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- This week, our In Focus section reviews the new Centers for Medicare & Medicaid Services (CMS) Medicare Fee-For-Service FY 2020 proposed rules: the Physician Fee Schedule (PFS), released on July 2019, and Home Health prospective payment system, released on July Read MoreIn Focus:Roundup:
Florida to Raise Medicaid Managed Care Rates 0.2 Percent
Illinois Enacts Law to Address Medicaid Applications Backlog, Require Health Plans to Pay Providers Promptly
Kentucky Launches Medicaid Program to Help Cover Cost of Employer-Sponsored Insurance Premiums
Louisiana Announces Medicaid MCO Awards
Missouri Health Care Task Force to Consider Medicaid Expansion Waiver
New York Is Actively Pursuing DSRIP Waiver Renewal
- This week, our In Focus section reviews the new Centers for Medicare & Medicaid Services (CMS) Medicare Fee-For-Service FY 2020 proposed rules. On July 29, 2019, CMS issued the Calendar Year (CY) 2020 proposed rules for the Physician Fee Schedule Read MoreRoundup:
MCO Withdraws Florida Healthy Kids Award Protest
Illinois Governor Vetoes Bill Aimed at Limiting His Administration's Ability to Seek Medicaid Waivers
Kentucky AG Clears Evolent Acquisition of Passport
Missouri Names Chief of Medicaid Transformation
New Hampshire Medicaid Work Requirements Are Blocked
Ohio Medicaid Enrollment Declines, Uninsured Rate Rises
Oklahoma Lawmakers to Reconsider Medicaid Expansion
Utah Faces Rejection of Partial Medicaid Expansion Waiver Proposal
- This week, our In Focus section reviews the new 1332 State Relief and Empowerment Waiver resources released by the Centers for Medicare & Medicaid Services (CMS) on July 15, 2019. The new resources, intended to help states better understand regulations Read MoreRoundup:
Florida Announces Healthy Kids Awards
Georgia Convenes Advisory Council to Discuss Medicaid, Exchange Waivers
Idaho Seeks Waiver to Allow Medicaid Expansion Eligibles to Remain in Exchange Plans
Massachusetts Lawmakers Advance Drug Pricing Plan
Study: Mortality Rates Lower in Medicaid Expansion States
Senate Finance Committee Drafts Drug Pricing Legislation
- This week, our In Focus section reviews the four new payment models addressing radiation oncology, kidney care, and end-stage renal disease released by the Centers for Medicare & Medicaid Services (CMS), through the Center for Medicare and Medicaid Innovation (CMMI) Read MoreRoundup:
Arizona Releases RFP for Managed Foster Care ASO
Indiana Implements Medicaid Work Requirements
Iowa Medicaid Plans to Receive 8.6 Percent Rate Increase
Minnesota Commissioner of Health Services Resigns
New Mexico to Overhaul Developmental Disabilities Program
New York Uses Budget Maneuver to Keep Medicaid Spending Within Global Cap
North Carolina Begins Transition to Medicaid Managed Care
West Virginia Delays CHIP Transition to Managed Care
- This week, our In Focus section reviews the California fiscal 2019-20 budget. California Governor Gavin Newsom signed his first budget, and much of its related legislation on June 27, 2019. The budget appropriates $214.8 billion ($147.8 billion General Fund) in Read MoreIn Focus:Roundup:
Centene Subsidiary Takes Over Health Care Services In Arizona Prisons
California Exchange Premiums to Rise 0.8 Percent in 2020, Lowest Since 2014
California to Pay Off $58.6 Million in Medical School Student Loans for 247 Physicians Serving Medi-Cal Patients.
