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- A model developed by Health Management Associates (HMA) assesses COVID-19’s potential impact on health insurance coverage for each state and forecasts Medicaid enrollment could increase by 11 to 23 million across all states over the next several months. Read MoreRoundup:
Medicaid Expansion News: Alabama, Tennessee, Texas
Louisiana Medicaid Director Ruth Johnson Takes Office
Missouri FQHCs Face Financial Hardship as COVID-19 Keeps Patients Home
New York Reaches Final Budget for Fiscal 2021
CMS to Raise Medicare Advantage Plan Payment Rates by 1.66 Percent in 2021
CMS Delivers $34 Billion to Medicare Providers, Suppliers Through Accelerated and Advance Payment Program
- This week, our In Focus section comes from HMA Principals Ellen Breslin (MA) and Sharon Lewis (OR). In direct response to COVID-19, the Centers for Medicare & Medicaid Services (CMS) has encouraged states to maximize Medicaid flexibilities to protect people Read MoreRoundup:
Medicaid Dental Managed Care News: Florida, Louisiana
Hawaii Postpones Implementation of New Medicaid Managed Care Contracts Amid COVID-19 Outbreak
Navajo Nation President Vetoes New Mexico Medicaid Managed Care Initiative
New York Governor to Refuse Federal Medicaid Aid
South Carolina Puts Limit on Medicaid Mental Telehealth
Texas Cancels STAR, CHIP Procurement, Scraps STAR+PLUS Awards
Wisconsin Expects Medicaid Expenditures to Surge
Healthcare.gov Will Not Have Special Enrollment Period
- This week, our In Focus section provides an overview of new requirements and opportunities for states and Medicare Advantage (MA) Dual Eligible Special Needs Plans (D-SNPs) to increase Medicare and Medicaid coordination in plan year 2021. Specifically, states and health Read MoreRoundup:
1135 Waiver News: Arizona, California, Illinois, Iowa, Massachusetts, Minnesota, New York, North Carolina, Oklahoma, Washington
Alaska to Ration Medicaid Payments
Arizona Legislature Passes Hospital Fee
Missouri Medicaid Expansion Initiative Has Enough Signatures for November Ballot, Backers Say
Oklahoma Health Care Authority Releases HAO Waiver for Public Comment
CMS Issues Guidance on 6.2 Percent Medicaid FMAP Increase
- This week, our In Focus comes from HMA Vice President Kathleen Nolan and Managing Principal Jon Blum. On March 13, 2020, President Trump declared a national emergency due to the rapid spread of COVID-19 virus. This declaration provides Health and Read MoreRoundup:
Florida Receives Federal Approval for 1135 Medicaid Waiver to Help Address COVID-19
Florida Lawmakers Agree on Budget Without Cuts To Medicaid Supplemental Payments
Illinois Bill Would Further Delay Transition to Managed Care for Foster Children
New Jersey Seeks to Re-open ACA Enrollment
New York Medicaid Redesign Team to Recommend Cuts
House Passes FMAP Increase as Part of COVID-19 Relief Bill
Medicare to Cover In-Home Telehealth Visits Nationwide in Response to COVID-19
- This week, our In Focus section examines Medicare Advantage (MA) enrollment changes resulting from the 2020 Annual Election Period (AEP). The AEP takes runs from October 15 to December 7 each year, and provides an opportunity for Medicare beneficiaries to Read MoreRoundup:
Arizona High Court Voids State Balance Billing Law
Colorado Submits Prescription Drug Importation Proposal
Florida Nursing Homes to See Medicaid Payments Increase
Medicaid Expansion News: Idaho, Kansas, Oklahoma
Michigan Seeks Funds for Medicaid Transformation Office
New Jersey Governor Again Proposes Tax on Companies With 50 or More Employees on Medicaid
North Carolina Official Does Not Rule Out Late 2020 Transition to Medicaid Managed Care
Vermont Protesters Question OneCare’s Use of Funds
CMS Issues Guidance to Medicare Plans on COVID-19
- This week, our In Focus section comes from HMA Principal Eric Hammelman and Senior Consultant Narda Ipakchi. Today, Medicare beneficiaries with EndStage Renal Disease (ESRD) are only eligible to enroll in Medicare Advantage (MA) plans if they select a MA Read MoreRoundup:
California Revises Medicaid Managed Care RFP Schedule
Delaware Awards Two Corrections Contracts to Centene
Georgia Lawmaker Sponsors Medicaid Buy-in Bill
Medicaid Expansion News: Kansas, Oklahoma, Texas
Michigan Work Requirements Are Struck Down
Minnesota Issues Special Needs BasicCare RFP
Tennessee Names Stephen Smith as Medicaid Director
Washington Issues Exchange Public Option Plan RFA
West Virginia Senate Approves Medicaid Dental for Adults
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 29 states.i Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This Read MoreRoundup:
Colorado Releases Proposed Public Option Hospital Rates
Illinois Lawmaker Introduces Bill to Study Medicaid Buy-In
Kentucky Senate Passes Revised Bill to Establish Single PBM, Formulary for Medicaid Managed Care
Louisiana to Decide on Medicaid Managed Care Contract Awards Protest by March 17 at Earliest
New York Medicaid DSRIP Waiver Extension Is Denied by CMS
Vermont OneCare ACO Spends More Than Expected
West Virginia Senate Passes Medicaid Trust Fund Bill
CMS to Increase Oversight of Accrediting Organizations
- This week, our In Focus section examines President Trump’s budget for fiscal year (FY) 2021. The budget includes a number of legislative and administrative proposals related to Medicare that are estimated to reduce net Medicare spending by $872 billion over Read MoreRoundup:
Washington Medicaid Rate Increase Bill Passes State Senate
Texas Health Plans Point to Scoring Inconsistencies in STAR+PLUS Contract Awards
Medicaid Work Requirements News: Arkansas, Iowa
California Exchange Sees Big Increase in New Enrollees
District of Columbia Further Extends Medicaid Managed Care RFP Deadline
Expansion News: Kansas, Wyoming
Missouri Lawmakers Seek Halt to Medicaid Disenrollments
South Dakota Issues Medicaid Job Training RFP
- This week, our In Focus section covers the report, Medicaid Expansion in Missouri – Economic Implications for Missouri and Interviews Reflecting Arkansas, Indiana, and Ohio Experiences, prepared by HMA Medicaid Market Solutions (MMS) Managing Director Matt Powers and Managing Principal Read MoreRoundup:
DC Medicaid Managed Care RFP Deadline Is Extended to February 14
Georgia Proposal to Drop ACA Exchange Is Delayed by Trump Administration
Illinois Medicaid Director to Step Down
Senate Committee Advances Bill to Limit Number of Medicaid Plans, Eliminate Role of PBMs
Texas HHSC Commissioner to Step Down
Medicaid Expansion updates in Missouri, Tennessee, Wyoming
Proposed HHS Funding Cuts to Impact Medicaid, Medicare
States Criticize Proposed Medicaid Fiscal Accountability Rule
- 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
