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- This week, our In Focus section reviews the request for proposals (RFP) issued by the Mississippi Division of Medicaid (DOM) for the reprocurement of Mississippi Coordinated Access Network (MississippiCAN) Medicaid managed care plans. Under the RFP, the DOM is adding Read MoreRoundup:
Arizona to Request Waiver Approval for Medicaid Work Requirement, Eligibility Cap
Arkansas Dental Managed Care Contract Awards Announced
Florida Announces Reprocurement Process for Statewide Medicaid Managed Care
Minnesota Legislature Passes Bill Opening Medicaid, Individual Markets to For-Profit HMOs
Missouri Governor Proposes Medicaid Provider Cuts
Utah to Move Ahead on Limited Medicaid Expansion
Study Estimates Medicaid Block Grants Could Save Federal Government $150 Billion Over Five Years
Trump Administration Submits Rule to OMB to Stabilize Exchanges
- This week, our In Focus section comes to us from HMA Principal Sarah Jagger, of our Indianapolis, Indiana office. Sarah provides an overview of the Healthy Indiana Plan (HIP) and the proposed changes under the HIP 2.0 waiver renewal request, Read MoreRoundup:
Alabama Medicaid Seeks Additional Funding for RCO Roll-out
Florida Governor Proposes Hospital Payment Cuts
New Jersey Provides Update on MLTSS Spending
New York DOH Provides DSRIP Program Update
Ohio Governor’s Proposed Budget Expands MLTSS
Pennsylvania Gov. Proposes Consolidation of Health Agencies
CMS Offers to Extend Dual Demos in Massachusetts, Minnesota, Washington
- This week, our In Focus section reviews Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. In federal fiscal year (FFY) 2016, Medicaid expenditures across all 50 states and 6 territories exceeded $548 billion, with nearly half of Read MoreRoundup:
Arizona Releases AHCCCS MCO RFI
Medi-Cal Accounting Error Drives Budget Deficit Projection
KanCare Waiver Extension Denied by CMS
Maryland Begins Enrolling Former Inmates in Medicaid
New Jersey Auditor Report Raises Medicaid Network Adequacy Concerns
New York Gov. Proposes Extension of Global Spending Cap
Rhode Island Budget Proposal Freezes Rates for Hospitals, Nursing Homes, Cuts MCO Administrative Rates
Wisconsin DHS Announces Awards for Family Care MLTSS
- This week, our In Focus section comes to us from HMA Principal Cathy Kaufmann, of our Portland, Oregon office. Cathy provides an overview of Oregon’s Medicaid waiver program, under which the state implemented integrated managed care entities and committed to Read MoreRoundup:
California Governor’s 2017-18 Budget Highlights
Senior to be Named Secretary of Florida AHCA
Massachusetts Governor Proposes Employer Assessment to Offset MassHealth Costs
Mississippi to Rebid Medicaid MCO Contracts Early this Year
Ohio Medicaid Oversight Committee Reports $1.6B in Savings
Pennsylvania to Test New Payment Model for Rural Hospitals
Pennsylvania to Close Two State Facilities
Block Grant Proposals Discussed in Tennessee, Missouri
CMS Finalizes Rule Blocking Pass-Through Payments to Safety Net Providers
CBO Report Says ACA Repeal Could Double Premiums, Leave 32 Million Uninsured by 2026
- This week, our In Focus section comes to us from HMA Principals Meggan Schilkie, Joshua Rubin, and Heidi Arthur in our New York City office and the HMA national behavioral health team. On December 21, 2016, the U.S. Department of Read MoreRoundup:
Pennsylvania Announces Preliminary HealthChoices Awards
Washington 1115 Waiver Approved by CMS
California Governor Proposes Ending CCI Demonstration
Alabama Requests CMS Approval for RCO Rollout Delay
Florida AHCA Submits 1115 Waiver Extension Request
North Carolina Medicaid Expansion Proposal May Receive Expedited CMS Review
Texas Announces New Schedule for Future MCO Procurements, Releases Draft for CHIP Rural Service Areas Procurement
West Virginia Appoints New DHHR Head
- This week, our In Focus section reviews two active Medicaid managed care procurements – in the District of Columbia and Massachusetts – and a Medicaid managed care request for information issued by Texas. On December 22, 2016, the District of Read MoreRoundup:
Florida Awards All Payer Claims Database Contract
Texas Releases IDD Managed Care Pilot RFP
Indiana Posts 1115 Waiver Renewal Request for Public Comment
New Mexico Medicaid Behavioral Health Rate Cuts Cancelled
New York Governor Vetoes Enhanced Medicaid Funding for Safety Net Hospitals
West Virginia DHHS Secretary to Step Down
HHS Awards CCBHC Grants to 8 States
- This week, our In Focus section reviews updated reports issued by the Department of Health & Human Services (HHS) on Medicaid expansion enrollment from the “September 2016 Medicaid and CHIP Application, Eligibility Determination, and Enrollment Report, ” published on December Read MoreRoundup:
Massachusetts Issues MassHealth Medicaid MCO RFR
Centene May Operate in All Five Alabama RCO Districts
Florida Receives 37 Responses to Medicaid Managed Care RFI
Florida Senate to Consider Block Grant Model
Maryland DHMH Secretary Steps Down
Tennessee 1115 Waiver Extension Approved by CMS
- This week, our In Focus section comes to us from HMA Principal Barbara Markham Smith, JD, of our Washington, DC office. On December 12, 2016, Virginia’s Joint Legislative Audit and Review Commission (JLARC), the audit arm of the General Assembly, Read MoreRoundup:
CMS Approves Arkansas Medicaid Expansion Waiver Changes
Medicaid Expansion Ballot Initiative in Maine is Likely
Evergreen Health to Exit Maryland Marketplace in 2017
Montana DPHHS Executive Director to Step Down
New York’s 1115 Medicaid Waiver Extended
Pennsylvania Medicaid Managed Care RFP Updates
Half of States See Budget Shortfalls, Most Since Recession
21st Century Cures Act Passes, Advancing Support for Mental Health
- This week, our In Focus section reviews the Oklahoma Health Care Authority’s (OHCA’s) request for proposals (RFP) for a new statewide Medicaid managed care program for individuals who are aged and individuals with disabilities (ABD). The program, called SoonerHealth+, will Read MoreIn Focus:Roundup:
Iowa Medicaid MCOs Continue to Report Losses
Medica to Exit Minnesota Medicaid Managed Care Market
New York Extends Duals Demonstration for Two Years
GuildNet Withdrawal from New York MLTC not Final
Medicaid Spending Rose 9.7 Percent in 2015
Managed Care, Hospitals Weigh in on ACA Repeal
- This week, our In Focus section revisits 2015 legislation introduced by Georgia Congressman Tom Price, who was announced this week as President-elect Donald Trump’s nominee for Secretary of the U.S. Department of Health & Human Services (HHS). Representative Price’s 2015 Read MoreRoundup:
Oklahoma Releases SoonerHealth+ RFP
MassHealth Chooses Six Provider Networks for ACO Pilot
New Jersey Medicaid releases latest MCO contract amendment
GuildNet Freezing MLTC Enrollment Outside NYC
CMS Nominee Helped Develop Indiana Medicaid Expansion Waiver
