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- Agreement about the severity of the nation’s mental health and substance use disorder crises is rising above the partisan politics in Congress. In fact, these are among a handful of issues driving work on bipartisan legislation across all the key Read MoreRoundup:
Kansas to Delay Reprocurement of Medicaid Contracts After Legislature Overrides Veto
North Carolina Senate Republicans to Propose Medicaid Expansion
Oklahoma Legislature Approves Move to Medicaid Managed Care
Rhode Island Governor Proposes MMIS Modernization Project in Fiscal 2023 Budget
Virginia Director of the Department of Medical Assistance Services Steps Down
Washington Appoints Charissa Fotinos as Medicaid Director
West Virginia Lawmakers Evaluate DHHR Ahead of Possible Reorganization
U.S. Senators Introduce Bipartisan Legislation to Integrate Care for Dual Eligibles
Enhanced Healthcare Partners Invests in Howard J. Chudler & Associates
- On May 16, 2022, no announcements were made concerning the impending end of the COVID-19 Public Health Emergency (PHE) declaration. What does this mean for state Medicaid programs and stakeholders, including consumers? When will the PHE declaration expire? Read MoreRoundup:
Illinois Expands Medicaid Hospital Assessment Program
Kansas Governor Vetoes Bill to Delay Reprocurement of KanCare Contracts Until January 2023
Medicaid Expansion News: Michigan, Missouri, North Carolina
Medicaid Eligibility Redeterminations News: Montana, Virginia, MACPAC
New Hampshire Governor to Sign Medicaid Adult Dental Legislation
New Jersey Governor Proposes Expanding Medicaid Coverage to Undocumented Children
Rhode Island to Restart Medicaid Managed Care Procurement Process
Texas Proposes Medicaid Plan Case Management for Children, Pregnant Women
Health Plans Call For Public Reporting of Private Equity Acquisitions
Home Health Aides Can Have Health Premiums, Union Dues Deducted from Medicaid Paychecks
Humana Joins Welsh, Carson, Anderson & Stowe in Primary Care Joint Venture
Medicaid Managed Care Plan Leaders to Address Strategies, Opportunities, Concerns at HMA Conference, October 10-11
- This week, our In Focus reviews the Kaiser Health Foundation (KFF) analysis, Fiscal and Enrollment Implications of Medicaid Continuous Coverage Requirement During and After the PHE Ends, published on May 10, 2022. Read MoreRoundup:
Alabama Medicaid Faces Complaint Against Sobriety Requirement for Hepatitis C Treatment
Florida Releases Medicaid Managed Care RFI Ahead of Statewide Procurement
Louisiana Begins Statewide Rollout of Crisis Response Services for Medicaid Members
Maryland Governor Increases Medicaid Rates to Match Medicare in Fiscal 2023 Budget
Medicaid Redeterminations: Massachusetts, Texas
Missouri Awards Medicaid Managed Care Contracts
New York Governor Hopes to Expand Reach of PACE
North Carolina Audit Finds Deficiencies in Medicaid Eligibility Process, Provider Payments
Oklahoma Senate Rejects Medicaid Value-Based Contracting Measures
Oregon Task Force Meets to Discuss Federal Funding Options for Medicaid Bridge Plan
Pennsylvania Faces Lawsuit from Hospital Association Over Medicaid Managed Care Contract Language
Federal Lawmakers Introduce Mental Health Legislation
Kinderhook Invests in Smoky Mountain Urgent Care as Part of Multi-State, Rural Primary Care Plan
Medicaid Directors from AZ, CA, IN, NC to Address Redeterminations, FMAP, TeleHealth, Equity, Other Key Topics at HMA Conference in Chicago, October 10-11
- This year’s event, The New Normal: How Medicaid, Medicare, and Other Publicly Sponsored Programs Are Shaping the Future of Healthcare in a Time of Crisis, features leading experts from across the country. Read MoreRoundup:
California Medicaid Plan to Pay Providers for Performance for Some Services
California Exchange Automates Enrollment for Medicaid Members Losing Coverage
Colorado Bills to Protect Medicaid Behavioral Health Providers from Clawbacks
District of Columbia Mayor to Apply for Federal Funds for Health Disparities
Georgia Proposal to Bypass Healthcare.gov Is Rejected by Federal Regulators
Legislature Approves Bill to Delay Reprocurement of KanCare Contracts Until 2023
Michigan Launches Initiative to Improve Behavioral Health Services for Children
Minnesota Submits Request to Expand Self-Directed Personal Care Options
Nebraska Establishes Advisory Committee for State Medicaid Program
New Hampshire Legislature Passes Medicaid Adult Dental Bill
North Carolina HCBS Medicaid Waiver Access Varies by Race, Study Finds
Ohio Delays Launch of ‘Next Generation’ Medicaid Managed Care Program
Rhode Island Senate Committee to Hear Medicaid Rate Legislation
South Carolina Extends Telehealth Flexibilities Beyond PHE
Tennessee House Panel Clears Bill to Renew D-SNP Contracts with Losing Bidders
Texas Seeks Comment on Criteria for Selecting Medicaid Managed Care Plans
Texas 10-Year Medicaid Waiver Extension to Survive
MACPAC Announces New Executive Director, Member
Bow River Capital Completes Investment in Amazing Care Home Health Services
HCA Healthcare to Acquire BetterMed
- This week, our In Focus section reviews the Nebraska Heritage Health request for proposals (RFP), released by the Nebraska Department of Health and Human Services (DHHS) on April 15, 2022. Read MoreRoundup:
California Assembly Committee to Hold Hearing on Bill Allowing No-Bid Medi-Cali Contract
Connecticut Seeks Medicaid Waiver to Address Coverage Gap
Illinois Senate Passes Automatic Medicaid Renewal Legislation
Kansas Lacks Effective System for Tracking HCBS Waiver Redeterminations, Audit Finds
Mississippi Hires Analytics Firm to Investigate PBMs
Missouri Senate Committee Advances Measure Aimed at Medicaid Expansion Funding
Pennsylvania Delays Implementation of Modified Medicaid Managed Care Contracts
Wisconsin Governor Vetoes Bills Aimed at Tightening Medicaid Eligibility Requirements
CMS Proposes 3.2 Percent Increase to Fiscal 2023 Inpatient Hospital Payments
Exchange Plan Premiums Fall 1.8 Percent, Study Finds
FFL Partners Announces Investment in Perlman Clinic
- This week, our In Focus section reviews the Biden Administration’s proposed rule revising eligibility standards for premium subsidies for families, released on April 5, 20221. Read MoreRoundup:
Florida Governor Signs Medicaid Managed Care, Nursing Home Legislation
Illinois Lawmakers Approve Medicaid Bill Expanding Certain Benefits, Coverage
Louisiana Awards NEMT Contract
Louisiana Legislature Passes Bill to Provide Medicaid Dental Coverage to Adults
Massachusetts Releases Medicaid ACO RFR
New York Files 1115 Waiver Amendment to Address Health Equity
New York Medicaid Director Brett Friedman Steps Down
Oregon Governor Establishes Taskforce to Develop Medicaid Bridge Plan
Rhode Island Names Kristin Pono Sousa Medicaid Director
HHS Extends Public Health Emergency for 90 Days to July 15
Genuine Health Group Acquires Accountable Care Medical Group
- This week, our In Focus section reviews the Texas STAR+PLUS managed care services request for proposals (RFP) released on March 31, 2022, by the Texas Health and Human Services Commission (HHSC). Read MoreIn Focus:Roundup:
Florida Reaches $484 Million Settlement with Pharmacy Chain Over Opioid Claims
Georgia Enacts Bill to Implement 85 Percent Minimum MLR Requirement for Medicaid Plans
BCBS-Illinois Appoints Stephen Harris as President
Kansas Senate Approves Bill to Extend KanCare Contracts Through 2024
Minnesota DHS Recommends Actions to Improve Racial Equity, Health Outcomes in Medicaid
New Mexico HCBS Providers to Receive Temporary 15 Percent Reimbursement Rate Increase
Oklahoma Names Traylor Rains State Medicaid Director
Rhode Island Medicaid Managed Care Bid Is Rejected After Missing Submission Deadline
Biden Proposes Fix to Exchange ‘Family Glitch’ Impacting 5 Million Individuals
CMS Finalizes 8.5 Percent Rate Increase for Medicare Advantage, Part D Plans
Intermountain Healthcare, SCL Health Complete Merger
UnitedHealth/Optum to Acquire Majority Stake in Kelsey-Seybold Clinic
Federal Judge Dismisses Anthem’s Claims in PBM Lawsuit Against Cigna
- This week, our In Focus section reviews President Biden’s budget proposal for federal fiscal year 2023, released on March 28, 2022. Read MoreRoundup:
Arkansas Eligibles Face Barriers Enrolling in Medicaid, Report Finds
Connecticut Medicaid Enrollment Increases by 120,000 During Pandemic
Florida Medicaid Plan Has New Enrollment Suspended by State
Kansas Governor Urges Legislature to Remove Budget Bill Provision to Extend KanCare Contracts
Michigan Home-Based Care Providers Struggle After Reimbursement Rate Cut
New Hampshire Hospitals Can Proceed with Lawsuit Over Vermont Over Medicaid Rates
North Carolina Launches Initiative to Provide Integrated Care for Children On Medicaid, CHIP
Pennsylvania to Release MMIS RFP in September 2022
South Carolina Receives CMS Approval of Temporary HCBS Rate Increases
Health Plan Invests More Than $85 Million to Help Develop Affordable Housing in Texas
Medicaid Spending Will Exceed $1 Trillion in 2028, CMS Projects
- This week our In Focus section reviews the issue brief and policymaker playbook that explore the outlook for temporary COVID-19-related changes to the Medicare and Medicaid programs, prepared in partnership with Manatt Health for The SCAN Foundation. Read MoreRoundup:
California Extends Medi-Cal Assisted Living Waiver Program
Colorado, Novartis Begin Medicaid Value-Based Drug Pacts
Illinois to Fund Effort on Social Determinants of Health
Iowa to Release Medicaid Enterprise Provider Solutions RFI
NEMT News: Michigan, Utah
Nevada Releases RFP for Medicaid Dental Benefits Plan
Medicaid Plans Can Play Important Role in Redeterminations
CMS Says Medicaid, Exchange Enrollment Is at All-Time High
- This week our In Focus section highlights HMA’s insights on how stakeholders can prepare for the unwinding of Medicaid’s Public Health Emergency Continuous Eligibility policy. Read MoreRoundup:
Florida Legislature Passes Bill Reducing Number of Medicaid Managed Care Regions
Georgia House Passes Bill to Carve-Out Medicaid Pharmacy Benefits
Iowa Releases Non-Emergency Medical Transportation RFP
New Jersey Seeks Approval of Adult Continuous Eligibility, Maternal Care Programs in Medicaid 1115 Waiver Extension
New York Legislature Rejects Competitive Bidding for Medicaid Managed Care
CMS Must Issue Decision on TX Waiver Programs
Congress Extends Medicare Telehealth Coverage in Newly Approved Budget
