HMA Weekly Roundup

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  • This week, our In Focus section shares key takeaways from the Kaiser Family Foundation (KFF) and Health Management Associates (HMA) mini-survey of Medicaid directors in all 50 states and the District of Columbia titled, Medicaid Spending and Enrollment Trends Amid Read More
    Roundup:

    Medicaid Expansion News: Alabama, Wisconsin

    Hawaii Tentatively Delays Medicaid Managed Care Awards

    Nevada Releases Medicaid Managed Care RFP

    Oklahoma Medicaid To Cover Opioid Use Disorder Treatments

    Tennessee to Release Medicaid Managed Care RFP in 2Q21

    Texas Can Remove Planned Parenthood from Medicaid

    Washington Governor Proposes Medicaid Rate Increase for Family Planning Services

    Medicaid HBCS Providers Could Get $11 Billion in Enhanced FMAP Funds, Kaiser Projects

    Medicaid Enrollment, Spending Projections

  • This week, our In Focus section summarizes the revised California Advancing and Innovating Medi-Cal (CalAIM) proposal, released on February 17, 2021. Medi-Cal, the state’s Medicaid program, covers over 13 million individuals, with over 11 million in managed care. CalAIM seeks Read More
    Roundup:

    Arkansas Senate Passes Medicaid Work Incentive Bill

    Medicaid Expansion News: Georgia, Kansas, Louisiana, Missouri, Wyoming

    Idaho Committee Approves 20 Percent Increase in Fiscal 2022 Medicaid Budget

    Nevada Medicaid Plans Begin Implementing 6 Percent Provider Rate Reduction, State Says

    ACA Exchange News: New York, South Carolina, National

    MedPAC Is Expected to Call For Simplified Medicare Alternative Payment Models

  • This week, our In Focus comes from an HMA cross-cutting subject matter team, who have updated a core set of federal policy slides that analyzes recent federal policy actions following the Presidential and Congressional elections. It includes an analysis of Read More
    Roundup:

    Arkansas Lawmakers Introduce Medicaid Work Incentive Bill

    Hawaii Releases RFP for Medicaid Dental TPA

    Louisiana Governor Proposes Budget Without Medicaid Cuts

    Missouri Medicaid Director to Take Leave of Absence

    New Jersey Medicaid Bill To Cover Undocumented Immigrants

    New York Delays Medicaid Pharmacy Benefit Carve-Out

    Rhode Island Releases Medicaid Managed Care RFI

    Texas Projects Medicaid Caseloads to Fall 8 Percent

    Vermont Has RFI For SUD Treatment, Recovery Coordination

    House Lawmakers Reintroduce Telehealth Bill

    Medicaid Plans Look to Address Risk Corridor Exposure

    CMS Delays Medicare Geographic Direct Contracting Model

  • This week, our In Focus section reviews preliminary 2020 Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. After submitting a Freedom of Information Act request to the Centers for Medicare & Medicaid Services (CMS), HMA received a Read More
    Roundup:

    Alabama Voters Support Medicaid Expansion, Poll Finds

    Arkansas to Drop Medicaid Work Requirements, Eyes ‘Work Incentive’ Plan

    California Again Delays Implementation of Medi-Cal Rx

    North Carolina Medicaid Official Cites Automated System for Failing to Verify Provider Licenses

    North Carolina Judge Upholds Medicaid Plan Awards

    Oklahoma Awards Three Medicaid Dental Plan Contracts

    Median Voluntary Disenrollment Rate in D-SNP Dominant Plans Is 10 Percent, Study Shows

  • This week, our In Focus highlights the report, Advancing Health Justice Using Medicaid Data: Key Lessons from Minnesota for the Nation. This report was produced by AcademyHealth in partnership with the Disability Policy Consortium (DPC), a Massachusetts-based cross-disability advocacy and Read More
    Roundup:

    Florida Healthy Kids Suffers Data Breach

    Georgia House Passes Bill for Auto Medicaid Enrollment of Children Eligible for Food Stamps

    Hawaii Awards Community Care Services Contract to Centene/WellCare

    Chicago’s Oldest Hospital Files For Chapter 11 Bankruptcy

    Nevada Issues PBM RFP For Medicaid FFS, Ryan White

    Medicaid Expansion News: North Dakota, Tennessee, Texas

    WI Governor Proposes Public Option With Medicaid Buy-in

    Biden to Revoke Rules Allowing Medicaid Work Requirements

    CMS Faces Calls to Delay Geographic Direct Contracting

  • This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 33 states. Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This Read More
    Roundup:

