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- 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
- This week, our In Focus section reviews the Kentucky Medicaid managed care organizations (MCOs) request for proposals (RFP), issued by the Kentucky Finance and Administration Cabinet on May 16, 2019. The Kentucky Cabinet for Health and Family Services (CHFS), Department Read MoreIn Focus:Roundup:
Alaska Issues RFP for Help Evaluating Medicaid Redesign
Indiana Seeks Financial Bridge for Individuals Leaving Medicaid Expansion
Maine Lawmakers Propose Task Force to Review Mental Health System
Michigan Appoints Kate Massey as Medicaid Director
New Jersey Releases Medicaid Managed Care, MLTSS Quality Technical Report for 2018
New Mexico Proposes Increase In Medicaid Rates
Chris Traylor to Step Down as Director of Center for Medicaid and CHIP Services
- This week, our In Focus summarizes the findings of an HMA Information Services analysis of Medicaid managed care plan profitabilty, based on data from annual statutory filings made with the National Association of Insurance Commissioners (NAIC). Read MoreRoundup:
Arkansas Medicaid Plans Are Questioned About Reimbursement Rates to Pharmacies
Delaware Prison Medical Contractor Faces Investigation
Medicaid Expansion News: Florida, Georgia, Kansas, Mississippi, Montana, Wisconsin
Maryland Allows Individuals to Apply for Medicaid, Exchange Plan on Income Tax Form
New Mexico Medicaid Information System Upgrade Is Endangered by Delays, Analysts Say
Washington Enacts Law to Widen Exchange Plan Options
- 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 “January 2019 Medicaid and CHIP Applications, Eligibility Determination, Read MoreRoundup:
Arkansas Reschedules PASSEs Open Enrollment to October
Illinois Medicaid Eligibility Backlog Leaves Thousands Without Coverage
Kansas Legislature Fails to Advance Medicaid Expansion
Nebraska Releases RFQ For Families First Prevention Services Act Providers
New Hampshire Lawmaker Proposes 12 Percent Raise in Medicaid Rates for Clinicians
Pennsylvania Counties Push Back Against Behavioral Health Integration Bill
Tennessee to Seek Federal Approval for Medicaid Block Grant
- This week, our In Focus section reviews the Centers for Medicare & Medicaid Services (CMS)-issued Fiscal Year (FY) 2020 Medicare Part A proposed rules. Between April 17 and April 23, 2019, the CMS issued the proposed rules for general acute Read MoreRoundup:
California Dual Eligibles Program Is Extended Through 2022
Florida Legislature Approves Bill to Import Prescription Drugs from Canada
Missouri Medicaid Enrollment Falls by 70,000 in 2018 Partly from Renewal Processing Errors
Nebraska Senate Advances Bill To Delay Transition of Long-Term Care, HCBS Beneficiaries to Managed Care
Texas House Committee Passes Bill Requiring Independent Review of Medicaid Managed Care Denials
Washington Legislature Passes Public Option Exchange Plan
- On April 22, 2019, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced the Primary Cares Initiative (PCI), which will present eligible providers and other entities with the opportunity to engage in value-based payment and direct contracting Read MoreRoundup:
Colorado Senate Tentatively Endorses Study of State-Run Public Option Health Plan
Federal Judge Orders Florida to Expand Hepatitis C Treatment for Inmates
Medicaid Expansion News: Montana, Oklahoma
Oregon Receives 19 Applications for CCO 2.0 Contracts
Texas Children Are Improperly Losing Medicaid Coverage, State Data Show
- This week, our In Focus section reviews Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. After submitting a Freedom of Information Act request to the Centers for Medicare & Medicaid Services (CMS), we have received a draft Read MoreRoundup:
Alaska House Committee Considers Bill to Shift Medicaid Expansion Members to Private Insurance
Arkansas Reports Increase in Medicaid Enrollment
District of Columbia to Award Medicaid Managed Care Contracts to Amerigroup, AmeriHealth Caritas, Trusted
Iowa to Evenly Distribute Medicaid Members Among 2 Plans
Michigan Considers Options for MLTSS System Revamp
Montana Senate Fails to Renew Medicaid Expansion
New Jersey Child Enrollment Declines
Foster Care News: New York, Oregon
- This week, our In Focus reviews the Calendar Year (CY) 2020 Medicare Advantage (MA) and Part D Flexibility Final Rule (Final Rule) issued by the Centers for Medicare & Medicaid Services (CMS) on April 5, 2019. The Final Rule implemented Read MoreRoundup:
Alaska Pushes Ahead With Medicaid Block Grant Proposal
Medicaid Expansion News: Idaho, Kansas, Maine, North Carolina, North Dakota
Louisiana Medicaid Is Under Scrutiny Over Improper Enrollments
BCBS-Minnesota Posts Profit in Medicaid, MNCare Lines
CMS Approves New York Children’s HCBS Waiver
Texas Legislative Agency Reports Medicaid Quality Problems
CMMI Director Considers Bundled Payments for Post-Acute Care
- This week, our In Focus reviews the Announcement of Calendar Year (CY) 2020 Medicare Advantage (MA) Capitation Rates and Medicare Advantage and Part D Payment Policies (Rate Announcement) and Final Call Letter, issued by the Centers for Medicare & Medicaid Read MoreRoundup:
Medicaid Expansion News: Arkansas, Kansas, Montana, Nebraska, Utah, West Virginia
Florida Is Approved for Behavioral Health Housing Pilot
Iowa Medicaid Plan UnitedHealthcare to Exit Market
Louisiana Is No Longer Pursuing Medicaid Work Requirements
Minnesota Individual Plans Post Strong 2018 Financials
North Carolina Audit Finds Behavioral Health LME/MCOs Had $440 Million in Excess Savings
Tennessee Medicaid Program Cuts 128,000 Kids over Past Two Years
- This week, our In Focus reviews the implications of the new federal guidance for state waivers with community engagement, premiums, non-eligibility periods, and other personal responsibility provisions. Read MoreIn Focus:Roundup:
Medicaid Expansion News: Alabama, Colorado, Georgia, Idaho, Kansas, North Carolina
Arizona Announces DDD Health Plan Awards
Kentucky Attorney General Launches PBM Investigation
Louisiana Awards Hepatitis C Pact to Asegua Therapeutics
New Jersey Releases 2018 Medicaid Plan CAHPS Results
New Mexico to Develop Medicaid Home and Community Supports Waiver Program
Ohio Medicaid to Release Managed Care Procurement RFI
