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- This week, our In Focus reviews the Medicare Advantage (MA) and Part D landscape files and quality performance data for the 2020 plan year from the Centers for Medicare & Medicaid Services (CMS). Data on MA and Part D offerings Read MoreRoundup:
California Medicaid Delivery System Proposal Includes Focus on Social Determinants, Other Policy Priorities
Medicaid Expansion News: Kansas, Nebraska
Massachusetts Announces Updated Timeline for One Care
North Carolina May Further Delay Medicaid Managed Care Transition to Summer 2020
Ohio Medicaid Plan to Drop Walgreens from Network
Texas Announces STAR+PLUS Awards
- This week, our In Focus section reviews highlights and shares key takeaways from the 19th annual Medicaid Budget Survey conducted by The Kaiser Family Foundation (KFF) and Health Management Associates (HMA). Survey results were released on October 18, 2019, in Read MoreRoundup:
Arizona Delays Medicaid Work Requirement Implementation
Florida House Committee to Review Health Care Spending
Indiana Releases Medicaid ABD RFP, Foster Care RFI
Kansas Senate Leader Introduces Medicaid Expansion Plan
Michigan Cancels Medicaid Behavioral Integration Pilots
Settlement Reached in Opioid Lawsuit Filed by Ohio Counties
Texas to Award Medicaid Dental MCO Contracts to DentaQuest, MCNA, UnitedHealth
ACA Plan Premiums to Fall by 4 Percent in 2020
- This week, our In Focus section reviews the Pennsylvania HealthChoices Physical Health Medicaid managed care request for applications (RFA), issued by the Pennsylvania Department of Human Services on October 15, 2019. Medicaid managed care organizations (MCOs) will serve the five Read MoreRoundup:
California Wholesale Drug Prices Rise 26 Percent, Study Says
Georgia Readies Expansion, Reinsurance Waiver Proposals
Louisiana to Resume Medicaid Auto-Disenrollment
New York Nursing Homes Expect Reimbursement Cuts
North Carolina Disputes ‘Conflict of Interest’ Concerns in Medicaid Managed Care Contract Awards
Oklahoma Medicaid Expansion Advocates Gather Enough Signatures for 2020 Ballot Initiative
Texas Submits DSRIP Draft Transition Plan to CMS
Public Charge Rule Change Is Impacting Medicaid Enrollment
- This week, our In Focus section reviews the Utah Medicaid Section 1115 Demonstration Waiver amendment Fallback Plan, released for public comment on September 27, 2019. The Fallback Plan would raise Utah’s Medicaid expansion income limit to 138 percent of the Read MoreRoundup:
Colorado Issues Draft Report on State Option Exchange Plan
Illinois Medicaid Auto-Enrollments Favor Low-Rated Plan
Iowa to Issue RFP for Third Medicaid Plan
Michigan Announces Plan to Carve Out Medicaid Pharmacy Benefits from Managed Care
Missouri House Committee Holds Medicaid Expansion Hearing
New York Health + Hospitals Expands Program for Uninsured
North Carolina Awards Centene Additional Medicaid Region
Appeals Court To Hear Arguments in KY Medicaid Work Requirements Case
- 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:
Florida Recommends Redesign of HCBS Program
Foster Care News: Illinois, West Virginia
Michigan Lawmakers Hope to Move Ahead With Medicaid Managed Care Physical, Behavioral Integration
Expansion News: Idaho, North Carolina, Utah, Virginia
Texas to Get Boost in Federal Funds for Uncompensated Care
Texas to Announce STAR+PLUS Awards in October
Skilled Nursing Facilities Transition to New Payment Model Leads to Layoffs
- This week, our In Focus section reviews the Medicare Advantage (MA) and Part D landscape files for the 2020 plan year released by the Centers for Medicare & Medicaid Services (CMS) on September 24, 2019. These files include information on Read MoreRoundup:
Arkansas Families, Provider Say PASSE Is Still Falling Short
Florida Disability Advocates Seek Additional HCBS Funding
Hawaii Medicaid Enrollment Falls 7 Percent After State Institutes Wage Verification Process
Michigan Eases Member Reporting Rules for Medicaid Work Requirements
North Carolina Faces Renewed Legal Challenge to Medicaid Managed Care Contract Awards
Medicaid Health Plans of America Names Craig Kennedy CEO
NCQA Releases 2019-20 Quality Rankings of Medicaid Plans
- This week, our In Focus section reviews Texas v. United States., the most recent legal challenge to the Affordable Care Act (ACA). In July 2019, the United States Court of Appeals for the 5th Circuit heard oral arguments in the Read MoreRoundup:
Arkansas PASSE Market to Consolidate
Connecticut Releases RFP for Person-Centered Medical Home Plus Program
District of Columbia to Rebid Medicaid Plan Contracts
Medicaid Expansion News: Idaho, North Carolina
Medicaid Work Requirements News: Michigan, Pennsylvania
Missouri Democrats Seek Answers for Medicaid Disenrollment
New York Releases DSRIP Medicaid Waiver Amendment Draft
Tennessee Releases Medicaid Block Grant Proposal
West Virginia Issues Request for Quotation for NEMT Services
- This week, our In Focus section provides a recap of the fourth annual HMA Conference, The Next Wave of Medicaid Growth and Opportunity: How Payers, Providers, and States are Positioning Themselves for Success, held this Monday, September 9, and Tuesday, Read MoreIn Focus:Roundup:
L.A. Care Health Plan, Blue Shield-California to Jointly Operate 14 Community Resource Centers
Florida State Senator Introduces Resolution to Put Medicaid Expansion Back onto 2020 Ballot
Georgia Providers Oppose Centene, WellCare Merger
Michigan Medicaid Work Requirements May Impact 270,000 Beneficiaries
Mississippi Mental Health System Is Discriminatory, Judge Rules
Nevada Returns to State-Run Exchange Website After Five Years
Oklahoma Work Group Considers Medicaid Managed Care
- This week, our In Focus section reviews the Hawaii QUEST Integration (QI) Medicaid Managed Care request for proposals (RFP), issued by the Hawaii Department of Human Services (DHS) on August 26, 2019. DHS intends to contract with four health plans. Read MoreRoundup:
Arizona Releases RFI for Integrated Foster Care ASO
California to Carve Long-Term Care into Medicaid Managed Care Statewide in 2021
Louisiana to Seek Emergency Contracts with Current Medicaid Managed Care Plans
Minnesota Cancels Medicaid MCO, MSHO, MSC+ RFPs
New Jersey to Carve Long-Term Residential Services into Managed Care for DDD, MLTSS, FIDE-SNP Enrollees
North Carolina Delays Medicaid Managed Care Rollout
Medicare Advantage Plans Oppose Proposed Changes to CMS Audit Methodology
- This week, our In Focus section comes from HMA Community Strategies (HMACS) Senior Associate Diana Rodin and HMA Managing Principal Sharon Silow-Carroll who authored a recent article in the Journal of Women’s Health drawing on data from the recently completed Read MoreRoundup:
Medicaid Foster Care RFP News: Arizona, Virginia
California Hospitals See Charity Care Expenses Fall by Half
Delaware Received IMD Exclusion Waiver
Florida CHIP Costs to Rise as Enrollment Increases
Georgia Is Still Failing on Mental Health Care, Report Says
Kansas Asks Aetna to Submit New Corrective Action Plan
Centene, Aetna Protest Louisiana Medicaid Awards
New Hampshire Medicaid to Expand Telehealth Coverage
CareOregon to Become Subsidiary of Providence Health
Portland Hospitals Urged to Contract with Centene-Trillium
Texas Delays STAR, CHIP ImplementationWest
