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- This week, our In Focus section reviews the North Carolina Department of Health and Human Services (DHHS) Medicaid Managed Care Proposed Policy Paper released on May 16, 2018, Prepaid Health Plans in North Carolina Medicaid Managed Care. This policy paper Read MoreRoundup:
Washington Announces Medicaid MCO RFP Awards
Florida to Enact Cuts to Correctional Treatment Programs
Utah to Vote on Medicaid Expansion Ballot Measure in November
Virginia Senate Approves Medicaid Expansion
Minnesota Seeks Waiver to Use Medicaid Funding for Residential Drug Treatment
- This week, our In Focus, written by HMA Principal Anne Winter and Senior Consultant Aimee Lashbrook, examines American Patients First: The Trump Administration Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, released May 11, 2018. Over time, the Read MoreRoundup:
Centene Awarded Managed Care Contract in Iowa, Correctional Health Contract in Tucson, Arizona
New Mexico Rejects Protests of Medicaid Managed Care Contract Awards.
Virginia Senate Delays Budget, Medicaid Expansion Talks
Louisiana Tables Tax Reviews for Medicaid Eligibility
Michigan Shelves Work Requirements Exemption Tied to County Unemployment Rate
UnitedHealth Report Finds Exchange Coverage Is More Costly Than Medicaid
- CMS Approves Maryland All-Payer Model Connecticut Budget Reverses Medicaid Cuts Fidelis Care Files Petition with New York Attorney General Alaska Medicaid Backlog Stalls Provider Payments Vermont Voluntary All-Payer ACO Enrollment Hits 112, 000 Trump Administration Announces Plan to Lower Drug Read MoreRoundup:
CMS Approves Maryland All-Payer Model
Connecticut Budget Reverses Medicaid Cuts
Fidelis Care Files Petition with New York Attorney General
Alaska Medicaid Backlog Stalls Provider Payments
Vermont Voluntary All-Payer ACO Enrollment Hits 112,000
Trump Administration Announces Plan to Lower Drug Prices
- This week, our In Focus, written by HMA Principal Jen Burnett in collaboration with the National Association of States United for Aging and Disabilities (NASUAD), summarizes key considerations and policy decisions that states should consider as they work to implement Read MoreIn Focus:Roundup:
CMS Rejects Kansas Medicaid Lifetime Limit Waiver Proposal
Medicaid Expansion to Appear on Utah Ballot
New Hampshire Gains Approval for Medicaid Work Requirements
Texas HHSC Commissioner Retires Amid Contract Scrutiny
Illinois to Expand Medicaid Mental Health, Substance Abuse Treatments
Harvard Pilgrim Health Care, Partners Healthcare in Merger Discussions
- This week, our In Focus is the second in a series written by HMA Medicaid Market Solutions (MMS). MMS works with states to design and implement Section 1115 Demonstration Waivers that support individual state goals for member engagement and personal Read MoreRoundup:
Florida Announces Winners of Medicaid MCO Procurement, Protests Follow
Idaho to Decide on Medicaid Expansion with Ballot Initiative
Maine Advocates File Lawsuit to Force Governor to Expand Medicaid
New Jersey MCO Carve-In of Mental Health, SUD Services for Certain Eligibility Groups Planned for July 1
Ohio Medicaid Submits Work Requirements Waiver
Non-Expansion States Should Reconsider Medicaid Work Requirements, CMS Cautions
Uninsured Rate Rises, Commonwealth Fund Report Shows
- This week, our In Focus reviews two recently released papers outlining North Carolina’s and New Hampshire’s plans to implement Medicaid managed care long-term services and supports (MLTSS). The North Carolina Department of Health and Human Services released “North Carolina’s Vision Read MoreRoundup:
Florida Announces Winners of Statewide Medicaid Managed Care Procurement
Alabama Releases RFP for Administrator of LTSS Patient-Centered Care Program
District of Columbia Proposes 4 Percent Cut to Medicaid MCO Rates
Medicaid Work Requirements Debated in Kansas, Michigan, Pennsylvania, Tennessee
New York DoH Approves Centene, Fidelis Deal
- This week, our In Focus section highlights HMA Medicaid Market Solutions (MMS) which is supporting state flexibility in designing and implementing initiatives, including Section 1115 Demonstration Waivers, promoting member engagement and personal responsibility. Over the coming weeks, HMA MMS will Read MoreRoundup:
Utah to Decide on Medicaid Expansion through Ballot Initiative
Tennessee House Rejects Medicaid Expansion Amendment
Louisiana Medicaid Expansion Results in Jobs, Generates Tax Revenues, Study Says
Illinois Freezes Medicaid Enrollment at BCBS-IL
New York Receives Approval for Care Coordination for Individuals with I/DD
More Governors Propose Medicaid Enhancements Than Cuts, Says Kaiser Study
- This week, our In Focus section reviews Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. After submitting a freedom of information act request to CMS, we have received a draft version of the CMS-64 report that is Read MoreRoundup:
Texas Releases MCO RFP for STAR, CHIP
Texas Cancels Rural CHIP MCO Contract Awards
Pennsylvania Court Rules in Favor of MCO Award Protest
New Hampshire Releases MLTSS Implementation Plan
New Jersey Outlines Anti-Addiction Program Spending Plans
New York Legislature Approves Final SFY 2018-19 Budget
Ohio Medicaid To Investigate PBM Pricing
Virginia Moves Closer to Medicaid Expansion
CMS Issues Final Rule Allowing States Flexibility in Defining ‘Essential Health Benefits’
Study: Medicaid Enrollees Have Better Access to Care Than Uninsured
- This week, our In Focus section reviews Alabama’s Integrated Care Network (ICN) program, based on a concept paper released by the Alabama Medicaid Agency in March 2018. The ICN program will establish a new Medicaid long-term care program focusing on Read MoreRoundup:
Arkansas, Kentucky Implement Medicaid Work Requirements
California Files Antitrust Lawsuit Against Sutter Health
Kansas Rejects Proposed Medicaid Expansion Amendment
Louisiana Rejects Bill to Transition LTSS to Managed Care
New York Reaches Deal with Fidelis, Centene
Admissions, ER Visits Lower Among Duals Who Receive Home-Delivered Meals, Study Says
ACA Exchange Enrollment Falls 3 Percent in 2018
- This week, our In Focus section, written by HMA Principal Denise Soffel, reviews New York’s Medicaid Redesign Team Structural Roadmap: Roles and Responsibilities in a Value Based Payment World, released by the state’s Department of Health on March 19, 2018. Read MoreRoundup:
Utah Passes Partial Medicaid Expansion; Awaits CMS Approval
Nebraska Nursing Facilities Put Into Receivership
Community Health Systems to Sell Three Tennessee Hospitals
New York Governor Proposes Budget Strategy to Take Medicaid Health Plan Reserve Funds
OIG Claims California Enrolled 450,000 Ineligible Medicaid Expansion Members
Sendero Health Plans to Exit Texas STAR Medicaid, CHIP Programs
CMS Proposal Would Roll Back Certain Medicaid Access to Care Monitoring Requirements
