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- This week, our In Focus section reviews the Minnesota Integrated Health Partnerships (IHP) Program request for proposals (RFP) released by the Minnesota Department of Human Services (DHS), Health Care Administration on July 6, 2021. Minnesota will contract with provider organizations Read MoreRoundup:
Arkansas Approves CareSource to Participate in PASSE Program
California Submits CalAIM Waivers for Federal Approval
State Budget News: California, Maine, New Jersey
Guam Could Transition Thousands from Medically Indigent Program to Medicaid
Missouri Legislature Renews Medicaid Hospital Tax
Ohio Governor Vetoes Medicaid Procurement Changes
Oklahoma Medicaid to Provide Adult Preventative Dental Services
CMS Appoints Meena Seshamani as Medicare Director
- This week, our In Focus section reviews a new paper from Health Management Associates, State Efforts to Integrate Care Across Medicaid Fee-forService Long-Term Services and Supports and Medicare Advantage Dual Eligible Special Needs Plans by Sarah Barth, Rachel Deadmon and Read MoreRoundup:
Georgia to Delay Limited Medicaid Expansion Roll Out
Minnesota Releases IV&V RFP
Missouri Supreme Court to Hear Medicaid Expansion Case
Ohio Bill Scraps Medicaid Managed Care Procurement Redo
Lawmakers in 42 States Introduce Bills to Regulate PBMs
CMS to Expand Home Health Value-Based Purchasing Model
CMS Names Daniel Tsai Director for Medicaid, CHIP Services
- This week, our In Focus section reviews a new report from Health Management Associates, COVID-19 Policy Flexibilities Affecting Children and Youth with Special Health Care Needs: What to Keep, Modify, or Discard?. In response to the COVID19 pandemic, the federal Read MoreRoundup:
HCBS Spending Plans: California, Pennsylvania
Florida to Roll Back Medicaid Flexibilities on July 1
Georgia Department of Community Health Chief to Retire
Dental News: Illinois, New Hampshire, Virginia
Kentucky Must Rebid Medicaid Managed Care Contracts
Mississippi Investigates Health Plan, Medicaid PBM
Missouri Judge Rules Against Medicaid Expansion
Pennsylvania Law to Expand Caregivers Eligibility, Support
Ohio Denies Medicaid Managed Care Award Protest
Vermont Audit Says Medicaid ACO Missed Financial Targets
CMS Announces Grants to Improve State-based Marketplaces
- This week our In Focus reviews the Tennessee Medicaid managed care request for proposals (RFP) released on June 11, 2021, by the State of Tennessee, Division of TennCare. Tennessee will select three plans to provide physical services, behavioral services, and Read MoreRoundup:
Florida Releases Medicaid Dental Plan ITN for Healthy Kids
Florida Seeks Extension on Enhanced Medicaid HCBS Funds
Illinois Statewide Dual Demo Plan Receives Approval
Missouri House Leader Sees Progress on Medicaid Hospital Tax
Nevada to Award Medicaid Plan Contracts
North Carolina Residents Are Unaware of Planned Medicaid Managed Care Transition, Poll Shows
Ohio Senate Clears Rebid of Medicaid MCO Contracts
Medicaid Plan Settles Ohio PBM Lawsuit
Oregon Medicaid Director Steps Downs
Tennessee Releases Medicaid Managed Care RFP
Exchange Premiums Fall 26 Percent for New Enrollees
- This week, our In Focus section reviews the Indiana Medicaid managed care request for proposals (RFP) for health plans serving beneficiaries enrolled in Hoosier Healthwise and Healthy Indiana Plan (HIP) programs. Contracts will be worth over $6 billion annually. The Read MoreRoundup:
Arizona Looks to Improve Health Outcomes for Homeless
Georgia Is Asked for New Study on Exchange Waiver Impacts
Illinois Awards MMIS Contract to CNSI
Iowa Auto-Assigns Children to Medicaid Dental Plans
Medicaid Expansion News: Nebraska, Montana, North Dakota, Oklahoma
Ohio Lawmakers Seek Redo of Medicaid Plan Procurement
Vermont Medicaid Director Resigns
Lawmakers Seek More Transparency from CMMI on Value-Based Care Models
