HMA Weekly Roundup

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  • This week, our In Focus section reviews the Texas 2020-21 biennium budget. The Texas Legislature adjourned its biennial legislative session on May 27, 2019, after adopting a $250.6 billion budget (all funds). The total budget is 6.3 percent higher than Read More

    Arizona to Allow Rideshare Companies to Provide NEMT

    Florida Medicaid Expansion Ballot Measure Goes to State Supreme Court for Review

    Louisiana Announces Medicaid Managed Care RFP Bidders

    Nebraska Announces Fiscal 2020 MLTC Rate Increase for Nursing Homes

    Ohio Releases Draft Medicaid Managed Care Procurement Timeline

    Texas Releases STAR Health Draft RFP Committee

    Wisconsin Approves Health Care Budget Without Medicaid Expansion

  • This week, our In Focus reviews the Pathways HUB model, an approach designed to help coordinate outreach by specialized community health workers who are incentivized to engage high-need populations. An HMA webinar, held May 9, 2019, with Mark Redding, co-developer Read More

    Arizona Budgets Funds to Eliminate KidsCare Freeze

    Kentucky Medicaid Plan To Be Acquired By Evolent Health

    Kentucky Schools To Use Medicaid Dollars For Physical, Behavioral Health

    Massachusetts Extends Deadline For One Care Procurement

    Nebraska Senate Approves Bill To Delay Transition of Long-Term Care, HCBS Beneficiaries to Managed Care

    New Hampshire to Delay Start Date for New Medicaid Managed Care Contracts

    New York Begins Electronic Visit Verification Implementation

    Texas Lawmakers Pass Medicaid Patient Protection Bills

    CMS Finalizes Rule to Update, Modernize PACE

  • This week, our In Focus section reviews the Kentucky Medicaid managed care organizations (MCOs) request for proposals (RFP), issued by the Kentucky Finance and Administration Cabinet on May 16, 2019. The Kentucky Cabinet for Health and Family Services (CHFS), Department Read More

    Alaska Issues RFP for Help Evaluating Medicaid Redesign

    Indiana Seeks Financial Bridge for Individuals Leaving Medicaid Expansion

    Maine Lawmakers Propose Task Force to Review Mental Health System

    Michigan Appoints Kate Massey as Medicaid Director

    New Jersey Releases Medicaid Managed Care, MLTSS Quality Technical Report for 2018

    New Mexico Proposes Increase In Medicaid Rates

    Chris Traylor to Step Down as Director of Center for Medicaid and CHIP Services

  • This week, our In Focus summarizes the findings of an HMA Information Services analysis of Medicaid managed care plan profitabilty, based on data from annual statutory filings made with the National Association of Insurance Commissioners (NAIC). Read More

    Arkansas Medicaid Plans Are Questioned About Reimbursement Rates to Pharmacies

    Delaware Prison Medical Contractor Faces Investigation

    Medicaid Expansion News: Florida, Georgia, Kansas, Mississippi, Montana, Wisconsin

    Maryland Allows Individuals to Apply for Medicaid, Exchange Plan on Income Tax Form

    New Mexico Medicaid Information System Upgrade Is Endangered by Delays, Analysts Say

    Washington Enacts Law to Widen Exchange Plan Options

  • This week, our In Focus section reviews updated information issued by the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) on Medicaid expansion enrollment from the “January 2019 Medicaid and CHIP Applications, Eligibility Determination, Read More

    Arkansas Reschedules PASSEs Open Enrollment to October

    Illinois Medicaid Eligibility Backlog Leaves Thousands Without Coverage

    Kansas Legislature Fails to Advance Medicaid Expansion

    Nebraska Releases RFQ For Families First Prevention Services Act Providers

    New Hampshire Lawmaker Proposes 12 Percent Raise in Medicaid Rates for Clinicians

    Pennsylvania Counties Push Back Against Behavioral Health Integration Bill

    Tennessee to Seek Federal Approval for Medicaid Block Grant

  • This week, our In Focus section reviews the Centers for Medicare & Medicaid Services (CMS)-issued Fiscal Year (FY) 2020 Medicare Part A proposed rules. Between April 17 and April 23, 2019, the CMS issued the proposed rules for general acute Read More

    California Dual Eligibles Program Is Extended Through 2022

    Florida Legislature Approves Bill to Import Prescription Drugs from Canada

    Missouri Medicaid Enrollment Falls by 70,000 in 2018 Partly from Renewal Processing Errors

    Nebraska Senate Advances Bill To Delay Transition of Long-Term Care, HCBS Beneficiaries to Managed Care

    Texas House Committee Passes Bill Requiring Independent Review of Medicaid Managed Care Denials

    Washington Legislature Passes Public Option Exchange Plan

  • On April 22, 2019, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced the Primary Cares Initiative (PCI), which will present eligible providers and other entities with the opportunity to engage in value-based payment and direct contracting Read More

    Colorado Senate Tentatively Endorses Study of State-Run Public Option Health Plan

    Federal Judge Orders Florida to Expand Hepatitis C Treatment for Inmates

    Medicaid Expansion News: Montana, Oklahoma

    Oregon Receives 19 Applications for CCO 2.0 Contracts

    Texas Children Are Improperly Losing Medicaid Coverage, State Data Show

  • 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 the Centers for Medicare & Medicaid Services (CMS), we have received a draft Read More

    Alaska House Committee Considers Bill to Shift Medicaid Expansion Members to Private Insurance

    Arkansas Reports Increase in Medicaid Enrollment

    District of Columbia to Award Medicaid Managed Care Contracts to Amerigroup, AmeriHealth Caritas, Trusted

    Iowa to Evenly Distribute Medicaid Members Among 2 Plans

    Michigan Considers Options for MLTSS System Revamp

    Montana Senate Fails to Renew Medicaid Expansion

    New Jersey Child Enrollment Declines

    Foster Care News: New York, Oregon

  • This week, our In Focus reviews the Calendar Year (CY) 2020 Medicare Advantage (MA) and Part D Flexibility Final Rule (Final Rule) issued by the Centers for Medicare & Medicaid Services (CMS) on April 5, 2019. The Final Rule implemented Read More

    Alaska Pushes Ahead With Medicaid Block Grant Proposal

    Medicaid Expansion News: Idaho, Kansas, Maine, North Carolina, North Dakota

    Louisiana Medicaid Is Under Scrutiny Over Improper Enrollments

    BCBS-Minnesota Posts Profit in Medicaid, MNCare Lines

    CMS Approves New York Children’s HCBS Waiver

    Texas Legislative Agency Reports Medicaid Quality Problems

    CMMI Director Considers Bundled Payments for Post-Acute Care

  • This week, our In Focus reviews the Announcement of Calendar Year (CY) 2020 Medicare Advantage (MA) Capitation Rates and Medicare Advantage and Part D Payment Policies (Rate Announcement) and Final Call Letter, issued by the Centers for Medicare & Medicaid Read More

    Medicaid Expansion News: Arkansas, Kansas, Montana, Nebraska, Utah, West Virginia

    Florida Is Approved for Behavioral Health Housing Pilot

    Iowa Medicaid Plan UnitedHealthcare to Exit Market

    Louisiana Is No Longer Pursuing Medicaid Work Requirements

    Minnesota Individual Plans Post Strong 2018 Financials

    North Carolina Audit Finds Behavioral Health LME/MCOs Had $440 Million in Excess Savings

    Tennessee Medicaid Program Cuts 128,000 Kids over Past Two Years