HMA Weekly Roundup

Need to round out your collection of Weekly Roundups?

Access pdfs of this weekly newsletter’s archived issues.


  • This week, our In Focus section reviews the Washington Health Care Authority’s (HCA’s) request for proposals (RFP) for the North Central Regional Service Area (RSA) transition to Fully Integrated Managed Care (FIMC) under the Apple Health Medicaid program. Under the Read More

    MDwise to Withdraw from Indiana’s Hoosier Care Connect

    Texas CHIP Rural and Hidalgo Service Areas RFP Released

    Florida AHCA Posts Statewide Medicaid Managed Care LOI Responses

    Colorado Medicaid to Receive Mid-year Budget Increase

    Medicaid Expansion to Appear on Ballot in Maine

    Minnesota Audit Finds State Lacks Adequate HCBS Oversight

    House Leadership Outlines Elements of ACA Repeal and Replace

    Medicaid Innovation Accelerator Program National Webinar scheduled for February 27

  • This week, our In Focus section reviews publicly available data on enrollment in capitated financial and administrative alignment demonstrations (“Duals Demonstrations”) for beneficiaries dually eligible for Medicare and Medicaid (duals) in 10 states: California, Illinois, Massachusetts, Michigan, New York, Ohio, Read More

    Georgia Extends Hospital Assessment Program

    Connecticut Governor Proposes Medicaid Cuts

    New York Exceeds Global Cap Citing Drug, LTSS Spending

    Moda Health Prevails in Risk Corridor Lawsuit

    Magellan Awarded South Carolina Pharmacy Contract

    Vermont Contracts with OneCare for One-year ACO Pilot

    HHS Proposes Rule Changes Aimed at Stabilizing Exchange Markets

    U.S. Senate Confirms Tom Price as HHS Secretary

    Uninsured Rate Hits All-time Low of 8.8 Percent in 2016

  • This week, our In Focus section reviews the request for proposals (RFP) issued by the Mississippi Division of Medicaid (DOM) for the reprocurement of Mississippi Coordinated Access Network (MississippiCAN) Medicaid managed care plans. Under the RFP, the DOM is adding Read More

    Arizona to Request Waiver Approval for Medicaid Work Requirement, Eligibility Cap

    Arkansas Dental Managed Care Contract Awards Announced

    Florida Announces Reprocurement Process for Statewide Medicaid Managed Care

    Minnesota Legislature Passes Bill Opening Medicaid, Individual Markets to For-Profit HMOs

    Missouri Governor Proposes Medicaid Provider Cuts

    Utah to Move Ahead on Limited Medicaid Expansion

    Study Estimates Medicaid Block Grants Could Save Federal Government $150 Billion Over Five Years

    Trump Administration Submits Rule to OMB to Stabilize Exchanges

  • This week, our In Focus section comes to us from HMA Principal Sarah Jagger, of our Indianapolis, Indiana office. Sarah provides an overview of the Healthy Indiana Plan (HIP) and the proposed changes under the HIP 2.0 waiver renewal request, Read More

    Alabama Medicaid Seeks Additional Funding for RCO Roll-out

    Florida Governor Proposes Hospital Payment Cuts

    New Jersey Provides Update on MLTSS Spending

    New York DOH Provides DSRIP Program Update

    Ohio Governor’s Proposed Budget Expands MLTSS

    Pennsylvania Gov. Proposes Consolidation of Health Agencies

    CMS Offers to Extend Dual Demos in Massachusetts, Minnesota, Washington

  • This week, our In Focus section reviews Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. In federal fiscal year (FFY) 2016, Medicaid expenditures across all 50 states and 6 territories exceeded $548 billion, with nearly half of Read More

    Arizona Releases AHCCCS MCO RFI

    Medi-Cal Accounting Error Drives Budget Deficit Projection

    KanCare Waiver Extension Denied by CMS

    Maryland Begins Enrolling Former Inmates in Medicaid

    New Jersey Auditor Report Raises Medicaid Network Adequacy Concerns

    New York Gov. Proposes Extension of Global Spending Cap

    Rhode Island Budget Proposal Freezes Rates for Hospitals, Nursing Homes, Cuts MCO Administrative Rates

