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- This week, our In Focus section reviews the Massachusetts Executive Office of Health and Human Services (EOHHS) announcement and call for public comments on a proposal to renew and amend the state’s existing Section 1115 Demonstration waiver. Massachusetts’ current Delivery Read MoreRoundup:
Kentucky Medicaid Reform Plan, Waiver Application Posted for Public Comment
Alaska Gov. Signs Medicaid Reform Bill
Kansas Eligibility Determination Backlog Larger Than Previously Estimated
Maryland to Offer Savings Accounts for Individuals with Disabilities
New Jersey Presents 1115 Waiver Renewal Details
Wisconsin Health Secretary Passes Away
ASPE Finds Medicaid Expansion Increases Access to Care
House Republicans Propose Plan to Replace ACA
- This week, our In Focus section highlights the agenda for HMA’s inaugural conference on The Future of Publicly Sponsored Healthcare: Building Integrated Delivery Systems for Vulnerable Populations, October 10-12, 2016, in Chicago. This premier three-day event, which is produced by Read MoreRoundup:
Indiana Medicaid MCO Award Recommendations Announced
Florida Medicaid MCOs Owed $433 Million in Underpayments
New York DOH Releases Transition Plan for Waiver Programs
Pennsylvania Delays MLTSS Implementation
Wisconsin Withdraws Plan for MLTSS Reforms
- This week, our In Focus section reviews the Section 1115 waiver demonstration proposal submitted to the Centers for Medicare & Medicaid Services (CMS) on June 1, 2016, by North Carolina’s Department of Health and Human Services (DHHS). The waiver process Read MoreRoundup:
Delaware, Florida to Expand Access to Hepatitis C Treatment
Indiana to Cut Medicaid Home Health Rates
New Jersey Releases Medicaid MCO Contract Amendments
New Jersey to Submit 1115 Waiver Renewal Application
Ohio Receives Initial Approval of HCBS Transition Plan
Texas Proposes Medicaid Home Health Therapy Cuts
CMS Informs States of Medicaid Services to Combat Zika
- This week, our In Focus section reviews updated reports issued by the U.S. Department of Health and Human Services (HHS) on Medicaid expansion enrollment from “Medicaid & CHIP: March 2016 Monthly Applications, Eligibility Determinations, and Enrollment Report, ” published on Read MoreRoundup:
Alaska Temporarily Suspends Medicaid Payments to Hospitals, Clinics
Illinois Legislative Session Ends without Budget Deal
Louisiana to Use SNAP Eligibility Determination for Medicaid
Ohio Co-op to Shut Down
Oklahoma Medicaid Expansion Fails
Oklahoma Resumes ABD RFP Planning
Judge Orders Washington to Provide Hepatitis C Drugs Broadly
CMS’ Slavitt Pitches Medicaid IT to Silicon Valley
- This week, our In Focus section reviews “A Report on Shortfalls in Medicaid Funding for Nursing Center Care, ” published by the American Health Care Association (AHCA) in April 2016. The report, prepared for AHCA by Eljay, LLC, and Hansen Read MoreRoundup:
Draft Arkansas Works Plan, Waiver Renewal Posted for Comment
Georgia Extends Federal Settlement Agreement to Move Individuals with I/DD Out of State Hospitals
Kansas Budget to Cut Medicaid Reimbursements by 4 Percent
Kentucky Expands Efforts to Enroll Ex-Inmates in Medicaid
Oklahoma Medicaid Expansion Proposal Stalls
- This week, we present our first ever Digital In Focus section, providing key highlights from and a replay of this week’s HMA Webinar, “Preparing Your Organization for the New Medicaid Managed Care Regulations: Impact Analysis and Implementation Tool.” After Read MoreIn Focus:Roundup:
California MCO Tax Approved by CMS
Kansas to Hold Public Meetings on MCO Contract Renewals
Kansas, Louisiana Consider Medicaid Cuts
New York DSRIP Spending Slow to Begin
Oklahoma Medicaid Expansion Proposal Gains Momentum
Virginia Holds Pre-Proposal Conference for MLTSS RFP
- This week, our In Focus section reviews the second phase of Rhode Island’s Integrated Care Initiative (ICI), which integrates Medicaid and Medicare benefits under a capitated dual eligible financial alignment demonstration. After finalizing a three-way contract between the Rhode Island Read MoreRoundup:
Alabama Delays Medicaid Reform Plan Due to Lack of Funding
Arizona Restores CHIP Program
California Reverses Course on Passive Enrollment for Duals
Pennsylvania Announces MLTSS RFP Bidders
CMS Tightens Exchange Special Enrollment Periods, Simplifies Rules for CO-OPs
- This week, our In Focus section reviews two Medicaid managed care requests for proposals (RFPs) released on April 29, 2016. Missouri issued a RFP for the rebid of existing MO HealthNet contracts, as well as the expansion of MO HealthNet Read MoreRoundup:
Rhode Island Launches Dual Eligible Demo
Maryland, New York Seek Medicaid Enrollment for Inmates Leaving Prison
Oklahoma Health Care Authority Approves Behavioral Health Cuts
South Dakota Accused of Unnecessarily Institutionalizing Individuals with Disabilities
Texas Receives Approval for 1115 Waiver Extension
Colorado Universal Coverage Ballot Measure Slated for November
HHS Urges States to Enroll Inmates in Medicaid Prior to Their Release
- This week, our In Focus section comes to us from HMA Principal Karen Brodsky, who reviews a number of important updates from New Jersey’s Medical Assistance Advisory Council (MAAC) quarterly meeting on April 20, 2016. Read MoreRoundup:
Pennsylvania Announces HealthChoices RFP Awards
CMS Releases Final Medicaid Managed Care Rules
Arkansas Governor Extends Medicaid Expansion Using Line-item Veto
Illinois to Cap Home Health Worker Hours to Prevent Overtime
New Mexico Proposes $160 Million Reduction in Medicaid Reimbursement Rates
Texas HHSC Commissioner Announces Retirement
Wisconsin Projects $300 Million Savings from Managed Long-Term Care Redesign
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated risk-based managed care in 24 states. Many state Medicaid agencies elect to post to their websites monthly enrollment figures by health plan for their Medicaid managed Read MoreRoundup:
Connecticut Governor Proposes 10 Percent Reduction in Pediatric Dental Rates
New Mexico Considers Provider Payment Cuts of Up to 5 Percent
New York AG Files Suit Against MCO Over Access to Hepatitis C Drugs
Pennsylvania to Expand PACE Options
Texas Requests 15-Month Waiver Extension to Fund Uncompensated Care
Alaska Legislature Passes Medicaid Reform Bill
