HMA Weekly Roundup

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  • This week, our In Focus 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

    California Governor May Veto PACE Telehealth Bill

    Colorado Begins Scaling Back Medicaid NEMT Contract

    Florida Officials Expect ‘Imminent’ Federal Approval of HCBS Spending Plan

    Minnesota to Waive Premiums for Certain Expansion Members

    New Jersey Hospital System to Exit Medicaid Plan Network

    New York Appoints Mary Bassett Commissioner of Health

    Vermont Hospital to Be Sole Parent of OneCare Vermont

    Most Medicaid Members Face Inadequate Housing, Study Says

    AmeriHealth Caritas Forms Subsidiary to Address Social Determinants of Health

    Wayspring Receives Investment to Expand Substance Use Disorder Treatment Model

  • Aimed at shifting and improving the delivery of addiction treatment within county jails, Health Management Associates (HMA) will partner with the Washington/Baltimore High Intensity Drug Trafficking Area (W/B HIDTA) and Fairfax County Sheriff’s Office to deliver a novel Project ECHO Read More

    Connecticut to Combine Medicaid, Housing Services

    Florida Approves Exchange Premiums Hike of 6.6 Percent

    Michigan to Continue Expanded Medicaid Program in Flint

    Mississippi Economist Says Uncompensated Care Savings Would Cover State Cost of Medicaid Expansion

    Oklahoma Fails to Win HCBS Residency Requirement Approval

    Oregon to Seek Federal Funding for Health Equity

    Puerto Rico Secures $2.9 Billion in Federal Medicaid Funding

    CMS to Include Dual-Eligible Plan Features in Medicare Plans

    Exchange Plan Enrollment Hits All Time High at 12.2 Million

    Molina to Bid on 40 Percent of Medicaid Procurements

    Intermountain Healthcare, SCL Health to Merge

  • This week, our In Focus reviews the the New Jersey Department of Human Services (DHS), Division of Medical Assistance and Health Services (DMAHS) draft proposal for the renewal of its 1115 Comprehensive Demonstration Waiver, released on September 10, 2021. The Read More

    Colorado to Address Maternal Health Disparities

    District of Columbia Delays MedStar Contract Extension

    Georgia to Begin Bidding Process for Medicaid Plans in 2022

    Louisiana Appoints Medicaid Executive Director

    Michigan to Hold Hearings on Carving Behavioral Health Into Medicaid Managed Care

    New Hampshire Renews MMIS Contract with Conduent

    Ohio Medicaid Plan Faces 600 Layoffs Without State Contract

    Tennessee Sees Opposition to Block Grant Waiver

    Democrats Detail Plan to Close Medicaid Coverage Gap

    HHAeXchange Secures Investment from Hg

    Health Plans to Expand Exchange Offerings in 2022

  • This week, our In Focus reviews the Texas Health and Human Services Commission (HHSC) draft request for proposals (RFP) for Texas STAR Health, the state’s Medicaid managed care program for foster care kids. The state is also seeking public input Read More

    California Launches Enhanced Care Management Program

    California Awards EVV Contract to Sandata

    District of Columbia Extends MedStar Medicaid Contract; To Release Medicaid Managed Care RFP in November

    Idaho Awards Correctional Health Contract to Centurion

    Maine Medicaid To Raise Residential SUD Treatment Rates

    Ohio ACO to Serve 100,000 CareSource Medicaid Members

    Vermont All-Payer System Achieves Medicare Savings

    CMS Gives 13 States $452 Million for Reinsurance Programs

    LHC Group to Acquire Brookdale Health Agencies

    Highmark Health Acquires Remaining Stake in Gateway

  • This week, our In Focus section reviews key takeaways from the report, Medicaid Non-Emergency Transportation Benefit: Stakeholder Perspectives on Trends and Innovations, prepared by Health Management Associates (HMA) for the Medicaid and CHIP Payment and Access Commission (MACPAC). The report Read More

    MedStar Health May Drop CareFirst, AmeriHealth Caritas Medicaid Plans from Network

