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- This week, our In Focus comes from an HMA cross-cutting subject matter team, who have updated a core set of federal policy slides that analyzes recent federal policy actions following the Presidential and Congressional elections. It includes an analysis of Read MoreRoundup:
Arkansas Lawmakers Introduce Medicaid Work Incentive Bill
Hawaii Releases RFP for Medicaid Dental TPA
Louisiana Governor Proposes Budget Without Medicaid Cuts
Missouri Medicaid Director to Take Leave of Absence
New Jersey Medicaid Bill To Cover Undocumented Immigrants
New York Delays Medicaid Pharmacy Benefit Carve-Out
Rhode Island Releases Medicaid Managed Care RFI
Texas Projects Medicaid Caseloads to Fall 8 Percent
Vermont Has RFI For SUD Treatment, Recovery Coordination
House Lawmakers Reintroduce Telehealth Bill
Medicaid Plans Look to Address Risk Corridor Exposure
CMS Delays Medicare Geographic Direct Contracting Model
- This week, our In Focus section reviews preliminary 2020 Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. After submitting a Freedom of Information Act request to the Centers for Medicare & Medicaid Services (CMS), HMA received a Read MoreRoundup:
Alabama Voters Support Medicaid Expansion, Poll Finds
Arkansas to Drop Medicaid Work Requirements, Eyes ‘Work Incentive’ Plan
California Again Delays Implementation of Medi-Cal Rx
North Carolina Medicaid Official Cites Automated System for Failing to Verify Provider Licenses
North Carolina Judge Upholds Medicaid Plan Awards
Oklahoma Awards Three Medicaid Dental Plan Contracts
Median Voluntary Disenrollment Rate in D-SNP Dominant Plans Is 10 Percent, Study Shows
- This week, our In Focus highlights the report, Advancing Health Justice Using Medicaid Data: Key Lessons from Minnesota for the Nation. This report was produced by AcademyHealth in partnership with the Disability Policy Consortium (DPC), a Massachusetts-based cross-disability advocacy and Read MoreRoundup:
Florida Healthy Kids Suffers Data Breach
Georgia House Passes Bill for Auto Medicaid Enrollment of Children Eligible for Food Stamps
Hawaii Awards Community Care Services Contract to Centene/WellCare
Chicago’s Oldest Hospital Files For Chapter 11 Bankruptcy
Nevada Issues PBM RFP For Medicaid FFS, Ryan White
Medicaid Expansion News: North Dakota, Tennessee, Texas
WI Governor Proposes Public Option With Medicaid Buy-in
Biden to Revoke Rules Allowing Medicaid Work Requirements
CMS Faces Calls to Delay Geographic Direct Contracting
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 33 states. Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This Read MoreRoundup:
California May Make Some Telehealth Flexibilities Permanent
Medicaid Expansion News: Florida, Mississippi, South Dakota
Kentucky Senate Panel Clears Bills to Reduce Number of Medicaid Plans, Eliminate Copays
Missouri to Contract With 3 Medicaid Managed Care Plans
Puerto Rico Needs Risk-Based Oversight of Medicaid Procurement Process, GAO Says
Tennessee Lawmakers Introduce Medicaid Buy-in Bill
House Proposal Would Raise ACA Subsidies for Two Years
- In a report to the Medicaid and CHIP Payment and Access Commission (MACPAC), HMA consultants Sarah Barth, Sharon Lewis and former research assistant Taylor Simmons, provided insight and review of Medicaid services for people with intellectual or developmental disabilities (ID/DD). Read MoreRoundup:
Arizona Awards Medicaid Housing Contract
Drug Importation News: Colorado, Florida
Medicaid Expansion News: Georgia, Kansas, Missouri
Kentucky Releases RFP for Medicaid Fee-for-Service PBM
DentaQuest Medicaid, CHIP Lives Top 840,000 in Lousiana
New Jersey Medicaid Covers Doulas, Raises Midwives Rates
New York Retroactively Cuts Medicaid Managed Care Rates
Oklahoma Announces Medicaid Managed Care Awards
Texas Schedules STAR+PLUS Pre-Solicitation Meetings
Wisconsin Medicaid to Cover SUD Treatment
