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- This week, our In Focus section reviews the new guidelines issued by the Centers for Medicare & Medicaid Services (CMS) on expediting the approval process for Medicaid waivers and state plan amendments (SPAs) and improving quality, accessibility, outcomes, and transparency. Read MoreRoundup:
Trump Nominates Alex Azar as Health and Human Services Secretary
Virginia announces medallion 4.0 Medicaid managed care notices of intent to negotiate
Texas Names Muth as New Medicaid Director
New Jersey DHS Expands Behavioral Health Benefits Covered Under NJ Family Care
West Virginia Considers Medicaid Work Requirements for Expansion Population
Senate Finance Committee Adds Repeal of Individual Mandate to Tax Bill
CBO Projects 13 Million Additional Uninsured Following Repeal of Individual Mandate
- This week, our In Focus section reviews two Medicaid managed care requests for proposals (RFPs) released on November 2, 2017. The Arizona Health Care Cost Containment System (AHCCCS) issued an RFP for the “Complete Care” program, which will integrate Medicaid Read MoreRoundup:
Maine Voters Approve Ballot Initiative to Expand Medicaid
CMS Issues New Guidelines to Expedite Medicaid Waiver, State Plan Amendment Approval Process
Verma Confirms Support for Medicaid Work Requirements
Florida Medicaid Managed Care ITN Respondents Identified
Utah Medicaid Expansion Waiver Approved
Idaho Seeks Waivers to Expand Coverage, Create Complex Needs Program
New Hampshire Submits 1115 Waiver Application, Includes Medicaid Work Requirements
North Carolina Releases Managed Care RFIs
Taylor Named Indiana Medicaid Director
Pennsylvania Postpones Phase 2 and Phase 3 Rollout of Community HealthChoices
- This week, our In Focus section reviews the request for proposals (RFP) issued on October 31, 2017, to add one or more Medicaid managed care organizations (MCOs) to the statewide IA Health Link managed care program. It was confirmed this Read MoreRoundup:
CMS Approves Iowa Request to End Retroactive Coverage
Kansas Requests Work Requirement Under KanCare Waiver
Mississippi to Transition Medicaid Eligibility Verification to DHS, Eyes Medicaid Work Requirements
Veyo Ends Idaho NEMT Contract
CMS Proposed Rule Provides States Flexibility in Defining Essential Health Benefits
Exchange Enrollment Numbers Expected to Decline
- This week, our In Focus section reviews highlights and shares key takeaways from the 17th annual Medicaid Budget Survey conducted by Health Management Associates for the Kaiser Family Foundation (KFF). Survey results were released on October 19, 2017, in three Read MoreRoundup:
1332 Waiver Update: Oregon Approved, Massachusetts rejected, Iowa Withdrawn
New Jersey Provides Updates on FamilyCare Program
Kansas Medicaid Director Steps Down
Four More Plans to Exit New York FIDA Program
Maryland Hospital Cost Comparison Website Launched
Oklahoma to Cut Medicaid Provider Rates
Wisconsin to increase behavioral health provider rates
IRS to Enforce Individual Health Insurance Mandate Despite Executive Order
Federal Judge Allows Administration to Halt CSR Payments
California Spends Most on Inmate Health Care, Louisiana Spends Least, Report Finds
- This week, our In Focus section reviews the bipartisan health deal reached by Senators Patty Murray (D-WA) and Lamar Alexander (R-TN), both members of the Senate’s Health, Education, Labor, & Pensions (HELP) Committee. Bipartisan talks around a bill to stabilize Read MoreRoundup:
Massachusetts Medicaid MCO Awards Announced
KanCare Waiver Granted One-Year Extension
Florida Releases Statewide Prepaid Dental ITN
Pennsylvania Announces Approved 2018 Exchange Rates
CMS to Permit Exchange Rate Changes After Deadline
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 27 states. Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to Read MoreRoundup:
Drug Pricing Measures Become Law in California
Florida Hospitals Face $1 Billion in Medicaid Cuts Under Proposed Budget
New Jersey Governor Signs Medicaid Reimbursement Bill for Personal Care Services
Oklahoma to Reduce Medicaid Provider Rates
Pennsylvania Court Denies United MLTSS Award Protest
MedPAC Calls for Repeal and Replace of Merit-Based Incentive Payment System (MIPS)
- This week, our In Focus section highlights an article, Digitally Driven Integrated Primary Care and Behavioral Health: How Technology Can Expand Access to Effective Treatment, published in the Current Psychiatry Report, co-authored by HMA Principals Lori Raney, MD, and Read MoreRoundup:
Delaware Medicaid Managed Care Awards Announced
Hawaii Submits 1115 Medicaid Waiver for Housing Services
Massachusetts Waiver Proposes Moving Adults Off Medicaid, Limited Access to LTSS, Drugs
Medicaid Expansion Saves Montana $30 Million
North Shore LIJ to End MLTC Plan Operations
Oklahoma Withdraws 1332 Innovation Waiver for Reinsurance Program
Texas IDD Managed Care Pilot Canceled
House, Senate Committees Move to Advance CHIP Bill
- This week, our In Focus section reviews the Medicaid managed care procurement landscape for 2017, including those requests for proposals (RFPs) and other procurement vehicles that were awarded, are currently out to bid, or are expected to be released before Read MoreRoundup:
LA County Health Director Katz Joins NYC Health + Hospitals
Florida Governor Proposes Funding to Combat Opioid Abuse
Illinois' CountyCare to Acquire Medicaid Members from FHN
Illinois Awards NextLevel Medicaid MCO Contract for Cook Co.
Ohio Medicaid Proposes Hospital Reimbursement Cuts
Graham-Cassidy ACA Repeal-Replace Bill Pulled
Trump Admin to Shut Down Healthcare.gov on Sundays
- This week, our In Focus section reviews the bill put forward last week by Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA) to repeal and replace the Affordable Care Act (ACA). General consensus, the HMA Roundup included, viewed ACA repeal-and-replace Read MoreRoundup:
D.C. Wins Ruling in Suit Filed by Nursing Home Residents Over HCBS
Iowa Considering Managed Care Exemption for Individuals with Serious Disabilities
New Jersey Governor Allocates $200M for SUD Initiatives
New York Blames Correctional Health Company for Death of Three Inmates
Pennsylvania Delays More Than $1B in Medicaid Payments
Texas Draft STAR+PLUS RFP Released
Graham-Cassidy Bill Gains Momentum, Vote Set for Next Week
- This week, our In Focus section provides a recap of the second annual HMA Conference, The Future of Medicaid is Here: Implications for Payers, Providers, and States, held this Monday, September 11, and Tuesday, September 12, in Chicago, Illinois. More Read MoreRoundup:
MassHealth Submits 1115 Waiver Renewal to CMS
Montana Legislative Committee Blocks Medicaid Cut
New Jersey Requests Applications to Expand PACE
New York May Have Made $1.4B in Improper MLTC Payments
Ohio Releases Medicaid Managed Care Report Card
Pennsylvania Provides Update on MCO Award Challenge
Senate HELP Committee Holds Hearings on Health Reform
Senate Finance Agrees on Five-Year CHIP Reauthorization
MACPAC Set to Meet Thursday-Friday, September 14-15
