In Focus:
Roundup:
Colorado Governor’s Proposed Budget Plan Includes Major Medicaid Cuts Amid Growing Deficits
Louisiana Names Seth J. Gold as Medicaid Director
Michigan Releases Healthy Kids Dental Program RFP
Nebraska Submits Section 1115 SUD Demonstration Amendment
South Carolina Medicaid to No Longer Cover Weight Loss Medication in January 2026
Medica to Acquire UCare’s Medicaid, Marketplace Businesses
MVP Health Care to Acquire Independent Health
In Focus:
Roundup:
Florida Awards Children’s Medical Services Contract to Molina
Michigan Launches Grant Opportunity to Expand Mobile Behavioral Health Crisis Services
Nevada Releases Children’s Specialty Managed Care Plan RFP
Vermont Appoints Jill Mazza Olson as Medicaid Director
Wakely Releases Updated 2025 ACA Marketplace Analysis
CMS Introduces Drug Model to Curb Medicaid Drug Costs Through Most Favored Nation Pricing
In Focus:
Roundup:
Colorado Governor Proposes Fiscal 2027 Budget with Medicaid Cost-Saving Proposals
Kansas Audit Flags Issues in KanCare Oversight, MCO Claim Denials
Louisiana Issues EVV Solution RFI
HRSA Approves Eight Manufacturers to Participate in 340B Drug Pricing Pilot Program
Trump Administration Orders States to Review Medicaid Rolls for Undocumented Immigrants
House Lawmakers Unveil Bipartisan Framework to Extend ACA Subsidies
EmblemHealth Launches New Pharmacy Benefit Partnership with Prime Therapeutics, Amazon Pharmacy
In Focus:
Roundup:
Massachusetts Releases Roadmap for 2028–2032 MassHealth 1115 Demonstration Extension
Michigan Updates Requirements for Healthy Kids Dental Rebid
New York Court Upholds $11 Billion CDPAP Home Care Contract
Oregon Approves PacificSource Medicaid Transition Plan
Wisconsin Releases Medicaid Managed LTC RFP for GSR 3
CMS Appoints Dan Brillman to Oversee Medicaid, CHIP
FDA Unveils Plan to Cut Costs, Accelerate Biosimilar Development
In Focus:
Roundup:
California to Launch State-Branded Low-Cost Insulin Under CalRx Program
Michigan to Tighten Medicaid Coverage for Weight-Loss Drugs Amid Rising Costs
Michigan Court Allows MDHHS to Proceed with Behavioral PIHP Rebid
Oklahoma Appoints Melissa Miller as Medicaid Director
Oregon Increases CCO Payments by 10.2 Percent for 2026
Utah Appoints Tonya Hales DHHS Deputy Director
Federal Shutdown Halts November SNAP Funding in Some States
CMS Opens Applications for Innovation in Behavioral Health Model Cohort II
In Focus:
Roundup:
California Governor Enacts Health Care Reform Bills on Medicaid, Prior Authorization, Private Equity
Michigan Governor Signs $81 Billion Fiscal 2026 Budget Including $29.8 Billion in Medicaid Funding
North Carolina Hospitals Forgive $6.5 Billion in Medical Debt with Medicaid Payment Incentives
Oregon Cancels Medicaid Reentry Initiative
Washington Announces Updated Managed Care Rate Reductions
CMS Issues Updated Medicare Advantage Telehealth Guidance
Trump Announces AstraZeneca Deal to Lower Medicaid Drug Prices
In Focus:
Roundup:
Delaware Launches Statewide Behavioral Health Coordination Platform
Michigan Fiscal 2026 Budget Reshapes Medicaid Funding While Preserving Core Services
New Mexico Governor Signs Bills Addressing Expiring ACA Tax Credits, Rural Health Amid Federal Cuts
Ohio Issues Medicaid Work Requirement Compliance RFI
Oklahoma Governor Appoints Clay Bullard to Lead State’s Health Care Authority
NeueHealth Acquired by New Enterprise Associates in $1.47 Billion Deal
United Sells 54 Home Health, Hospice Sites to Pennant Group
In Focus:
Roundup:
Federal Government Goes Into Partial Shutdown
CMS Updates Guidance on Managed Care Payments for Emergency Medicaid Coverage for Undocumented Immigrants
Idaho DOGE Task Force May Consider Medicaid Expansion Repeal
Massachusetts Issues NOI to Identify Rural Facilities for Federal RHTP Application
Missouri Medicaid Director to Step Down After Seven Years
New York Launches $25 Million Fund for Medicaid Providers
North Dakota to Submit Medicaid State Plan Amendment Seeking Coverage of Community Health Workers, Other Services
Medicare Advantage SNP Enrollment Grows to 7.3 Million in 2024
In Focus:
Roundup:
Arizona Terminates ALTCS-EPD Procurement, Plans New RFP Release in Fall 2026
Colorado Governor Balances Budget with $79 Million in Medicaid Cuts
Georgia Receives Temporary Extension for Pathways to Coverage Demonstration
North Carolina Medicaid Funding Stalls, Cuts Set for October 1
Ohio Releases First Comprehensive Maternal Care Program Performance Results
Centene to Expand D-SNP Offerings Statewide in Four States in 2026
Aetna to Expand Clinical Collaboration Program to 10 Hospitals for Improving MA Care Coordination
In Focus:
Roundup:
Georgia Rural Hospital to Close Labor, Delivery Unit Due to Medicaid Cuts
Idaho Seeks $60 Million Supplemental Medicaid Funding Amid Rising Costs
Illinois Releases HealthChoice Medicaid Managed Care RFP
Louisiana Issues PACE RFI
North Carolina to Expand Mobile Crisis Clinics
House Stopgap Bill Extends Health Programs, Omits ACA Subsidies
Lawmakers Submit Letter Urging HHS to Scrap 340B Pilot Rebate Plan
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