Iowa, Medicaid Plans Continue to Negotiate Fiscal 2020 Payment Rates
Kansas Expands Medicaid Services for Brain Injuries
Louisiana Medicaid MCO Awards Are Delayed
New Hampshire Announces Delay of Medicaid Expansion Work Requirements
North Carolina Could Delay Medicaid Managed Care Implementation if State Budget is Not Signed
Oregon Announces CCO 2.0 Contract Awards
Texas Delays STAR+PLUS Implementation
West Virginia Releases Managed Foster Care RFP
- This week, our In Focus section reviews publicly available data on enrollment in capitated financial and administrative alignment demonstrations (“Duals Demonstrations”) for beneficiaries dually eligible for Medicare and Medicaid (duals) in nine states: California, Illinois, Massachusetts, Michigan, New York, Ohio, Read MoreRoundup:
Arkansas Medicaid Work Requirements Raised Uninsured Rate, Study Finds
Georgia to Reinstate Medicaid Benefits to 17,000 Elderly, Disabled Medicaid Members After Disenrollment Backlash
Louisiana Receives CMS Approval for Hepatitis C Subscription Drug Model
Maine Enrolls 26,000 Medicaid Expansion Members, Far Fewer than Expected
New Jersey Proposes Legislation to Increase HMO Annual Assessment
- This week, our In Focus section section highlights some of the key findings of the Spring 2019 Fiscal Survey of States, released this month by the National Association of State Budget Officers (NASBO). The association conducted surveys of state budget Read MoreRoundup:
Arkansas Medicaid Corruption Probe Widens
California Approves Plan to Allow Some Undocumented Immigrants to Enroll in Medicaid
Expansion News: Florida, Oklahoma
Georgia Addresses Backlash Over Elderly, Disabled Medicaid Members Slated for Disenrollment
Kentucky Waiver to Expand Treatment for Substance Abuse
New Hampshire Legislature Nears Agreement to Suspend Medicaid Work Requirements
Ohio Releases RFI for Medicaid Managed Care Reprocurement
Oregon Subcommittee Advances Plan to Cut CCO Allowable Inflation Rate to 3.3 Percent
- This week, our In Focus section provides a high-level overview and an analysis for how health plans should consider two related and significant policy statements from the Centers for Medicare & Medicaid Services (CMS) about opportunities to further integrate care Read MoreRoundup:
Alaska Awards Contract to Evaluate Medicaid Block Grant
California Lawmakers Agree to Allow Undocumented Immigrants Ages 19 to 25 to Enroll in Medicaid
Florida Governor Signs Prescription Drug Importation Bill
Health Alliance Plan to Acquire Trusted HP-Michigan
New Hampshire Proposal to Raise Medicaid Reimbursement Rates Faces Opposition
Virginia Is Cited for Inadequate Oversight of Medicaid Eligibility Determinations
- This week, our In Focus section reviews the Texas 2020-21 biennium budget. The Texas Legislature adjourned its biennial legislative session on May 27, 2019, after adopting a $250.6 billion budget (all funds). The total budget is 6.3 percent higher than Read MoreRoundup:
Arizona to Allow Rideshare Companies to Provide NEMT
Florida Medicaid Expansion Ballot Measure Goes to State Supreme Court for Review
Louisiana Announces Medicaid Managed Care RFP Bidders
Nebraska Announces Fiscal 2020 MLTC Rate Increase for Nursing Homes
Ohio Releases Draft Medicaid Managed Care Procurement Timeline
Texas Releases STAR Health Draft RFP Committee
Wisconsin Approves Health Care Budget Without Medicaid Expansion
- This week, our In Focus reviews the Pathways HUB model, an approach designed to help coordinate outreach by specialized community health workers who are incentivized to engage high-need populations. An HMA webinar, held May 9, 2019, with Mark Redding, co-developer Read MoreIn Focus:Roundup:
Arizona Budgets Funds to Eliminate KidsCare Freeze
Kentucky Medicaid Plan To Be Acquired By Evolent Health
Kentucky Schools To Use Medicaid Dollars For Physical, Behavioral Health
Massachusetts Extends Deadline For One Care Procurement
Nebraska Senate Approves Bill To Delay Transition of Long-Term Care, HCBS Beneficiaries to Managed Care
New Hampshire to Delay Start Date for New Medicaid Managed Care Contracts
New York Begins Electronic Visit Verification Implementation
Texas Lawmakers Pass Medicaid Patient Protection Bills
CMS Finalizes Rule to Update, Modernize PACE
