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- This week, our In Focus section reviews highlights and major findings from the study, Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities, conducted by The Kaiser Family Foundation (KFF) and Health Management Associates (HMA). Read MoreRoundup:
Arkansas to Limit Health Plan Ownership of PASSEs
Florida AHCA Secretary Addresses Medicaid Funding Priorities in Governor’s Budget Proposal
Massachusetts Issues Social Determinants of Health RFP
Puerto Rico Medicaid Funding Is Reduced
Texas Faces Lawsuit Over STAR+PLUS Awards
West Virginia Releases Medicaid Managed Care RFP
Appleas Court Rules ACA Mandate Unconstitutional
- This week, our In Focus section provides a high-level overview of the new Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) integration requirements in the Centers for Medicare & Medicaid Services (CMS) April 16, 2019, final rule for calendar year (CY) Read MoreRoundup:
Connecticut Reaches Agreement on Hospital Provider Tax
Kentucky Legislative Committee Rejects Medicaid Managed Care Awards, Governor-Elect Pledges to Review
North Carolina Official Says Transition to Managed Care Will Eventually Happen
Expansion News: North Dakota, Wyoming
Virginia Medicaid Beneficiaries Turn to ER for Dental Care
West Virginia Medicaid Plan Cancels Proposed Merger with WVU Medicine
- This week, our In Focus section reviews the annual Medicaid health plan ratings released in September by the National Committee for Quality Assurance (NCQA), which rated 171 Medicaid plans. For 2019-20, NCQA used a ratings methodology that scored each health Read MoreRoundup:
Arizona Announces Medicaid Whole Person Care Initiative
Florida Unveils Five-Year Medicaid Housing Assistance Pilot
Indiana Seeks Extension of HIP Medicaid Expansion
KY Announces Medicaid Plan Awards, Likely to Face Protests
Missouri Cuts Lead to HCBS Waiting Lists
Oklahoma Hires HMA for Alternative to Medicaid Expansion
Tennessee Submits Medicaid Block Grant Proposal to CMS
Texas Releases Scoring Sheets for STAR+PLUS Awards
- This week, our In Focus section reviews the California Advancing and Innovating Medi-Cal (CalAIM) proposal, issued by the California Department of Health Care Services (DHCS) on October 28, 2019. CalAIM would implement broad delivery system, program, and payment reform for Read MoreRoundup:
Colorado Issues Recommendation for Public Option
Florida Budget Proposal Includes New IDD Funding
Medicaid Expansion News: Idaho, Louisiana, Maine, Wyoming
Work Requirements News: Kansas, Kentucky, Ohio, Wisconsin
New Jersey Proposed Bill to Establish Regional Health Hub Program to Replace Medicaid ACO Demonstration
North Carolina Suspends Medicaid Managed Care Transition
CMS Backtracks on Guidance for Medicaid Block Grants, Per Capita Caps
- This week, our In Focus section examines the new Medicare benefit for Opioid Use Disorder (OUD) treatment that includes counseling, as well as medicationassisted treatment (MAT) and related items and services. This benefit was established by Congress in the SUPPORT Read MoreRoundup:
California Awards Medicaid FFS Prescription Drug Contract to Magellan
Indiana Releases HIP 2.0 Waiver Extensions for Public Comment
Louisiana, Medicaid Plans Agree to One-Year Emergency Contracts
Montana Delays Medicaid Expansion Work Requirements
New York Submits Medicaid Redesign 1115 Waiver Amendment to Extend Medicaid to Incarcerated Individuals
North Carolina Issues Healthy Opportunities Pilot Program RFP
Tennessee Medicaid Releases Managed Care Re-Procurement RFI
CMS Issues Proposed Rule to Strengthen Fiscal Accountability in Medicaid
- This week, our In Focus section reviews the Indiana Hoosier Care Connect request for proposals (RFP), issued by the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) on October 18, 2019. Hoosier Care Connect Read MoreRoundup:
Arkansas Behavioral Health Providers to Merge
District of Columbia Is Approved for SMI/SUD Demonstration
Medicaid Expansion News: Georgia, Idaho, Ohio
Illinois Submits Plan to Expand Dual Demo Statewide
Medicaid Work Requirements News: Indiana, Kentucky
New Jersey Medicaid Sees Drop in Enrollment Among Asian, Hispanic Children
New York May Cut $1.5 Billion From Medicaid
Texas Medicaid Director to Step Down in May 2020
West Virginia Awards Managed Care for Foster Children Contract to Aetna
UnitedHealth Group to Expand Medicaid Housing Program
- This week, our In Focus reviews the Medicare Advantage (MA) and Part D landscape files and quality performance data for the 2020 plan year from the Centers for Medicare & Medicaid Services (CMS). Data on MA and Part D offerings Read MoreRoundup:
California Medicaid Delivery System Proposal Includes Focus on Social Determinants, Other Policy Priorities
Medicaid Expansion News: Kansas, Nebraska
Massachusetts Announces Updated Timeline for One Care
North Carolina May Further Delay Medicaid Managed Care Transition to Summer 2020
Ohio Medicaid Plan to Drop Walgreens from Network
Texas Announces STAR+PLUS Awards
- This week, our In Focus section reviews highlights and shares key takeaways from the 19th annual Medicaid Budget Survey conducted by The Kaiser Family Foundation (KFF) and Health Management Associates (HMA). Survey results were released on October 18, 2019, in Read MoreRoundup:
Arizona Delays Medicaid Work Requirement Implementation
Florida House Committee to Review Health Care Spending
Indiana Releases Medicaid ABD RFP, Foster Care RFI
Kansas Senate Leader Introduces Medicaid Expansion Plan
Michigan Cancels Medicaid Behavioral Integration Pilots
Settlement Reached in Opioid Lawsuit Filed by Ohio Counties
Texas to Award Medicaid Dental MCO Contracts to DentaQuest, MCNA, UnitedHealth
ACA Plan Premiums to Fall by 4 Percent in 2020
- This week, our In Focus section reviews the Pennsylvania HealthChoices Physical Health Medicaid managed care request for applications (RFA), issued by the Pennsylvania Department of Human Services on October 15, 2019. Medicaid managed care organizations (MCOs) will serve the five Read MoreRoundup:
California Wholesale Drug Prices Rise 26 Percent, Study Says
Georgia Readies Expansion, Reinsurance Waiver Proposals
Louisiana to Resume Medicaid Auto-Disenrollment
New York Nursing Homes Expect Reimbursement Cuts
North Carolina Disputes ‘Conflict of Interest’ Concerns in Medicaid Managed Care Contract Awards
Oklahoma Medicaid Expansion Advocates Gather Enough Signatures for 2020 Ballot Initiative
Texas Submits DSRIP Draft Transition Plan to CMS
Public Charge Rule Change Is Impacting Medicaid Enrollment
- This week, our In Focus section reviews the Utah Medicaid Section 1115 Demonstration Waiver amendment Fallback Plan, released for public comment on September 27, 2019. The Fallback Plan would raise Utah’s Medicaid expansion income limit to 138 percent of the Read MoreRoundup:
Colorado Issues Draft Report on State Option Exchange Plan
Illinois Medicaid Auto-Enrollments Favor Low-Rated Plan
Iowa to Issue RFP for Third Medicaid Plan
Michigan Announces Plan to Carve Out Medicaid Pharmacy Benefits from Managed Care
Missouri House Committee Holds Medicaid Expansion Hearing
New York Health + Hospitals Expands Program for Uninsured
North Carolina Awards Centene Additional Medicaid Region
Appeals Court To Hear Arguments in KY Medicaid Work Requirements Case