- This week, our In Focus section reviews a new model – Geographic Direct Contracting – introduced by the Centers for Medicare & Medicaid Services (CMS) Innovation Center. The model will test whether a geographic-based approach to care delivery and value-based Read MoreIn Focus:Roundup:
Alabama Seeks Medicaid Quality Improvement Organization
Florida Receives Medicaid Managed Care Waiver Extension
Kentucky Seeks External Quality Review Organization
Missouri Lawmakers Consider Extending Provider Tax to Fund Medicaid Expansion
New Jersey Lifts UnitedHealth Medicaid Enrollment Freeze
New Mexico Medicaid Enrollment to Hit 931,000 By June 2021
Oklahoma to Move Forward with Medicaid Managed Care
Medicaid, CHIP Enrollment to Rise 5-10 Million by 2022
Medicare ACO Membership Falls in 2021
- Health Management Associates (HMA) announced on January 14, 2021, the creation of the HMA Institute on Addiction (IOA), a division dedicated to supporting the national effort to build an evidence-based, patient-centered, and sustainable addiction treatment ecosystem. HMA is home to Read MoreRoundup:
Kentucky Medicaid Directed Payments Initiative Is Approved
North Carolina Readies for Medicaid Managed Care Launch
Ohio Delays Implementation of Medicaid Work Requirements
Pennsylvania Receives Health Care Reform Recommendations
Texas Uncompensated Care Waiver Extension Is Approved
CMS Reports 4.6 Million Medicaid Beneficiaries Were Treated for Substance Use Disorder in 2018
CMS Releases Preliminary State Medicaid Expenditure Data
CMS Rule Change Lets Physicians Prescribe Buprenorphine for Opioid Use Disorder Without Waiver
CMS Announces 2022 Medicare Advantage, Part D Rates
- This week’s In Focus highlights a recent HMA publication examining the drivers and barriers to Medicare Advantage plan adoption of newly available supplemental benefits intended to address unmet health and social needs. Unlike Traditional Medicare, Medicare Advantage plans, which provide Read MoreRoundup:
Arizona Approves UnitedHealth Group Acquisition of Certain Solstice Health Plans Operations
Colorado Releases Report on Medicaid Prescription Drugs
Medicaid Expansion News: Georgia, Oklahoma, Texas, Virginia
Minnesota Releases Medicaid Plan Procurement Timeline
Oklahoma Medicaid RFP Bidders to Include CareSource
South Carolina Governor Taps Thomas Clark Phillip Jr. as Acting Medicaid Director
Tennessee Medicaid Block Grant Receives CMS Approval
CMS Withdraws Medicaid Fiscal Accountability Rule
- This week, our In Focus section reviews the Hawaii Quest Integration (QI) Medicaid managed care request for proposals (RFP) released on December 8, 2020, and the Minnesota Families and Children Medical Assistance (MA) and MinnesotaCare programs RFP released on January Read MoreRoundup:
Hawaii Releases Medicaid Dental TPA RFI
Indiana Governor To Make Long-Term Care Reform a Priority
Kentucky Awards Medicaid Managed Care PBM Contract
Kentucky Awards Aetna Foster Care Contract
Minnesota Releases Medicaid Managed Care RFP
Nevada to Implement D-SNP Program in 2021
New Jersey DHS Commissioner to Join Biden COVID-19 Team
South Carolina Bills Propose Medicaid Expansion Referendum
Texas Releases Medicaid Plan Procurement Timelines
Congress Gives Medicare Physicians 2021 Pay Boost
- This week, our In Focus section focuses on five critical policy and program trends to provide integrated care to dual-eligible individuals for Medicare and Medicaid. Both federal and state governments continue to look for ways to improve coordination and integration Read MoreRoundup:
District of Columbia Judge Rules Medicaid Managed Care Procurement Violated Law
Florida Medicaid Finds $89.6 Million Differential Between Prices Paid to PBMs, Prices Paid to Pharmacies
Hawaii Medicaid Plans Sought to Limit Number of Award Winners in Current Procurement
Louisiana to Release Medicaid Managed Care RFP in Spring
South Carolina Medicaid Director to Step Down
Texas Sees High Early Turn Out for Exchange Plans
MACPAC Releases 2020 MACStats Medicaid, CHIP Data Book
