HMA Weekly Roundup

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  • This week, our In Focus section comes to us from HMA Senior Consultant ErinMathies (Indianapolis), who reviews the premium assistance programs for the working adult population in Medicaid expansion states. Medicaid programs that pay for premiums in commercial insurance for Read More

    CMS Approves Florida Request to Shorten Retroactive Medicaid Eligibility

    Massachusetts Receives CMS Approval for Flexible Services Program

    Massachusetts Approves Beth Israel-Lahey Health Merger

    New Hampshire Receives Federal Approval of Medicaid Expansion Work Requirements

    New York Provides DSRIP Update

    TennCare Director Accepts Health Care Post in Nashville

    Bipartisan Senate Bill Aims to Lower Drug Pricing

    Number of Uninsured Children Increased By 276,000 in 2017

  • This week, our In Focus section comes to us from HMA Senior Consultant Ryan Mooney (Austin), who reviewed the proposed rule on Health Reimbursement Arrangements (HRAs). On October 29, 2018, the U.S. Department of the Treasury, the Department of Labor, Read More

    Judge Rejects Florida Medicaid Managed Care Contract Award for HIV/AIDS

    Kentucky Work Requirements Waiver Approved by CMS After Further Review

    Maine Judge Orders Implementation of Medicaid Expansion; LePage To Appeal

    New Mexico Judge Rejects Medicaid Contract Award Challenge By Molina

    Arkansas Delays Phase II of Medicaid Managed Care Transition Until March 2019

    Florida AHCA Secretary Justin Senior to Step Down

  • Among the biggest challenges facing clinicians today is keeping up to date with the latest medical advances, care models, and delivery system redesign efforts. The need for ongoing learning is especially true for safety net providers, where new approaches to Read More

    Florida Closes ITN for Regions 3-7 of SMMC MMA PSN

    Maine Governor to Implement Medicaid Expansion Upon Taking Office

    Montana Voters Reject Tobacco Tax to Fund Medicaid Expansion

    New Jersey Creates Consumer Portal to Facilitate ACA Open Enrollment

    CMS Considers Allowing Hospitals to Use Medicaid Funds for Housing

    CMS Announces Short-Term IMD Exclusion Waivers for Serious Mental Illness

    CMS to Propose Rule Allowing States to Limit NEMT Services

  • This week, our In Focus section comes to us from Principal Elaine Peters (HMA– Florida), who reviews the recent re-procurement by the Florida Agency for Health Care Administration (AHCA) of its Statewide Medicaid Managed Care (SMMC) health and dental plans. Read More

    Idaho, Nebraska, Utah Voters Approve Medicaid Expansion Ballot Measures

    New York Publishes Inpatient and Nursing Home Medicaid Rate Increase

    Texas-Based Scott and White Health Plan to Acquire FirstCare Health Plans

    California Faces Investigation Following Report of Inadequate Prison Mental Health Care

    Colorado To Tighten Limits on Opioid Prescriptions

    Midterm Election Results Are Boost for Medicaid Expansion

  • This week, our In Focus section reviews highlights and shares key takeaways from the 18th annual Medicaid Budget Survey conducted by The Kaiser Family Foundation (KFF) and Health Management Associates (HMA). Survey results were released on October 25, 2018, in Read More

    North Carolina Receives CMS Approval for Medicaid Managed Care Transition

    Montana Voters Divided on Taxing Tobacco to Fund Medicaid Expansion

    Pennsylvania Governor Vetoes Medicaid Work Requirements Bill

    Wisconsin Receives Federal Approval for Medicaid Work Requirements

    Texas Drug Utilization Review Board Seeks to Expand Medicaid Opioid Treatment

    New York Officials Holding Statewide Forums on IDD Transition to Managed Care

    President Trump Signs Opioid Legislation

    CMS Proposes Payment Changes to Physician-Administrated, Medicare Part B Drugs

  • This week, our In Focus section comes to us from Principal Nora Leibowitz, reviewing the Centers for Medicare & Medicaid Services (CMS) guidance on Section 1332 waivers. The State Relief and Empowerment Waivers guidance, published in the Federal Register on Read More

    Minnesota to Release Medicaid Managed Care RFPs in 2019

    Missouri Names State House Speaker Todd Richardson Medicaid Director

    North Carolina Receives 8 Bids for Medicaid MCO Procurement

    Pennsylvania Announces New Program to Support Housing Needs of Individuals with OUD

    Texas Releases RFI for Program Improvements to STAR Health

    Medicaid Enrollment Drops as Economy Improves, According to Report

  • This week, our In Focus section highlights HMA Medicaid Market Solutions’ (MMS) efforts to support state flexibility in designing and implementing Section 1115 Demonstration Waivers promoting member engagement and personal responsibility. Over the coming weeks, HMA MMS will present a Read More

    Former Maine Health Commissioner Appointed Federal Medicaid Director

    Arkansas Drops 4,100 More Medicaid Beneficiaries for Failing to Meet Work Requirements

    Four Plans to Exit New York Fully Integrated Duals Advantage Program

    Texas Reports ‘Significant Progress’ In System Redesign for IDD Population

  • This week, our In Focus section comes to us from Senior Consultant Ryan Mooney, reviewing the Texas Medicaid and Children’s Health Insurance Program (CHIP) Evaluation report. The 85th Legislature of the State of Texa required the Texas Health and Human Read More

    Arizona Awards MMIS Contract to CNSI

    Massachusetts to Release One Care Duals RFP in 1-2 Months

    Montana Lawmakers Seek Medicaid Work Requirements

    Arizona, Hawaii Release Joint RFP for EVV Vendor

  • This week, our In Focus section provides a recap of the third annual HMA Conference, The Rapidly Changing World of Medicaid: Opportunities and Pitfalls for Payers, Providers and States, held this Monday, October 1, and Tuesday, October 2, in Chicago, Read More

    Texas Cancels, Re-Issues Medicaid, CHIP Solicitations

    Tennessee Releases Medicaid Work Proposal for Public Comment

    Alabama Receives CMS Approval for ICN Long-term Care Program

    CMS Administrator Defends Medicaid Work Requirements, Highlights New Initiatives

    Supreme Court to Hear Medicare DSH Payment Cas

  • This week, our In Focus section reviews Medicare-Medicaid integration opportunities through Dual Eligible Special Needs Plans (D-SNPs). States are motivated to expand their capacity to address the needs of dually eligible beneficiaries through integrated care. They are increasingly requiring health Read More

    Hawaii Releases RFI for QUEST Integration Medicaid Managed Care Program

    New Mexico to Transition to State-based Health Insurance Exchange in 2021

    Virginia Files Waiver Request for Medicaid Work Requirements, Monthly Premiums

    Alabama Medicaid Work Requirement Proposal to Be Reviewed by CMS

    Medicaid Spending Rose 2.6 Percent to $592 Billion in 2017

    DHHS Awards More Than $1 Billion to Combat Opioid Crisis