A model developed by Health Management Associates (HMA) assesses COVID-19’s potential impact on health insurance coverage for each state and forecasts Medicaid enrollment could increase by 11 to 23 million across all states over the next several months.
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HMA Review of State Appendix K Waivers in Response to COVID-19
This week, our In Focus section comes from HMA Principals Ellen Breslin (MA) and Sharon Lewis (OR). In direct response to COVID-19, the Centers for Medicare & Medicaid Services (CMS) has encouraged states to maximize Medicaid flexibilities to protect people during the pandemic emergency. This includes state flexibilities for people receiving home and community-based services. States may temporarily amend their Home and Community-Based Services (HCBS) 1915(c) waivers through an expedited process by submitting an Appendix K request. As of March 31, 2020, CMS had approved Appendix K submissions for thirteen states with effective periods ranging from four months to one year.[1] The thirteen states are: Alaska, Connecticut, Colorado, Hawaii, Iowa, Kentucky, Minnesota, New Mexico, Pennsylvania, Rhode Island, Washington, West Virginia and Wyoming.

Webinar Replay: Treatment of Substance Use Disorders During the COVID-19 Pandemic
This webinar was held on April 2, 2020.
The COVID-19 pandemic has significantly impacted the treatment of individuals with substance use disorder (SUD), including changes in the administration of Medications for Addiction Treatment (MAT), new telehealth rules and billing procedures, and other emerging protocols and regulations designed to ensure individuals with SUD continue to receive the best care possible.
During this webinar, HMA addiction experts Scott Haga and Shannon Robinson outlined how providers and patients can best navigate this changing landscape, with a special emphasis on the opportunities and risks associated with treating SUD during the pandemic.
Learning Objectives
- Find out how the COVID-19 pandemic significantly increases the risk of SUD relapse and overdose-related fatalities.
- Understand federal regulatory changes to the practice of prescribing MAT for opioid use disorder, including changes from DEA, SAMHSA, Office of Civil Rights and more.
- Obtain best practices and billing guidelines for the use of telehealth to treat individuals with SUD remotely.
HMA Speakers
Scott Haga, MPAS PA-C, Senior Consultant, Lansing, MI
Shannon Robinson, MD, FASAM, Principal, Costa Mesa, CA
As mentioned in the webinar, the Telehealth Readiness Questionnaire is also available.

Webinar Replay: Telehealth and the COVID-19 Response: Policy Changes and Implementation Strategies
This webinar was held on March 31, 2020
Telehealth services have become a key strategy for expanding access to care during the COVID-19 pandemic, driven in part by significant changes in laws and regulations to encourage the adoption of technologies that support telehealth. With these rapid changes, providers are struggling to understand how to best serve their patients using telehealth technologies.
During this webinar, HMA experts described the different modalities of telehealth and laid out the policy and reimbursement implications for the Medicare and Medicaid programs. Speakers detailed changes to HIPAA enforcement and policy changes that ensure ongoing support for prescribers and recipients of controlled substances. The webinar also reviewed how recent policy changes impact key provider decisions with regards to selecting, implementing, and building a business case for new telehealth services to support patients during the pandemic.
As mentioned in the webinar, the Telehealth Readiness Questionnaire is also available.
Learning Objectives
- Understand the different modalities of telehealth services and how to bill for them.
- Find out about recent changes in Medicare and Medicaid reimbursement policy stemming from the COVID-19 response.
- Learn the key steps in selecting a telehealth platform, building a business case, adapting workflows, and other implications for physician practices.
HMA Speakers
Jean Glossa, MD, Managing Principal for Clinical Services, Washington, DC
David Bergman, MPA, Principal, New York
Zach Gaumer, Senior Consultant, Washington, DC

Medicare and Medicaid Flexibilities During Public Health Emergencies
This week, our In Focus comes from HMA Vice President Kathleen Nolan and Managing Principal Jon Blum. On March 13, 2020, President Trump declared a national emergency due to the rapid spread of COVID-19 virus. This declaration provides Health and Human Services (HHS) and the Centers of Medicare and Medicaid Services (CMS) new abilities to waive Medicare and Medicaid regulatory requirements to help health care providers, health plans and other stakeholders respond to immediate needs of their patients and communities. In the past, HHS and CMS have solicited requests for relief needs from states, local providers and trade associations, among other stakeholders. Health care providers, health plans and others should continue to monitor policy announcements from HHS and CMS and work with their states and trade associations to identify potential areas of need for requested regulatory relief.

Health Management Associates Acquires California-based Firm NPO Solutions
Today, Jay Rosen, founder and president of Health Management Associates (HMA), announced the acquisition of NPO Solutions, a California-based management consulting firm that specializes in expanding the capacity of social sector organizations.

Jonathan Blum to Join HMA as Managing Principal
Jonathan (Jon) Blum will join HMA as a managing principal on Aug. 31 working out of the Washington, DC office.
He has more than 20 years of senior-level experience working in public and private healthcare financing organizations, including the Centers for Medicare and Medicaid Services (CMS).

HMA Expands West Coast Footprint, Opens Office in Los Angeles
Health Management Associates (HMA), a leading independent national consulting firm specializing in publicly funded healthcare, continues its growth with the opening of a new office in downtown Los Angeles.

Health Management Associates Acquires California Firm Care Integration Partners
Today, Jay Rosen, founder and president of Health Management Associates (HMA), announced the acquisition of California healthcare consulting firm Care Integration Partners (CIP).

Health Management Associates, Community Care of North Carolina Form Strategic Partnership
Today, Health Management Associates (HMA) and Community Care of North Carolina, Inc. (CCNC) announced the formation of a strategic partnership that will leverage the complementary skills and expertise of both organizations to offer providers and payers innovative solutions for the challenges of today’s healthcare landscape.

Health Management Associates to Acquire Firm Founded by Seema Verma
WASHINGTON, D.C. – Today, Jay Rosen, founder and president of Health Management Associates (HMA), announced the signing of an agreement by which HMA will acquire SVC, a consulting firm which is owned by Seema Verma, founder and president, and recently confirmed Administrator of the Centers for Medicare & Medicaid Services (CMS).
SVC will become HMA Medicaid Market Solutions, a new subsidiary of HMA.

Donna Checkett Joins HMA as Vice President of Business Development
LANSING, MICHIGAN – Health Management Associates (HMA) announced today that Donna Checkett, current Aetna vice president for Medicaid growth, will join the independent national healthcare research and consulting firm as vice president of business development on Feb. 6. Checkett will lead new business strategy for HMA.