    Wisconsin DHS Announces Awards for Family Care MLTSS

  • This week, our In Focus section comes to us from HMA Principal Cathy Kaufmann, of our Portland, Oregon office. Cathy provides an overview of Oregon’s Medicaid waiver program, under which the state implemented integrated managed care entities and committed to Read More

    California Governor’s 2017-18 Budget Highlights

    Senior to be Named Secretary of Florida AHCA

    Massachusetts Governor Proposes Employer Assessment to Offset MassHealth Costs

    Mississippi to Rebid Medicaid MCO Contracts Early this Year

    Ohio Medicaid Oversight Committee Reports $1.6B in Savings

    Pennsylvania to Test New Payment Model for Rural Hospitals

    Pennsylvania to Close Two State Facilities

    Block Grant Proposals Discussed in Tennessee, Missouri

    CMS Finalizes Rule Blocking Pass-Through Payments to Safety Net Providers

    CBO Report Says ACA Repeal Could Double Premiums, Leave 32 Million Uninsured by 2026

  • This week, our In Focus section comes to us from HMA Principals Meggan Schilkie, Joshua Rubin, and Heidi Arthur in our New York City office and the HMA national behavioral health team. On December 21, 2016, the U.S. Department of Read More

    Pennsylvania Announces Preliminary HealthChoices Awards

    Washington 1115 Waiver Approved by CMS

    California Governor Proposes Ending CCI Demonstration

    Alabama Requests CMS Approval for RCO Rollout Delay

    Florida AHCA Submits 1115 Waiver Extension Request

    North Carolina Medicaid Expansion Proposal May Receive Expedited CMS Review

    Texas Announces New Schedule for Future MCO Procurements, Releases Draft for CHIP Rural Service Areas Procurement

    West Virginia Appoints New DHHR Head

  • This week, our In Focus section reviews two active Medicaid managed care procurements – in the District of Columbia and Massachusetts – and a Medicaid managed care request for information issued by Texas. On December 22, 2016, the District of Read More

    Florida Awards All Payer Claims Database Contract

    Texas Releases IDD Managed Care Pilot RFP

    Indiana Posts 1115 Waiver Renewal Request for Public Comment

    New Mexico Medicaid Behavioral Health Rate Cuts Cancelled

    New York Governor Vetoes Enhanced Medicaid Funding for Safety Net Hospitals

    West Virginia DHHS Secretary to Step Down

    HHS Awards CCBHC Grants to 8 States

  • This week, our In Focus section reviews updated reports issued by the Department of Health & Human Services (HHS) on Medicaid expansion enrollment from the “September 2016 Medicaid and CHIP Application, Eligibility Determination, and Enrollment Report, ” published on December Read More

    Massachusetts Issues MassHealth Medicaid MCO RFR

    Centene May Operate in All Five Alabama RCO Districts

    Florida Receives 37 Responses to Medicaid Managed Care RFI

    Florida Senate to Consider Block Grant Model

    Maryland DHMH Secretary Steps Down

    Tennessee 1115 Waiver Extension Approved by CMS

  • This week, our In Focus section comes to us from HMA Principal Barbara Markham Smith, JD, of our Washington, DC office. On December 12, 2016, Virginia’s Joint Legislative Audit and Review Commission (JLARC), the audit arm of the General Assembly, Read More

    CMS Approves Arkansas Medicaid Expansion Waiver Changes

    Medicaid Expansion Ballot Initiative in Maine is Likely

    Evergreen Health to Exit Maryland Marketplace in 2017

    Montana DPHHS Executive Director to Step Down

    New York’s 1115 Medicaid Waiver Extended

    Pennsylvania Medicaid Managed Care RFP Updates

    Half of States See Budget Shortfalls, Most Since Recession

    21st Century Cures Act Passes, Advancing Support for Mental Health