    California May Make Some Telehealth Flexibilities Permanent

    Medicaid Expansion News: Florida, Mississippi, South Dakota

    Kentucky Senate Panel Clears Bills to Reduce Number of Medicaid Plans, Eliminate Copays

    Missouri to Contract With 3 Medicaid Managed Care Plans

    Puerto Rico Needs Risk-Based Oversight of Medicaid Procurement Process, GAO Says

    Tennessee Lawmakers Introduce Medicaid Buy-in Bill

    House Proposal Would Raise ACA Subsidies for Two Years

  • In a report to the Medicaid and CHIP Payment and Access Commission (MACPAC), HMA consultants Sarah Barth, Sharon Lewis and former research assistant Taylor Simmons, provided insight and review of Medicaid services for people with intellectual or developmental disabilities (ID/DD). Read More
    Roundup:

    Arizona Awards Medicaid Housing Contract

    Drug Importation News: Colorado, Florida

    Medicaid Expansion News: Georgia, Kansas, Missouri

    Kentucky Releases RFP for Medicaid Fee-for-Service PBM

    DentaQuest Medicaid, CHIP Lives Top 840,000 in Lousiana

    New Jersey Medicaid Covers Doulas, Raises Midwives Rates

    New York Retroactively Cuts Medicaid Managed Care Rates

    Oklahoma Announces Medicaid Managed Care Awards

    Texas Schedules STAR+PLUS Pre-Solicitation Meetings

    Wisconsin Medicaid to Cover SUD Treatment

  • This week, our In Focus section reviews a new model – Geographic Direct Contracting – introduced by the Centers for Medicare & Medicaid Services (CMS) Innovation Center. The model will test whether a geographic-based approach to care delivery and value-based Read More
    Roundup:

    Alabama Seeks Medicaid Quality Improvement Organization

    Florida Receives Medicaid Managed Care Waiver Extension

    Kentucky Seeks External Quality Review Organization

    Missouri Lawmakers Consider Extending Provider Tax to Fund Medicaid Expansion

    New Jersey Lifts UnitedHealth Medicaid Enrollment Freeze

    New Mexico Medicaid Enrollment to Hit 931,000 By June 2021

    Oklahoma to Move Forward with Medicaid Managed Care

    Medicaid, CHIP Enrollment to Rise 5-10 Million by 2022

    Medicare ACO Membership Falls in 2021

  • Health Management Associates (HMA) announced on January 14, 2021, the creation of the HMA Institute on Addiction (IOA), a division dedicated to supporting the national effort to build an evidence-based, patient-centered, and sustainable addiction treatment ecosystem. HMA is home to Read More
    Roundup:

    Kentucky Medicaid Directed Payments Initiative Is Approved

    North Carolina Readies for Medicaid Managed Care Launch

    Ohio Delays Implementation of Medicaid Work Requirements

    Pennsylvania Receives Health Care Reform Recommendations

    Texas Uncompensated Care Waiver Extension Is Approved

    CMS Reports 4.6 Million Medicaid Beneficiaries Were Treated for Substance Use Disorder in 2018

    CMS Releases Preliminary State Medicaid Expenditure Data

    CMS Rule Change Lets Physicians Prescribe Buprenorphine for Opioid Use Disorder Without Waiver

    CMS Announces 2022 Medicare Advantage, Part D Rates

  • This week’s In Focus highlights a recent HMA publication examining the drivers and barriers to Medicare Advantage plan adoption of newly available supplemental benefits intended to address unmet health and social needs. Unlike Traditional Medicare, Medicare Advantage plans, which provide Read More
    Roundup:

    Arizona Approves UnitedHealth Group Acquisition of Certain Solstice Health Plans Operations

    Colorado Releases Report on Medicaid Prescription Drugs

    Medicaid Expansion News: Georgia, Oklahoma, Texas, Virginia

    Minnesota Releases Medicaid Plan Procurement Timeline

    Oklahoma Medicaid RFP Bidders to Include CareSource

    South Carolina Governor Taps Thomas Clark Phillip Jr. as Acting Medicaid Director

    Tennessee Medicaid Block Grant Receives CMS Approval

    CMS Withdraws Medicaid Fiscal Accountability Rule