- This week, our In Focus section reviews the draft Medi-Cal Managed Care Plans (MCPs) request for proposals (RFP) released on June 1, 2021, by the California Department of Health Care Services (DHCS). California will procure MCPs for the Two-Plan Model, Read MoreRoundup:
Florida Names Tom Wallace Medicaid Director
Illinois Legislature Passes Bill to Enhance Medicaid Benefits
Missouri Medicaid Expansion Court Trial to Begin June 18
Nevada Senate Passes Public Option Proposal
New Jersey Bill Would Facilitate Certification of Family Caregivers as Nursing Assistants, Raise Payments
New York Home Care Providers Worry About New Medicaid Application Process
New York Medicaid Director to Resign Effective August 11
North Carolina Completes Medicaid Plan Auto-Enrollment
Oklahoma Supreme Court Rules Against Transition to Medicaid Managed Care
- In an issue brief prepared for The Commonwealth Fund and The SCAN Foundation, HMA consultant Jennifer Podulka and Vice President Jonathan Blum, analyze the temporary COVID-19-related changes to Medicare regulations, described the benefits and risks of the changes, and offered Read MoreIn Focus:Roundup:
Florida Medicaid Providers Lag in EHR ‘Meaningful Use’
Georgia Is Likely to Extend Existing Medicaid Managed Care Contracts, Eyes Potential Clawbacks
Medicaid Expansion News; Mississippi, Missouri, North Dakota, Wisconsin
Oklahoma Legislature Approves Bill to Place Guardrails on Medicaid Managed Care Transition
Washington Medicaid Director MaryAnne Lindeblad to Step Down Effective July 31
ACA Exchange Premiums Decline for the Third Straight Year
CMS to End Next Generation ACO Model
- This week, our In Focus section reviews California’s May Revision to the Governor’s Budget, which proposes a $267.8 billion budget (with $196.8 billion General Fund) for fiscal year 2021-22. The revised budget includes $24.4 billion in reserves, the largest in Read MoreRoundup:
Connecticut Releases RFP for Behavioral Health ASO
Delaware to Implement Medicaid ACO Contracts in January
Minnesota Reaches Decision on Likely Medicaid MCO Winners
Missouri Lawmakers Fail to Renew Medicaid Provider Tax
Missouri Courts Likely to Decide Fate of Medicaid Expansion
Nevada Budget Panel Approves Roll Back of Provider Cut
New Jersey Releases RFA for Burlington County PACE
North Carolina Extends Medicaid Plan Open Enrollment
Texas to Resubmit 1115 Medicaid Waiver Extension Application
SAMHSA to Offer State Block Grants for Behavioral Health
- This week, our In Focus section reviews the key provisions of the Centers for Medicare & Medicaid (CMS) Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital (LTCH) Proposed Rule (CMS-1752-P), which includes Read MoreRoundup:
Arkansas Releases MMIS Fiscal Agent RFP
California DHCS Announces Counties That Intend to Transition to Local Medi-Cal Managed Care Plan Model
Hawaii Awards MMIS Contract to Conduent
Medicaid Expansion News: Missouri, Montana, South Dakota, Wisconsin, Wyoming
Ohio Health Plan Files Lawsuit to Access Medicaid Procurement Documents
Texas House Passes Bill to Contract with Baylor Scott & White Health in Central RSA
PBM Pricing Practices Under Scrutiny by Attorneys General in Eight States
U.S. Senate Confirms Andrea Palm as HHS Deputy Secretary
- This week, our In Focus section examines differences in Medicare Advantage (MA) churn rates among select provider-sponsored plans (PSPs) and nonPSPs. Enrollee churn rates, or rates at which enrollees switch plans, may be an indicator of enrollee satisfaction. In the Read MoreRoundup:
Indiana Medicaid NEMT Company Faces Criticism
Iowa Medicaid Director to Focus on Social Determinants
Kentucky to Rebid Medicaid Managed Care Contracts Again
Mississippi Is Likely to Extend Centene Medicaid Contract
Medicaid Expansion News: Mississippi, Missouri, National
New Jersey Budget Proposal Includes Wage Increases for Critical Care Workers
GAO Names Melanie Bella Chair of MACPAC