    Illinois Medicaid to Expand Maternal, Child Health

    Missouri Medicaid Expansion Applications Hit Snag

    Missouri Medicaid Director Slated to Return in September

    New York Seeks Medicaid Waiver to Improve Health Disparities

    Texas Medicaid Waiver Extension Is Upheld by Federal Judge

    Wisconsin Releases Draft RFP for Medicaid Managed LTC

    GuideWell to Acquire Triple-S Management

    Independent Living Systems Completes Stock Buyback

    Cityblock to Serve BCBS-NC Medicaid, Medicare Members

  • This week, our In Focus section reviews the Arizona Health Care Cost Containment System (AHCCCS) Competitive Contract Expansion (CCE) request for proposals (RFP), released on August 4, 2021. The procurement will expand the current AHCCCS Complete Care (ACC) Medicaid contracts Read More

    Colorado to Continue Exchange Reinsurance Program

    Illinois Enacts Medicaid Behavioral Network Adequacy Law

    Kansas to Investigate Pharmacy Benefit Managers

    Massachusetts to Submit MassHealth 1115 Waiver Extension

    Missouri Looks to Release Medicaid Managed Care RFP in Fall

    New York Auditors Question $1.5 Billion in Medicaid Payments

    North Carolina Clears Mecklenburg County to Switch Managed Care Plans for Behavioral, IDD Beneficiaries

    Ohio Awards Medicaid Managed Care Contract to Centene

    Medicare Plan Is Subject to Overpayment Rule, Court Says

  • President Biden and Senator Majority Leader Schumer have been pursuing a two-track strategy to advance major policy objectives in 2021. The first track, the bipartisan “Infrastructure Investment and Jobs Act, ” passed the Senate 69- 30. Attention now turns to Read More

    Missouri Is Ordered to Begin Medicaid Expansion Immediately

    Mississippi Advocates Dispute Claims of Medicaid Fraud

    Tennessee Medicaid Block Grant Waiver Is Open for Comment

    Virginia Sees Medicaid Addiction Treatment Benefit Use Rise

    Lawmakers Push CMS to Issue Guidance on Postpartum Medicaid Coverage Extension

  • This week, our In Focus section highlights a Health Management Associates (HMA) report, commissioned by Arnold Ventures and the Joyce Foundation, titled Cost Estimate of Federal Funding for Gun Violence Research and Data Infrastructure. The report projects the cost to Read More

    Arizona RFP Seeks Medicaid Plans to Integrate Coverage for Individuals with Serious Mental Illness

    California to Stagger CalAIM Behavioral Health Changes

    California Delays Implementation of Medi-Cal Rx

    Georgia Medicaid Plans Could Face $500 Million in Clawbacks

    New York Releases NEMT Brokerage Management RFP

    Pennsylvania Receives Federal Funding I/DD, LTSS

    Texas Submits Medicaid Managed Care Waiver Amendment to Federal Regulators

    Biden Seeks to Overturn Medicaid Waiver Guardrails

    CMS Scraps Provider, Medicare Plan Contract Transparency Requirement

  • This week, our In Focus section highlights a recent pair of reports prepared for Arizona for Better Medicaid. HMA colleagues examined the impact of managed long-term services and supports (MLTSS) in state Medicaid programs. The first report, Growth in MLTSS Read More

    Alaska Medicaid Covers Gender Reaffirming Health Care

    Connecticut to Use Medicaid Funds for Violence Prevention

    NEMT News: Connecticut, Georgia, Idaho

    Missouri Supreme Court Upholds Medicaid Expansion

    North Carolina Awards Medicaid Managed Care Regional Behavioral Health I/DD Contracts to Seven Plans

  • This week our In Focus section reviews Vermont’s Global Commitment to Health Section 1115 waiver renewal application. In the proposed five-year demonstration extension, Vermont seeks to move the Medicaid population to a new a risk-bearing public, state-run managed care organization Read More

    California Budget Eliminates Asset Test for Dual Eligibles

    Delaware to Release Medicaid Managed Care RFP in December

    Florida Medicaid Enrollment Surpasses State Projections

    Indiana Releases Medicaid MLTSS RFI

    Kentucky Health Plans Appeal Ruling that Would Force Medicaid Managed Care Rebid

    Medicaid Waiver Renewals: Maryland, Massachusetts

    North Carolina Medicaid Plans Join Care Coordination Platform

    Washington Medicaid Drug Payment Plan Is Remanded to CMS

    Senate Democrats Agree to Medicare, Medicaid Expansions