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- This week, our In Focus section comes from HMA Medicaid Market Solutions (MMS) Managing Director Matt Powers and Senior Consultant Desmond Banks. On January 30, 2020, the Centers for Medicare & Medicaid Services (CMS) convened an event titled, Transforming Medicaid: Read MoreRoundup:
California Health Plan Tax Is Blocked
California Taps Brad Gilbert for Health Care Services Post
Florida Bill Would Require ‘Essential’ Providers to Contract with Medicaid Plans or Lose Supplemental Payments
Idaho Releases Behavioral Health Plan RFI
Montana Hopes to Invest in Community-Based Mental Health
Oklahoma Governor Announces Medicaid Plan, Including Alternative Expansion, Managed Care, Block Grants
Pennsylvania Partners with Medicaid Plans on Jobs, Training
Tennessee Governor Hopes to Extend Medicaid Postpartum Coverage to Full Year
Texas Further Delays STAR, CHIP Medicaid Plan Awards
- This week, our In Focus section reviews value-based payment (VBP) opportunities for long-term care providers. HMA Principal Dana McHugh authored the article, “Life Plan Communities and Value-Based Payments: Aligning Incentives So Everyone Benefits”, for LeadingAge national magazine, discussing how life Read MoreRoundup:
Hawaii Announces Medicaid QUEST Integration Awards
Louisiana Health Department, Medicaid Plans Appeal Decision to Throw Out Contracts
Nevada Intends to Issue Medicaid Managed Care RFP in January 2021
New Jersey Temporarily Freezes Enrollment in UnitedHealth Medicaid Plan
WellCare Withdraws Protest Against Texas STAR+PLUS Awards
Medicaid Expansion Updates in Kansas, Missouri, Oklahoma, Wyoming
Supreme Court Allows Trump Administration to Enforce Public Charge Rule
- This week, our In Focus section reviews two Medicaid managed care requests for proposals (RFPs) released on January 10, 2020. The District of Columbia Department of Health Care Finance (DHCF) issued an RFP for the DC Healthy Families Program (DCHFP); Read MoreIn Focus:Roundup:
Medicaid Director Changes: California, Minnesota, Tennessee
Illinois Again Delays Transition to Managed Foster Kids
Kansas Governor to Prioritize Medicaid Expansion
Louisiana to Rebid Medicaid Managed Care Contracts
New York Medicaid Redesign Team to Tackle Budget Shortfall
Ohio Issues Plan to Address Medicaid Applications Backlog
Pennsylvania-based Hospital May Buy Health Partners Plans
Texas Wins Approval of Medicaid Waiver for Women’s Health
CMS to Again Issue Guidance on Medicaid Block Grants
- This week, our In Focus section reviews the Texas STAR Kids Medicaid Managed Care in the Dallas Service Area (SA) request for proposals (RFP) released by the Texas Health and Human Services Commission (HHSC) on December 13, 2019. The RFP Read MoreRoundup:
Arkansas PBM Case To Be Heard by U.S. Supreme Court
District of Columbia Releases Medicaid Managed Care RFP
Medicaid Expansion News: Florida, Kansas
Kentucky Releases Medicaid Managed Care RFP
Montana Awards Contract for Medicaid Medical Review
North Carolina Hasn’t Yet Set Medicaid Managed Care Transition Date, Official Says
Oklahoma Files Lawsuit Against Three Opioid Distributors
Rhode Island Issues Rite Smiles Medicaid Managed Dental LOI
Texas Delays Dallas Area STAR Kids RFP Implementation Date
- This week, our In Focus section reviews the West Virginia Mountain Health Trust request for proposals (RFP) released by the West Virginia Department of Administration (DOA) for the Department for Health and Human Resources (DHHR) on December 17, 2019. Mountain Read MoreRoundup:
District of Columbia Releases Medicaid Quality Strategy
Expansion News: Georgia, Iowa, Kansas, Michigan, Mississippi, Nebraska, Utah, Wyoming
Kentucky to Rebid Medicaid Managed Care Contracts
Louisiana Awaits Approval of Emergency Medicaid Contracts
Massachusetts Announces One Care Dual Demo Awards
