HMA Weekly Roundup

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  • This week, our In Focus section highlights a Health Management Associates (HMA) report, commissioned by Arnold Ventures and the Joyce Foundation, titled Cost Estimate of Federal Funding for Gun Violence Research and Data Infrastructure. The report projects the cost to Read More
    Roundup:

    Arizona RFP Seeks Medicaid Plans to Integrate Coverage for Individuals with Serious Mental Illness

    California to Stagger CalAIM Behavioral Health Changes

    California Delays Implementation of Medi-Cal Rx

    Georgia Medicaid Plans Could Face $500 Million in Clawbacks

    New York Releases NEMT Brokerage Management RFP

    Pennsylvania Receives Federal Funding I/DD, LTSS

    Texas Submits Medicaid Managed Care Waiver Amendment to Federal Regulators

    Biden Seeks to Overturn Medicaid Waiver Guardrails

    CMS Scraps Provider, Medicare Plan Contract Transparency Requirement

  • This week, our In Focus section highlights a recent pair of reports prepared for Arizona for Better Medicaid. HMA colleagues examined the impact of managed long-term services and supports (MLTSS) in state Medicaid programs. The first report, Growth in MLTSS Read More
    Roundup:

    Alaska Medicaid Covers Gender Reaffirming Health Care

    Connecticut to Use Medicaid Funds for Violence Prevention

    NEMT News: Connecticut, Georgia, Idaho

    Missouri Supreme Court Upholds Medicaid Expansion

    North Carolina Awards Medicaid Managed Care Regional Behavioral Health I/DD Contracts to Seven Plans

  • This week our In Focus section reviews Vermont’s Global Commitment to Health Section 1115 waiver renewal application. In the proposed five-year demonstration extension, Vermont seeks to move the Medicaid population to a new a risk-bearing public, state-run managed care organization Read More
    Roundup:

    California Budget Eliminates Asset Test for Dual Eligibles

    Delaware to Release Medicaid Managed Care RFP in December

    Florida Medicaid Enrollment Surpasses State Projections

    Indiana Releases Medicaid MLTSS RFI

    Kentucky Health Plans Appeal Ruling that Would Force Medicaid Managed Care Rebid

    Medicaid Waiver Renewals: Maryland, Massachusetts

    North Carolina Medicaid Plans Join Care Coordination Platform

    Washington Medicaid Drug Payment Plan Is Remanded to CMS

    Senate Democrats Agree to Medicare, Medicaid Expansions

  • This week, our In Focus section releases a new brief from Health Management Associates, Medicare-Medicaid Integration: Essential Program Elements and Policy Recommendations for Integrated Care Programs for Dually Eligible Individuals. The authors are Sarah Barth, Ellen Breslin, Samantha DiPaola and Read More
    Roundup:

    HCBS Spending Plans: Arizona, Florida, New York

    Iowa to Release Medicaid Managed Care RFP in December

    Medicaid Expansion News: Mississippi, Missouri, Montana

    Missouri Supreme Court Hears Medicaid Expansion Case

    New Jersey Enacts ‘Cover All Kids’ Universal Care Initiative

    Ohio Medicaid Readies New Nursing Home Rates

    Vermont Proposes Risk-Bearing, State-Run Medicaid Managed Care Entity

  • This week, our In Focus section reviews the Minnesota Integrated Health Partnerships (IHP) Program request for proposals (RFP) released by the Minnesota Department of Human Services (DHS), Health Care Administration on July 6, 2021. Minnesota will contract with provider organizations Read More
    Roundup:

    Arkansas Approves CareSource to Participate in PASSE Program

    California Submits CalAIM Waivers for Federal Approval

    State Budget News: California, Maine, New Jersey

    Guam Could Transition Thousands from Medically Indigent Program to Medicaid

    Missouri Legislature Renews Medicaid Hospital Tax

    Ohio Governor Vetoes Medicaid Procurement Changes

    Oklahoma Medicaid to Provide Adult Preventative Dental Services

    CMS Appoints Meena Seshamani as Medicare Director

  • This week, our In Focus section reviews a new paper from Health Management Associates, State Efforts to Integrate Care Across Medicaid Fee-forService Long-Term Services and Supports and Medicare Advantage Dual Eligible Special Needs Plans by Sarah Barth, Rachel Deadmon and Read More
    Roundup:

    Georgia to Delay Limited Medicaid Expansion Roll Out

    Minnesota Releases IV&V RFP

    Missouri Supreme Court to Hear Medicaid Expansion Case

    Ohio Bill Scraps Medicaid Managed Care Procurement Redo

    Lawmakers in 42 States Introduce Bills to Regulate PBMs

    CMS to Expand Home Health Value-Based Purchasing Model

    CMS Names Daniel Tsai Director for Medicaid, CHIP Services

  • This week, our In Focus section reviews a new report from Health Management Associates, COVID-19 Policy Flexibilities Affecting Children and Youth with Special Health Care Needs: What to Keep, Modify, or Discard?. In response to the COVID19 pandemic, the federal Read More
    Roundup:

    HCBS Spending Plans: California, Pennsylvania

    Florida to Roll Back Medicaid Flexibilities on July 1

    Georgia Department of Community Health Chief to Retire

    Dental News: Illinois, New Hampshire, Virginia

    Kentucky Must Rebid Medicaid Managed Care Contracts

    Mississippi Investigates Health Plan, Medicaid PBM

    Missouri Judge Rules Against Medicaid Expansion

    Pennsylvania Law to Expand Caregivers Eligibility, Support

    Ohio Denies Medicaid Managed Care Award Protest

    Vermont Audit Says Medicaid ACO Missed Financial Targets

    CMS Announces Grants to Improve State-based Marketplaces

  • This week our In Focus reviews the Tennessee Medicaid managed care request for proposals (RFP) released on June 11, 2021, by the State of Tennessee, Division of TennCare. Tennessee will select three plans to provide physical services, behavioral services, and Read More
    Roundup:

    Florida Releases Medicaid Dental Plan ITN for Healthy Kids

    Florida Seeks Extension on Enhanced Medicaid HCBS Funds

    Illinois Statewide Dual Demo Plan Receives Approval

    Missouri House Leader Sees Progress on Medicaid Hospital Tax

    Nevada to Award Medicaid Plan Contracts

    North Carolina Residents Are Unaware of Planned Medicaid Managed Care Transition, Poll Shows

    Ohio Senate Clears Rebid of Medicaid MCO Contracts

    Medicaid Plan Settles Ohio PBM Lawsuit

    Oregon Medicaid Director Steps Downs

    Tennessee Releases Medicaid Managed Care RFP

    Exchange Premiums Fall 26 Percent for New Enrollees

  • This week, our In Focus section reviews the Indiana Medicaid managed care request for proposals (RFP) for health plans serving beneficiaries enrolled in Hoosier Healthwise and Healthy Indiana Plan (HIP) programs. Contracts will be worth over $6 billion annually. The Read More
    Roundup:

    Arizona Looks to Improve Health Outcomes for Homeless

    Georgia Is Asked for New Study on Exchange Waiver Impacts

    Illinois Awards MMIS Contract to CNSI

    Iowa Auto-Assigns Children to Medicaid Dental Plans

    Medicaid Expansion News: Nebraska, Montana, North Dakota, Oklahoma

    Ohio Lawmakers Seek Redo of Medicaid Plan Procurement

    Vermont Medicaid Director Resigns

    Lawmakers Seek More Transparency from CMMI on Value-Based Care Models

  • This week, our In Focus section reviews the draft Medi-Cal Managed Care Plans (MCPs) request for proposals (RFP) released on June 1, 2021, by the California Department of Health Care Services (DHCS). California will procure MCPs for the Two-Plan Model, Read More
    Roundup:

    Florida Names Tom Wallace Medicaid Director

    Illinois Legislature Passes Bill to Enhance Medicaid Benefits

    Missouri Medicaid Expansion Court Trial to Begin June 18

    Nevada Senate Passes Public Option Proposal

    New Jersey Bill Would Facilitate Certification of Family Caregivers as Nursing Assistants, Raise Payments

    New York Home Care Providers Worry About New Medicaid Application Process

    New York Medicaid Director to Resign Effective August 11

    North Carolina Completes Medicaid Plan Auto-Enrollment

    Oklahoma Supreme Court Rules Against Transition to Medicaid Managed Care