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- This week, our In Focus, written by HMA Principals Nora Leibowitz and Donna Laverdiere, reviews Section 1332 State Innovation Waivers. Section 1332 of the Affordable Care Act allows states to apply for State Innovation Waivers to pursue innovative ways of Read MoreRoundup:
Puerto Rico Releases Medicaid Managed Care RFP
Florida Receives Bids from 8 Medicaid Dental Plans
Mississippi House Passes Bill to Rebid Medicaid Managed Care Program
Missouri Hospitals Win Lawsuit Over DSH Allotment Rule
New Jersey Provides MLTSS Update
New York Senate Opposes Governor’s Proposed Health Insurance Tax
Virginia Awards NEMT Contract to LogistiCare
CMS Is Developing Medicaid Scorecard
Budget Deal Further Extends CHIP Funding
- Texas Lawmaker Calls for Investigation of Medicaid Managed Care Contract Oversight Wisconsin Moves to Mandatory Enrollment for Certain SSI Beneficiaries Trusted Health Plan Responds to Iowa RFP Molina Protests New Mexico Contract Loss, Is Invited to Negotiate in Florida Region Read MoreRoundup:
Texas Lawmaker Calls for Investigation of Medicaid Managed Care Contract Oversight
Wisconsin Moves to Mandatory Enrollment for Certain SSI Beneficiaries
Trusted Health Plan Responds to Iowa RFP
Molina Protests New Mexico Contract Loss, Is Invited to Negotiate in Florida Region 11 Only
Tennessee Wins Federal Approval for Drug Management Pilot
Trump Administration Considers Lifetime Coverage Limits for Medicaid
Republicans Abandon ACA Repeal and Replace For Now
CMS to Release Rural Health Strategy for Providers
- This week, our In Focus reviews Texas’ draft STAR and CHIP managed care services request for proposals (RFP) issued by the state’s Health and Human Services Commission (HHSC) on January 29, 2018. The STAR program is Texas’ Medicaid managed Read MoreRoundup:
Alabama to Release RFP for Medicaid LTSS Integrated Care Networks
Arizona Attracts 7 Bidders for Medicaid Managed Care RFP
Florida Budget Proposal Calls for Redistribution of Hospital Funding
Kansas Governor Scraps KanCare 2.0
Mississippi Reconsiders Medicaid Provider Cuts
Governor Cuomo Announces $700 Millions Award for One Brooklyn Health
Utah Release Medicaid Dental Managed Care RFP
Virginia Considers Medicaid Expansion with Work Requirements
- This week, our In Focus section reviews Texas’ 1115 Medicaid waiver renewal. After more than a year of negotiations, on December 21st the Texas Health and Human Services Commission (HHSC) received CMS approval to extend the state’s 1115 waiver. Read MoreIn Focus:Roundup:
CHIP Reauthorized for Six Years
Senate Approves Azar as HHS Secretary
CMS Deputy Administrator Brian Neale To Resign
New Mexico Awards Centennial Care MCO Contracts
Oregon Voters Approve Tax on Hospitals, Insurers To Fund Medicaid Expansion
Alabama, Ohio Consider Medicaid Work Requirements
Louisiana Health Secretary Opposes Medicaid Work Requirements
Mississippi Medicaid Reauthorization Bill to Cut Provider Reimbursement By 5 Percent
North Carolina Releases List of Managed Care RFI Respondents
- This week, our In Focus section reviews Kentucky’s 1115 waiver, Kentucky Helping to Engage and Achieve Long Term Health (KY HEALTH), approved by the Centers for Medicare & Medicaid Services (CMS) on January 12, 2018. The waiver was approved for Read MoreRoundup:
California Approves Aetna's Entry Into Medi-Cal Market
Illinois Medicaid Sued Over Low Nursing Home Rates
Louisiana Considers Medicaid Work Requirements
Massachusetts Lawmakers Call for Investigation of Kindred Healthcare
New York Budget Proposal Contemplates For-profit Conversion and MCO Profit Fees
Pennsylvania Governor Declares Opioid Epidemic a Statewide Public Health Disaster
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 27 states. Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. Read MoreRoundup:
Mississippi Obtains Approval for First Ever 10-Year Medicaid Waiver
Arizona Submits Waiver Request for Medicaid Work Requirements, Lifetime Limit.
California Restores Medi-Cal Coverage of Certain Dental Services
Illinois Begins Implementing HealthChoice Medicaid Managed Care
Iowa Considers Adding a Fourth Medicaid Managed Care Plan
Michigan Seeks Renewal of Medicaid Expansion Waiver
Molina Confirms Loss of New Mexico Medicaid Managed Care Contract
South Dakota to Seek Medicaid Work Requirements
Texas Obtains Five-Year Medicaid Waiver Renewal
- This week, our In Focus section highlights some of the key findings of the Fiscal Survey of the States Fall 2017 report, released this month by the National Association of State Budget Officers (NASBO). The association conducted surveys of state Read MoreRoundup:
Alabama, Connecticut Issue CHIP Warnings
D.C. to Reevaluate Medicaid Managed Care Awards
Idaho Awards NEMT Contract to MTM
Maryland to Expand Community Services for Individuals with Disabilities
Mississippi Medicaid Director Resigns
Oregon CCO FamilyCare to Close
CMS will not Approve Medicaid Waivers Seeking Federal Designated state Health Program Funding
House to Exclude ACA Exchange Stabilization Provisions from Spending Bill
- 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 10 states: California, Illinois, Massachusetts, Michigan, New York, Ohio, Read MoreRoundup:
Michigan Study Finds Half of Medicaid Expansion Enrollees Work
New York Medicaid MCO Financial Performance Deteriorated in 2016
Federal Funding for New York’s Essential Plan in Jeopardy
New Mexico Scales Back, Delays Some Proposed Medicaid Cuts
Heather Smith Named Wisconsin Medicaid Director
Hospitals Issue Flood of Bonds Ahead of Tax Overhaul
Exchange Enrollment Lags Prior Years
- This week, our In Focus section reviews the Texas STAR+PLUS request for proposals (RFP) issued on December 4, 2017. The STAR+PLUS Medicaid managed care program covers approximately 519, 000 individuals who have disabilities or are aged 65 or older. The Read MoreRoundup:
Kansas Secretary of Health to Step Down
Illinois Finalizes Contracts with Seven Medicaid Managed Care Plans
21 Florida MCOs Submit Bids for Medicaid Managed Care Procurement
Colorado Expands Access to Hepatitis C Drugs for Medicaid Members
- This week, our In Focus section examines the 10 states that have not expanded Medicaid under the Affordable Care Act but where citizens can initiate a public vote on the issue. In November, nearly 60 percent of Maine voters approved Read MoreRoundup:
Arizona Supreme Court Upholds Medicaid Expansion Funding
Arkansas Approves Gateway-sponsored PASSE
Florida Gov. Releases Proposed 2018-19 Budget
Suits Force Florida, Missouri to Expand Hepatitis C Treatment
Iowa Health Link RFP Attracts LOIs from Centene, Medica
Iowa Appoints Randol as Medicaid Director
Massachusetts Seeks Waiver to Negotiate Drug Rebates, Exclude Certain Medications
OIG Report Says New Jersey Owes $300 Million for Special Education Services
North Carolina Proposes Medicaid Premiums, Work Requirements in Waiver Amendment
