion 4.0 Medicaid managed care program. Medallion 4.0 will serve roughly 740, 000 children, including those Read More

    Mississippi True, Anthem Protest Medicaid MCO Awards

    Nebraska, Montana Propose Medicaid Provider Payment Cuts

    New York Demonstrates Progress in Reducing Avoidable Hospital Use

    New York Awards Contract to Administer Medicaid Insurance Programs

    Medicaid Expansion States See Decline in Unpaid Medical Bills, Higher Financial Satisfaction

  • This week, our In Focus section reviews the Invitations to Negotiate (ITNs) issued on July 14, 2017, by the Florida Agency for Health Care Administration (AHCA) to re-procure its managed care vendors. The ITNs will involve separate and simultaneous regional Read More

    Virginia Releases Medallion 4.0 Statewide Medicaid Managed Care RFP

    Arkansas Submits Waiver Rolling Back Medicaid Expansion, Adding Work Requirement

    Aetna, CCPN Sign Network Agreement in Rural North Carolina

    Ohio Developing 1332 Innovation Waiver to Eliminate Individual, Employer Mandates

    Texas STAR+PLUS, STAR, CHIP Operational Start Dates Aligned to September 2019

    CMS Proposes to Reduce 340B Drug Payments to Hospitals