New York to Cut Medicaid Provider Reimbursements 1 Percent
Pharmacy News: New York, Ohio, Pennsylvania
Transportation News: Oregon, Texas
Rhode Island Issues Medicaid Dual Eligible Strategy RFI
WellCare Protests Texas STAR+PLUS Awards
- This week, our In Focus section reviews highlights and major findings from the study, Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities, conducted by The Kaiser Family Foundation (KFF) and Health Management Associates (HMA). Read MoreRoundup:
Arkansas to Limit Health Plan Ownership of PASSEs
Florida AHCA Secretary Addresses Medicaid Funding Priorities in Governor’s Budget Proposal
Massachusetts Issues Social Determinants of Health RFP
Puerto Rico Medicaid Funding Is Reduced
Texas Faces Lawsuit Over STAR+PLUS Awards
West Virginia Releases Medicaid Managed Care RFP
Appleas Court Rules ACA Mandate Unconstitutional
- This week, our In Focus section provides a high-level overview of the new Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) integration requirements in the Centers for Medicare & Medicaid Services (CMS) April 16, 2019, final rule for calendar year (CY) Read MoreRoundup:
Connecticut Reaches Agreement on Hospital Provider Tax
Kentucky Legislative Committee Rejects Medicaid Managed Care Awards, Governor-Elect Pledges to Review
North Carolina Official Says Transition to Managed Care Will Eventually Happen
Expansion News: North Dakota, Wyoming
Virginia Medicaid Beneficiaries Turn to ER for Dental Care
West Virginia Medicaid Plan Cancels Proposed Merger with WVU Medicine
- This week, our In Focus section reviews the annual Medicaid health plan ratings released in September by the National Committee for Quality Assurance (NCQA), which rated 171 Medicaid plans. For 2019-20, NCQA used a ratings methodology that scored each health Read MoreRoundup:
Arizona Announces Medicaid Whole Person Care Initiative
Florida Unveils Five-Year Medicaid Housing Assistance Pilot
Indiana Seeks Extension of HIP Medicaid Expansion
KY Announces Medicaid Plan Awards, Likely to Face Protests
Missouri Cuts Lead to HCBS Waiting Lists
Oklahoma Hires HMA for Alternative to Medicaid Expansion
Tennessee Submits Medicaid Block Grant Proposal to CMS
Texas Releases Scoring Sheets for STAR+PLUS Awards
- This week, our In Focus section reviews the California Advancing and Innovating Medi-Cal (CalAIM) proposal, issued by the California Department of Health Care Services (DHCS) on October 28, 2019. CalAIM would implement broad delivery system, program, and payment reform for Read MoreRoundup:
Colorado Issues Recommendation for Public Option
Florida Budget Proposal Includes New IDD Funding
Medicaid Expansion News: Idaho, Louisiana, Maine, Wyoming
Work Requirements News: Kansas, Kentucky, Ohio, Wisconsin
New Jersey Proposed Bill to Establish Regional Health Hub Program to Replace Medicaid ACO Demonstration
North Carolina Suspends Medicaid Managed Care Transition
CMS Backtracks on Guidance for Medicaid Block Grants, Per Capita Caps
- This week, our In Focus section examines the new Medicare benefit for Opioid Use Disorder (OUD) treatment that includes counseling, as well as medicationassisted treatment (MAT) and related items and services. This benefit was established by Congress in the SUPPORT Read MoreRoundup:
California Awards Medicaid FFS Prescription Drug Contract to Magellan
Indiana Releases HIP 2.0 Waiver Extensions for Public Comment
Louisiana, Medicaid Plans Agree to One-Year Emergency Contracts
Montana Delays Medicaid Expansion Work Requirements
New York Submits Medicaid Redesign 1115 Waiver Amendment to Extend Medicaid to Incarcerated Individuals
North Carolina Issues Healthy Opportunities Pilot Program RFP
Tennessee Medicaid Releases Managed Care Re-Procurement RFI
CMS Issues Proposed Rule to Strengthen Fiscal Accountability in Medicaid
