Need to round out your collection of Weekly Roundups?
Access pdfs of this weekly newsletter’s archived issues.
- 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
- This week our In Focus section reviews scenarios in which the federal Public Health Emergency (PHE) may expire. Read MoreRoundup:
Alaska Releases MMIS RFI
California Medicaid Telehealth Visits Soar
Georgia House Approves Minimum MLR for Medicaid Plans
UCare to Bid on Iowa Medicaid Managed Care Contract
Kentucky Releases PBM RFP for Fee-For-Service Medicaid
Nebraska Medicaid Managed Care RFP Is Expected in April 2022
North Carolina to Launch Medicaid SDOH Pilot
Ohio Medicaid Managed Care Enrollment Begins
Oregon Bill Passes to Address Post-PHE Coverage Losses
- This week our In Focus section reviews the Centers for Medicare & Medicaid Services’ (CMS) Innovation Center’s newly announced model – Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH). Read MoreRoundup:
Arizona to Prioritize Medicaid Eligibility Redeterminations
Arkansas Announces HCBS Workforce Stabilization Program
California to End Child Health and Disability Prevention Program, Expand Presumptive Eligibility
PBM News: California, Georgia, Michigan, Oregon
Colorado Pauses Medicaid Prior Authorization Requirements
Florida Senate Committee Advances Scaled Back Plan to Merge Medicaid Managed Care Regions
Georgia House Passes Bill to Cover Childless Adults with HIV
Medicaid Expansion News: Illinois, Wisconsin
Dental News: New Hampshire, Tennessee
New York 1199SEIU Home Care Workers to Receive Back Pay
- This week, our In Focus section reviews the Iowa Health Link request for proposals (RFP) for Medicaid managed care organizations (MCOs) to serve the state’s traditional Medicaid program, the Children’s Health Insurance Program (CHIP) known as Healthy and Well Kids Read MoreRoundup:
Colorado RAE Improperly Denies Claims Due to System Issue
District of Columbia Awards District Dual Choice Contract
Florida House Considers Bill to Carve-in Medicaid Dental
Iowa Releases Medicaid Managed Care RFP
Massachusetts to Release Medicaid ACOs RFR
Medicaid Expansion News: Missouri, North Carolina, Wyoming
Michigan Legislature Passes PBM Transparency Bill
Nevada Medicaid Providers Are Under-Prescribing MAT
Oregon Focuses on Equity in Medicaid 1115 Waiver Renewal
Rhode Island Denies Proposed Hospital Systems Merger
Wisconsin Senate Passes Bills to Tighten Medicaid Eligibility
CMS Ends Program to Develop Rural ACOs
- This week, our In Focus section reviews the California Medicaid (Medi-Cal) managed care request for proposals (RFP) released by the California Department of Health Care Services (DHCS) on February 9, 2022. Read MoreRoundup:
Florida Lawmaker Proposes Statewide Medicaid Managed Care Procurement, Cap on Market Share
Indiana Bill May Upend Move to Medicaid Managed LTSS
Medicaid Expansion News: Kansas, Missouri, North Carolina, South Dakota, Wyoming
Louisiana Awards Medicaid Managed Care Contracts
Michigan Governor Allocates $243.3 Million to Procure Single Dental Medicaid Managed Care Plan
Mississippi Bill that Would End Contract With Medicaid Managed Care Plan Moves to Senate
Eligibility Redetermination News: Oregon, Utah
West Virginia Legislators Consider Medicaid Buy-in Program
- This week our In Focus section reviews the Advance Notice of Methodological Changes for Calendar Year (CY) 2023 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies issued by the Centers for Medicare & Read MoreIn Focus:Roundup:
Arizona to Offer HCBS Providers Incentive for EVV Use
Arkansas PASSE Gets Investment from Trive Capital
California Releases Medicaid Managed Care RFP
California Medicaid Members Struggle to Fill Prescriptions
California Plan Gets Medicaid Pact Ahead of Procurement
Florida Senator Looks to Raise Nursing Home Employee Wages
Kansas Bill to Extend Medicaid Plan Contracts Is Questioned
Missouri Medicaid Recipients May Wrongly Lose Coverage
New Mexico To Releases Medicaid Plan RFP in September 2022
North Carolina to Join Medicaid Alternative Payment Pilot
Texas Releases Draft of STAR+PLUS Medicaid Plan RFP
