HMA Weekly Roundup

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  • This week, our In Focus section reviews the second phase of Rhode Island’s Integrated Care Initiative (ICI), which integrates Medicaid and Medicare benefits under a capitated dual eligible financial alignment demonstration. After finalizing a three-way contract between the Rhode Island Read More
    Roundup:

    Alabama Delays Medicaid Reform Plan Due to Lack of Funding

    Arizona Restores CHIP Program

    California Reverses Course on Passive Enrollment for Duals

    Pennsylvania Announces MLTSS RFP Bidders

    CMS Tightens Exchange Special Enrollment Periods, Simplifies Rules for CO-OPs

  • This week, our In Focus section reviews two Medicaid managed care requests for proposals (RFPs) released on April 29, 2016. Missouri issued a RFP for the rebid of existing MO HealthNet contracts, as well as the expansion of MO HealthNet Read More
    Roundup:

    Rhode Island Launches Dual Eligible Demo

    Maryland, New York Seek Medicaid Enrollment for Inmates Leaving Prison

    Oklahoma Health Care Authority Approves Behavioral Health Cuts

    South Dakota Accused of Unnecessarily Institutionalizing Individuals with Disabilities

    Texas Receives Approval for 1115 Waiver Extension

    Colorado Universal Coverage Ballot Measure Slated for November

    HHS Urges States to Enroll Inmates in Medicaid Prior to Their Release

  • This week, our In Focus section comes to us from HMA Principal Karen Brodsky, who reviews a number of important updates from New Jersey’s Medical Assistance Advisory Council (MAAC) quarterly meeting on April 20, 2016. Read More
    Roundup:

    Pennsylvania Announces HealthChoices RFP Awards

    CMS Releases Final Medicaid Managed Care Rules

    Arkansas Governor Extends Medicaid Expansion Using Line-item Veto

    Illinois to Cap Home Health Worker Hours to Prevent Overtime

    New Mexico Proposes $160 Million Reduction in Medicaid Reimbursement Rates

    Texas HHSC Commissioner Announces Retirement

    Wisconsin Projects $300 Million Savings from Managed Long-Term Care Redesign

  • This week, our In Focus section reviews recent Medicaid enrollment trends in capitated risk-based managed care in 24 states. Many state Medicaid agencies elect to post to their websites monthly enrollment figures by health plan for their Medicaid managed Read More
    Roundup:

    Connecticut Governor Proposes 10 Percent Reduction in Pediatric Dental Rates

    New Mexico Considers Provider Payment Cuts of Up to 5 Percent

    New York AG Files Suit Against MCO Over Access to Hepatitis C Drugs

    Pennsylvania to Expand PACE Options

    Texas Requests 15-Month Waiver Extension to Fund Uncompensated Care

    Alaska Legislature Passes Medicaid Reform Bill

  • This week, our In Focus section reviews two updates out of Ohio. The first is a Section 1115 Medicaid waiver, to be known as Healthy Ohio, which would implement a modified health savings account model for adult Medicaid beneficiaries in Read More
    Roundup:

    Arkansas Passes Legislation to Continue Medicaid Expansion

    California Scraps MMIS Modernization

    CMS Approves New York SPA for Children’s Health Homes

    Long Named Director of TennCare

    Vermont Issues Medicaid ACO RFP

    Washington Increases Funding for Mental Health

    Rockefeller Institute Projects Flat State Income Tax Revenues

  • This week, our In Focus section comes from HMA Principal Mary Hsieh, PharmD, MPH, of our Atlanta, Georgia office. On March 15, 2016, the Centers for Disease Control and Prevention (CDC) issued guidelines to limit opioid pain medication prescriptions as Read More
    Roundup:

    Virginia to Rebid Medallion 3.0 Contracts This Year

    Arkansas Special Session Will Not Include Managed Care Proposal

    New York Budget Agreement Reached

    New Hampshire Passes Medicaid Expansion Extension

    Oklahoma Coverage Expansion Proposal Unveiled

    TennCare Director Announces Departure

    Washington Begins Physical-Behavioral Managed Care Integration

  • This week, our In Focus section reviews the Wisconsin Department of Health Services (DHS) concept paper on Family Care and IRIS (Include, Respect, I Self-direct) redesign published this month. Under the 2017-2017 State Budget Act, Act 55, DHS is directed Read More
    Roundup:

    Florida Governor Signs Dental Carve-Out Bill

    Arkansas to Hold Special Session on Medicaid Reform

    Oklahoma Medicaid Providers Facing 25 Percent Rate Cuts

    Massachusetts Hospital Association Opposes Tax Proposal

    Pennsylvania Governor Allows Budget to Lapse into Law

    CBO Revises ACA Cost Estimates Upwards

  • This week, our In Focus section reviews the March 2016 release of the Cal MediConnect Performance Dashboard, published by the California Department of Health Care Services (DHCS). Cal MediConnect is the state’s dual eligible financial alignment demonstration, which began phasing Read More
    Roundup:

    California Fragile Kids Transition to Managed Care on Hold

    Arkansas considers managed care for individuals with disabilities, mental illness

    Arkansas, Idaho and Louisiana lawmakers consider Medicaid expansion waivers

    Medicaid Funding at risk as New Mexico Battles Budget Pressures

    Report Indicates Rhode Island Overpaid MCOs for Medicaid Expansion

    Vermont to Postpone MMIS Implementation

  • This week, our In Focus section reviews a report out of Colorado that describes the economic impact of the state’s Medicaid expansion under the Affordable Care Act (the “Colorado Report”). Commissioned by the Colorado Health Foundation and prepared by the Read More
    Roundup:

    Utah Senate Bill Expands Medicaid to 16,000 Residents

    States, Federal Government Work to Control Opioid Abuse

    New York Governor, Providers Spar Over Proposed Wage Hike

    Florida Budget Highlights include expanded waiver slots

    Colorado Considers Physician Rate Reductions

  • This week, our In Focus section reviews the Community HealthChoices request for proposals (RFP), issued on March 1, 2016 by the Pennsylvania Department of Human Services (DHS). Community HealthChoices is a new statewide managed care program that will provide managed Read More
    Roundup:

    New York Begins FIDA-IDD Enrollment Process

    Florida Lawmakers to Reevaluate LIP Funding

    Nebraska Reissues Medicaid Managed Care Awards

    States Push for ACA Health Plan Tax Repeal

    North Carolina Provider-Led Organization Taps New Mexico’s Presbyterian Health Plan to Coordinate Care

    Oklahoma Bill Could Eliminate Medicaid Eligibility for 110,000

    New Mexico Facing $147 Million Medicaid Shortfall

    Connecticut Halts $140 Million in Hospital Payments

    Vermont Pauses on Medicaid Hospital Rate Changes