Weekly Roundup

June 15, 2022

In Focus:

Roundup:

Delaware Delays Medicaid Managed Care Contract Awards to July
Florida Names Bidders In Modular MMIS Procurement
Louisiana Names Additional Medicaid Managed Care Contract Winner
Maryland Releases Draft Medicaid 1115 Waiver Amendment to Cover Ambulance, Dental 
North Carolina Senate Committee Considers Carve-Out of Foster Care from Managed Care
North Carolina Senate Passes Medicaid Expansion Bill
Texas Health Plan Did Not Meet Fraud, Abuse Detection Requirements, State Report Says
West Virginia Submits SUD Continuum of Care 1115 Waiver Renewal for Federal Approval
MACPAC Recommends New System for Monitoring Medicaid Access
AMA Looks to Block Expansion of Non-Physician Scope of Practice
Medicaid Managed Care Enrollment Approaches 68 Million in 2020, CMS Reports
Sverica Capital Management Invests in SG Homecare

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May 25, 2022

In Focus:

Behavioral Health Crises Drive Bipartisan Action in Congress

Roundup:

Kansas to Delay Reprocurement of Medicaid Contracts After Legislature Overrides Veto
North Carolina Senate Republicans to Propose Medicaid Expansion
Oklahoma Legislature Approves Move to Medicaid Managed Care
Rhode Island Governor Proposes MMIS Modernization Project in Fiscal 2023 Budget
Virginia Director of the Department of Medical Assistance Services Steps Down
Washington Appoints Charissa Fotinos as Medicaid Director
West Virginia Lawmakers Evaluate DHHR Ahead of Possible Reorganization
U.S. Senators Introduce Bipartisan Legislation to Integrate Care for Dual Eligibles
Enhanced Healthcare Partners Invests in Howard J. Chudler & Associates

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May 18, 2022

In Focus:

The PHE is Continuing—What’s Next for Medicaid?

Roundup:

Illinois Expands Medicaid Hospital Assessment Program
Kansas Governor Vetoes Bill to Delay Reprocurement of KanCare Contracts Until January 2023
Medicaid Expansion News: Michigan, Missouri, North Carolina
Medicaid Eligibility Redeterminations News: Montana, Virginia, MACPAC
New Hampshire Governor to Sign Medicaid Adult Dental Legislation
New Jersey Governor Proposes Expanding Medicaid Coverage to Undocumented Children
Rhode Island to Restart Medicaid Managed Care Procurement Process
Texas Proposes Medicaid Plan Case Management for Children, Pregnant Women
Health Plans Call For Public Reporting of Private Equity Acquisitions
Home Health Aides Can Have Health Premiums, Union Dues Deducted from Medicaid Paychecks
Humana Joins Welsh, Carson, Anderson & Stowe in Primary Care Joint Venture
Medicaid Managed Care Plan Leaders to Address Strategies, Opportunities, Concerns at HMA Conference, October 10-11

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May 11, 2022

In Focus:

KFF Predicts Medicaid Implications of End of PHE

Roundup:

Alabama Medicaid Faces Complaint Against Sobriety Requirement for Hepatitis C Treatment
Florida Releases Medicaid Managed Care RFI Ahead of Statewide Procurement
Louisiana Begins Statewide Rollout of Crisis Response Services for Medicaid Members
Maryland Governor Increases Medicaid Rates to Match Medicare in Fiscal 2023 Budget
Medicaid Redeterminations: Massachusetts, Texas
Missouri Awards Medicaid Managed Care Contracts
New York Governor Hopes to Expand Reach of PACE
North Carolina Audit Finds Deficiencies in Medicaid Eligibility Process, Provider Payments
Oklahoma Senate Rejects Medicaid Value-Based Contracting Measures
Oregon Task Force Meets to Discuss Federal Funding Options for Medicaid Bridge Plan
Pennsylvania Faces Lawsuit from Hospital Association Over Medicaid Managed Care Contract Language
Federal Lawmakers Introduce Mental Health Legislation
Kinderhook Invests in Smoky Mountain Urgent Care as Part of Multi-State, Rural Primary Care Plan
Medicaid Directors from AZ, CA, IN, NC to Address Redeterminations, FMAP, TeleHealth, Equity, Other Key Topics at HMA Conference in Chicago, October 10-11

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May 4, 2022

In Focus:

HMA Conference on the New Normal for Medicaid, Medicare, and Other Publicly Sponsored Programs to Feature Insights from Health Plan Leaders, State Medicaid Directors, Providers

Roundup:

California Medicaid Plan to Pay Providers for Performance for Some Services
California Exchange Automates Enrollment for Medicaid Members Losing Coverage
Colorado Bills to Protect Medicaid Behavioral Health Providers from Clawbacks 
District of Columbia Mayor to Apply for Federal Funds for Health Disparities
Georgia Proposal to Bypass Healthcare.gov Is Rejected by Federal Regulators
Legislature Approves Bill to Delay Reprocurement of KanCare Contracts Until 2023
Michigan Launches Initiative to Improve Behavioral Health Services for Children
Minnesota Submits Request to Expand Self-Directed Personal Care Options
Nebraska Establishes Advisory Committee for State Medicaid Program
New Hampshire Legislature Passes Medicaid Adult Dental Bill
North Carolina HCBS Medicaid Waiver Access Varies by Race, Study Finds
Ohio Delays Launch of ‘Next Generation’ Medicaid Managed Care Program
Rhode Island Senate Committee to Hear Medicaid Rate Legislation
South Carolina Extends Telehealth Flexibilities Beyond PHE
Tennessee House Panel Clears Bill to Renew D-SNP Contracts with Losing Bidders
Texas Seeks Comment on Criteria for Selecting Medicaid Managed Care Plans
Texas 10-Year Medicaid Waiver Extension to Survive
MACPAC Announces New Executive Director, Member
Bow River Capital Completes Investment in Amazing Care Home Health Services
HCA Healthcare to Acquire BetterMed

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April 20, 2022

In Focus:

Nebraska Releases Medicaid Managed Care RFP

Roundup:

California Assembly Committee to Hold Hearing on Bill Allowing No-Bid Medi-Cali Contract
Connecticut Seeks Medicaid Waiver to Address Coverage Gap
Illinois Senate Passes Automatic Medicaid Renewal Legislation
Kansas Lacks Effective System for Tracking HCBS Waiver Redeterminations, Audit Finds
Mississippi Hires Analytics Firm to Investigate PBMs
Missouri Senate Committee Advances Measure Aimed at Medicaid Expansion Funding
Pennsylvania Delays Implementation of Modified Medicaid Managed Care Contracts
Wisconsin Governor Vetoes Bills Aimed at Tightening Medicaid Eligibility Requirements
CMS Proposes 3.2 Percent Increase to Fiscal 2023 Inpatient Hospital Payments
Exchange Plan Premiums Fall 1.8 Percent, Study Finds
FFL Partners Announces Investment in Perlman Clinic

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April 13, 2022

In Focus:

The Family Glitch and Changes to Premium Tax Credit Eligibility

Roundup:

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

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April 6, 2022

In Focus:

Texas Releases STAR+PLUS RFP

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

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