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- 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
- This week, our In Focus section reviews the request for proposals (RFP) released by the New Mexico Human Services Department (HSD) to reprocure contracts for the state’s Medicaid managed care program in its second phase, Centennial Care 2.0. Centennial Care Read MoreRoundup:
Oregon Medicaid Audit Finds 55,000 Individuals Ineligible
New York Drug Spending Exceeds Cap, Triggering Supplemental Rebate Provisions
New Jersey Appropriates Funding Towards End-Of-Life Initiatives
Governors Offer Bipartisan Blue Print to Stabilize Exchange
Funding for ACA Exchange Enrollment Outreach Significantly Decreased
- This week, our In Focus section reviews a report published by HMA on August 23, 2017, “Impacts of Imposing the ACA’s Health Insurance Tax on Medicaid Plans.” The report, authored by HMA Senior Fellow Jack Meyer, PhD, and Senior Consultant Read MoreRoundup:
Alabama MLTSS RFP Delayed
Georgia DCH Names Fulenwider Medicaid Director
MassHealth Selects ACOs, Community Partners
CareConnect Leaves New York Marketplace
Texas Medicaid Proposes 10 Percent Provider Rate Cut
- 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 “May 2017 Medicaid and CHIP Application, Eligibility Determination, Read MoreRoundup:
Illinois General Assembly Passes Bill that Could Require Managed Care Rebid
New York Announces 2018 Exchange Rates
Ohio Medicaid MLTSS Plans on Hold
Pennsylvania Governor Appoints Miller as Acting DHS Secretary
HHS Delays Planned Changes to 340B Program
Senate HELP Committee to Hear from Governors, Insurance Commissioners After Labor Day
- This week, our In Focus section is taking a brief summer vacation. Below, we provide our regular HMA Roundups, Industry News, RFP and Duals Calendars, and HMA News sections. We also want to take a moment to remind our readers Read MoreIn Focus:Roundup:
Illinois Announces Medicaid Managed Care Awards
Georgia Medicaid Director, Deputy Director Step Down
Montana to End Medicaid Expansion TPA Contract
Nebraska Releases Final Medicaid LTSS Redesign Plans
CBO Releases Score of Exchange CSR Impact
- This week, our In Focus section reviews “North Carolina’s Proposed Program Design for Medicaid Managed Care, ” a draft proposal published this week for public comment, which provides a detailed overview of the planned statewide Medicaid managed care program to Read MoreRoundup:
Arkansas Names DMS Director
Temporary Cuts to Medi-Cal Reimbursements Ruled Improper
Florida Medicaid Waiver Receives CMS Approval
New Jersey 1115 Waiver Extension Approved
New York FIDA Duals Demonstration Expands
New York Previews CCOs for Individuals with I/DD
Maine Waiver Calls for Work Requirements, Premiums
Washington Duals Demo Shows Positive Quality, Cost Results
- In deference to Miracle Max, after last week’s failed votes on “Repeal and Replace, ” “Straight Repeal, ” and “Skinny Repeal, ” the GOP’s efforts to undo the Affordable Care Act (ACA) through budget reconciliation appear to be at least Read MoreRoundup:
Alabama to Pursue an Alternative to Regional Care Organizations
Colorado Issues Regional Accountable Entities RFP
Florida Releases Medicaid Prepaid Dental Program RFI
Illinois Begins Making Overdue Payments to Medicaid Plans
Indiana Issues RFI for FFS Medicaid PBM
New York Provides DSRIP Year 2 Results
Pennsylvania Delays HealthChoices Implementation
Centurion Retains Tennessee Correctional Health Contract
CMS Outlines DSH Funding Reductions Set to Begin in October
- This week, our In Focus section reviews the request for proposals (RFP) issued by the Virginia Department of Medical Assistance Services (DMAS) for the Medallion 4.0 Medicaid managed care program. Medallion 4.0 will serve roughly 740, 000 children, including those Read MoreRoundup:
Mississippi True, Anthem Protest Medicaid MCO Awards
Nebraska, Montana Propose Medicaid Provider Payment Cuts
New York Demonstrates Progress in Reducing Avoidable Hospital Use
New York Awards Contract to Administer Medicaid Insurance Programs
Medicaid Expansion States See Decline in Unpaid Medical Bills, Higher Financial Satisfaction
- This week, our In Focus section reviews the Invitations to Negotiate (ITNs) issued on July 14, 2017, by the Florida Agency for Health Care Administration (AHCA) to re-procure its managed care vendors. The ITNs will involve separate and simultaneous regional Read MoreRoundup:
Virginia Releases Medallion 4.0 Statewide Medicaid Managed Care RFP
Arkansas Submits Waiver Rolling Back Medicaid Expansion, Adding Work Requirement
Aetna, CCPN Sign Network Agreement in Rural North Carolina
Ohio Developing 1332 Innovation Waiver to Eliminate Individual, Employer Mandates
Texas STAR+PLUS, STAR, CHIP Operational Start Dates Aligned to September 2019
CMS Proposes to Reduce 340B Drug Payments to Hospitals
- 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:
CMS Approves Alaska’s 1332 Waiver for Reinsurance Program
Illinois House Overrides Budget Veto After Two-Year Stalemate
New York Legislative Session Summary
New York Releases Draft Application for Care Coordination Organizations for People with I/DD
Oregon County Sees 17 Percent Drop in Cardiac Arrests After Medicaid Expansion
Pennsylvania DHS Secretary Leaves Wolf Administration for Geisinger Health
Texas HHS Deputy Executive Commissioner to Step Down
Wisconsin Family Care and IRIS Managed Care Contracts for Dane County Awarded
Study: Medicaid Beneficiaries Satisfied with Coverage, Care
