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- This week, our In Focus section reviews the policy changes included in the Centers for Medicare & Medicaid Services (CMS) Fiscal Year (FY) 2021 Medicare Hospital Inpatient Prospective Payment System (IPPS) and LongTerm Acute Care Hospital (LTCH) Final Rule (CMS-1735-F). Read MoreRoundup:
District of Columbia Council Finalizes Medicaid Managed Care Contracts
Florida AHCA Secretary Mary Mayhew to Leave Post October 2
Georgia Submits 1332 Waiver to Abandon ACA Health Insurance Exchanges
Oklahoma to Transition Majority of Insure Oklahoma Members to Medicaid Expansion
Oregon Files Notice of Noncompliance Against Medicaid CCO
- This week, our In Focus section reviews the California request for information (RFI) regarding the Medi-Cal Managed Care Plan (MCP) contract and the upcoming Medi-Cal MCP procurement. The California Department of Health Care Services (DHCS) is seeking information to update Read MoreRoundup:
California Medicaid Drops Proposed LTC At Home Benefit
Medicaid Managed Care RFP News: District of Columbia, Indiana, Louisiana, North Carolina
Medicaid Budget News: Georgia, New Jersey, Wyoming
Illinois to Transition Foster Kids to Medicaid Managed Care
Kentucky Releases RFP for Single PBM
Mississippi Advocates Renew Medicaid Expansion Push
Nevada Releases Medicaid NEMT RFP
Housing Supports News: New York, Utah
Ohio Proposes Rules to Lock In Medicaid Telehealth Changes
States Take Emergency Action on Medicaid Long-Term Care
- This week, our In Focus section reviews Democratic Nominee Joe Biden’s healthcare plan to protect and build on the Affordable Care Act (ACA). On August 18, 2020, Biden was officially nominated as the presidential candidate. Biden vowed at the 2020 Read MoreRoundup:
Florida Says It Has Enough Medicaid Funding for Fiscal 2021
Nevada to Move Forward with Proposed Medicaid Rate Cuts
New Mexico Co-Op Plan Health Connections to Cease Operations in 2021
Oklahoma Will Not Move Forward With Block Grant
Oregon Approves Trillium CCO Expansion Into Portland Area
CMS Fines Nursing Homes More Than $15 Million for Infection Control Noncompliance
- This week, our In Focus section reviews two Medicare fee-for-service (FFS) proposed rules recently issued by the Centers for Medicare & Medicaid Services (CMS). On August 3, 2020, CMS released a proposed rule that includes updates to services furnished under Read MoreRoundup:
Florida Medicaid Plans to Get 1.5 Percent Rate Increase
Kansas Governor Urges Lawmakers to Pass Expansion
New Jersey Proposes $155 Million in Additional LTC Funding
Ohio Medicaid Officials to Address PBM Report Omissions
Oklahoma to Transition to Dental Managed Care in 2021
Oregon Reviews CCO Application to Expand Into Portland
Washington Chooses Five Cascade Care Public Option Plans
- This week, our In Focus section examines how the federal government implemented changes to the Medicare program in response to COVID-19. As the COVID-19 pandemic began in the United States, Congress and the Administration responded with a series of legislative, Read MoreRoundup:
California Medi-Cal to Amend Certain Contracts to Address Racial Disparities
Maine Budget Committee Projects Fiscal 2021 Shortfall
Missouri Voters Approve Medicaid Expansion Ballot Measure
Washington Announces IMC Expanded Access Awards
Trump Administration Moves to Make Certain Medicare Telehealth and Scope of Practice Flexibilities Permanent
- This week, our In Focus section reviews the Hawaii request for information (RFI) regarding reprocurement of the state’s QUEST Integration (QI) Medicaid managed care program, released on July 21, 2020. QI covers approximately 360, 000 individuals, including pregnant women, children, Read MoreRoundup:
California Seeks Section 1115 Medicaid Waiver Extension
Florida Expects ‘Significant’ Fiscal 2020 Medicaid Budget Gap
Georgia Lacks Proper Oversight of Medicaid Plans, Audit Says
Iowa Medicaid Director to Step Down
Medicaid Housing Support: Minnesota, Virginia
New York to Leverage Exchange to Connect Individuals with Home Care Agencies
Ohio Releases Single Pharmacy Benefit Manager RFP
Texas Taps Cecile Young as Executive Commissioner of HHSC
Senate COVID-19 Relief Bill Excludes More Medicaid Funding
- This week, our In Focus section reviews the Oklahoma request for public feedback in the SoonerCare program design, released on June 18, 2020. The Oklahoma Health Care Authority (OHCA) and Governor Kevin Stitt are seeking stakeholder input for the state’s Read MoreRoundup:
District of Columbia Announces Medicaid Managed Care Awards
Florida Medicaid Expansion Could Cover Nearly 700,000
Kentucky Medicaid Plans Point to Flaw in Bidding, Awards Process
Montana Announces Behavioral Provider Relief Grants
Nevada Legislature Approves Cuts to Medicaid
Oklahoma Seeks Input for Medicaid Managed Care RFP
South Dakota Medicaid Expansion Advocates Prepare for 2022 Ballot Measures
CMS Issues Medicare Advantage MLR Requirement Guidance
- 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 “March 2020 Medicaid and CHIP Applications, Eligibility Determination, Read MoreRoundup:
Georgia Delays Transition Away from Federal Exchange
Kansas Appoints Sarah Fertig as Medicaid Director
Michigan Plans to Cut Medicaid Rates by 3.3 Percent
Medicaid Expansion News: Missouri, Nebraska, Oklahoma
Nevada Considers Medicaid Reimbursement, Program Cuts
New Jersey Extends Duration of Telehealth Access
North Carolina Governor Signs Medicaid Managed Care Bill
Pennsylvania Announces HealthChoices Awards
Walmart to Sell Medicare Health Insurance in Texas
Number of Uninsured Adults Rises by 5.4 Million, Study Shows
- This week our In Focus section summarizes the United States Government Accountability Office (GAO) Medicaid report, State Views on Program Administration Challenges, released earlier this year. GAO conducted interviews with Medicaid officials from 50 states and the District of Columbia Read MoreRoundup:
Florida Governor Vetoes Disability Provider Rate Increase for Providers Serving Individuals with Disabilities
Illinois Unit of Centene to Acquire NextLevel Members
Kentucky Health Plans Formally Protest Medicaid Awards
New York Medicaid Plan Sells Certain Assets to Molina
North Carolina Medicaid Bill Awaits Governor’s Signature
Oklahoma Voters Approve Medicaid Expansion Measure
Virginia Governor Redirects $30 Million From Medicaid Plans
House Votes to Increase Exchange Subsidies
- This week, our In Focus section examines new guidance issued by the Centers for Medicare & Medicaid Services (CMS) regarding Medicare Advantage (MA) plan network adequacy requirements. On June 17, 2020, CMS released updated Medicare Advantage and 1876 Cost Plan Read MoreRoundup:
California Budget Adopts Cuts to Medicaid Managed Care
Delaware to Tap Magarik to Head Health and Social Services
Kentucky Seeks to Bring Back State-Based Health Exchange
North Carolina House Committee Advances Medicaid Managed Care Bill
North Dakota Seeks Input on Re-Procurement of Medicaid Expansion Managed Care Plan
Oklahoma to Release Medicaid Managed Care RFP This Fall
Texas Names McCreary COO of Health and Human Services
CMS Can Force Hospitals to Reveal Prices Negotiated with Insurers, Federal Judge Rules
