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- This week, our In Focus section provides a recap of the third annual HMA Conference, The Rapidly Changing World of Medicaid: Opportunities and Pitfalls for Payers, Providers and States, held this Monday, October 1, and Tuesday, October 2, in Chicago, Read MoreRoundup:
Texas Cancels, Re-Issues Medicaid, CHIP Solicitations
Tennessee Releases Medicaid Work Proposal for Public Comment
Alabama Receives CMS Approval for ICN Long-term Care Program
CMS Administrator Defends Medicaid Work Requirements, Highlights New Initiatives
Supreme Court to Hear Medicare DSH Payment Cas
- This week, our In Focus section reviews Medicare-Medicaid integration opportunities through Dual Eligible Special Needs Plans (D-SNPs). States are motivated to expand their capacity to address the needs of dually eligible beneficiaries through integrated care. They are increasingly requiring health Read MoreRoundup:
Hawaii Releases RFI for QUEST Integration Medicaid Managed Care Program
New Mexico to Transition to State-based Health Insurance Exchange in 2021
Virginia Files Waiver Request for Medicaid Work Requirements, Monthly Premiums
Alabama Medicaid Work Requirement Proposal to Be Reviewed by CMS
Medicaid Spending Rose 2.6 Percent to $592 Billion in 2017
DHHS Awards More Than $1 Billion to Combat Opioid Crisis
- This week, our In Focus section reviews Texas’ biennial legislative appropriations request (LAR) for fiscal years 2020-21, submitted by the Texas Health and Human Services Commission (HHSC). The document, which totals 1, 358 pages, includes summary program data as well Read MoreRoundup:
Arkansas Drops 4,300 Medicaid Expansion Members for Failing to Meet Work Requirements
Michigan Medicaid Expansion Improved Health, Finances of Low-Income Adults, Study Finds
Pennsylvania-based Jefferson Health, Einstein Healthcare Network to Merge
Colorado to Treat 2,000 Prisoners With Chronic Hepatitis C
Wisconsin Transitions to Maximus for Medicaid HMO Enrollment Broker Services
Uninsured Rate Unchanged at 8.8 Percent in 2017
- 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 Work Requirements Result in 4,600 Losing Coverage
California Allows State Regulators to Veto Proposed Health Plan Mergers
Massachusetts Releases Duals Demo 2.0 RFI
Michigan Seeks Federal Approval for Work Requirements
Tennessee Rereleases Pharmacy Claims Processing System RFP
ACA Exchange Plan Premiums to Rise 3.6% in 2019
- This week, our In Focus reviews North Carolina’s much-anticipated Prepaid Health Plan Services request for proposals (RFP), released by the Department of Health and Human Services, Division of Health Benefits on August 9, 2018, and District of Columbia’s Medicaid Managed Read MoreRoundup:
California Passes Bill to Cap Dialysis Reimbursements
New Hampshire Releases Medicaid Managed Care RFP
Mississippi Re-releases CHIP RFQ
New York MLTC Plan GuildNet to Shut Down
Magellan Receives Medicaid Contract in Florida
Illinois Halts Enrollment into BCBS Dual Plan
Phillips Appointed Texas HHSC Executive Commissioner
Steckel Named Kentucky Medicaid Commissioner
Oregon Health Share CEO Steps Down
Montana to Restore Medicaid Provider Rate Cuts
Iowa to Increase Medicaid MCO Rates
Oklahoma Considers Provider Rate Increases
- This week, our In Focus section highlights HMA Medicaid Market Solutions’ (MMS) efforts to support state flexibility in designing and implementing Section 1115 Demonstration Waivers promoting member engagement and personal responsibility. Over the coming weeks, HMA MMS will present a Read MoreRoundup:
North Carolina Releases Medicaid Managed Care RFP
D.C. Releases RFP to Reprocure Medicaid MCO Contracts
Arizona Releases RFI Concerning Potential Integrated Health Care Program for Foster Kids
Arkansas Residents Sue CMS Over Work Requirements
Ohio to Transition PBM Contracts to Transparent Pricing
Kansas Judge Denies Temporary Injunction in Medicaid Managed Care Awards Dispute
GAO, CMS Call for Scrutiny of Medicaid Managed Care
- This week, our In Focus reviews a New York State Health Foundation commissioned report titled, “An Assessment of the New York Health Act: A Single-Payer Option for New York State.” The study, conducted by the RAND Corporation, analyzes a proposal Read MoreRoundup:
Florida Healthy Kids Releases CHIP Medical Services, Coverage ITN
Illinois Enacts Law To Address Medicaid Eligibility Backlog For Nursing Home Residents
North Carolina Awards Enrollment Broker Contract to Maximus
Washington Awards Medicaid Dental Contracts
Medicaid Expansion Makes Diabetes Medication More Affordable, Study Finds
- This week, our In Focus reviews the New Hampshire Medicaid Care Management (MCM) Services Draft request for proposals (RFP), released by the state Department of Health and Human Services (DHHS) on July 9, 2018. The MCM program, worth $750 million Read MoreRoundup:
Mississippi Cancels CHIP Managed Care RFQ
Florida Dental Plans Drop Medicaid Award Challenge
Mississippi Medicaid Awards NEMT Contract
Wisconsin, Maine Approved for New Reinsurance Funds
Montana Governor Restores $45 Million in Medicaid Funding
HHS Expands Availability of Short-Term Health Plans
GAO Urges CMS to Increase Oversight of Medicaid Managed Care Plans, Track Over-Payments
- This week, our In Focus reviews a case study called, “Spotlight on Health Center Payment Reform: Washington State’s FQHC Alternative Payment Methodology, ” authored and prepared for the National Association of Community Health Centers by Health Management Associates’ Principal Art Read MoreRoundup:
Texas Reissues STAR+PLUS RFP
Kentucky Restores Dental, Vision Benefits to Medicaid Beneficiaries
South Dakota Releases RFP for Medicaid, CHIP Eligibility System
California Health Exchange Rates to Rise 8.7 Percent
CMS to Resume Exchange Plan Risk-Adjustment Payments
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 28 states.1 Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This Read MoreRoundup:
Arkansas Work Requirement Takes Effect; 7,000 Beneficiaries Fall Short
Massachusetts to Release One Care RFP in August
Ohio to Request 3-Year Extension of Dual Demonstration
Kansas, Rhode Island to Lift Limits on Hepatitis C Treatment
Oklahoma Medicaid Wins Approval for Value-Based Drug Program
New Mexico Judge Grants UnitedHealth Stay in Contract Award Dispute
New York Launches Care Management Program for People with Developmental Disabilities
