Weekly Roundup

May 15, 2019

In Focus:

Medicaid Plan Profit Margin Dips to 0.5 Percent in 2018, Continuing Multi-Year Decline, HMAIS Analysis Shows

Roundup:

Arkansas Medicaid Plans Are Questioned About Reimbursement Rates to Pharmacies
Delaware Prison Medical Contractor Faces Investigation
Medicaid Expansion News: Florida, Georgia, Kansas, Mississippi, Montana, Wisconsin
Maryland Allows Individuals to Apply for Medicaid, Exchange Plan on Income Tax Form
New Mexico Medicaid Information System Upgrade Is Endangered by Delays, Analysts Say
Washington Enacts Law to Widen Exchange Plan Options

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May 8, 2019

In Focus:

Medicaid and Exchange Enrollment Update – January 2019

Roundup:

Arkansas Reschedules PASSEs Open Enrollment to October
Illinois Medicaid Eligibility Backlog Leaves Thousands Without Coverage
Kansas Legislature Fails to Advance Medicaid Expansion
Nebraska Releases RFQ For Families First Prevention Services Act Providers
New Hampshire Lawmaker Proposes 12 Percent Raise in Medicaid Rates for Clinicians
Pennsylvania Counties Push Back Against Behavioral Health Integration Bill
Tennessee to Seek Federal Approval for Medicaid Block Grant

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May 1, 2019

In Focus:

HMA Summary of Fiscal Year 2020 Medicare Proposed Rules for Medicare Part A Providers

Roundup:

California Dual Eligibles Program Is Extended Through 2022
Florida Legislature Approves Bill to Import Prescription Drugs from Canada
Missouri Medicaid Enrollment Falls by 70,000 in 2018 Partly from Renewal Processing Errors
Nebraska Senate Advances Bill To Delay Transition of Long-Term Care, HCBS Beneficiaries to Managed Care
Texas House Committee Passes Bill Requiring Independent Review of Medicaid Managed Care Denials
Washington Legislature Passes Public Option Exchange Plan

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April 24, 2019

In Focus:

HMA Conference on the Next Wave of Medicaid Growth and Opportunity to Feature Insights from 40+ Speakers, Including Health Plan CEOs, State Medicaid Directors, Providers

Roundup:

Colorado Senate Tentatively Endorses Study of State-Run Public Option Health Plan
Federal Judge Orders Florida to Expand Hepatitis C Treatment for Inmates
Medicaid Expansion News: Montana, Oklahoma
Oregon Receives 19 Applications for CCO 2.0 Contracts
Texas Children Are Improperly Losing Medicaid Coverage, State Data Show

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April 17, 2019

In Focus:

Medicaid Managed Care Spending in 2018

Roundup:

Alaska House Committee Considers Bill to Shift Medicaid Expansion Members to Private Insurance
Arkansas Reports Increase in Medicaid Enrollment
District of Columbia to Award Medicaid Managed Care Contracts to Amerigroup, AmeriHealth Caritas, Trusted
Iowa to Evenly Distribute Medicaid Members Among 2 Plans
Michigan Considers Options for MLTSS System Revamp
Montana Senate Fails to Renew Medicaid Expansion
New Jersey Child Enrollment Declines
Foster Care News: New York, Oregon

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April 10, 2019

In Focus:

HMA Summary of 2020 Medicare Advantage and Part D Flexibility Final Rule

Roundup:

Alaska Pushes Ahead With Medicaid Block Grant Proposal
Medicaid Expansion News: Idaho, Kansas, Maine, North Carolina, North Dakota
Louisiana Medicaid Is Under Scrutiny Over Improper Enrollments
BCBS-Minnesota Posts Profit in Medicaid, MNCare Lines
CMS Approves New York Children’s HCBS Waiver
Texas Legislative Agency Reports Medicaid Quality Problems
CMMI Director Considers Bundled Payments for Post-Acute Care

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April 3, 2019

In Focus:

HMA Analysis of 2020 Medicare Advantage Rate Notice and Final Call Letter

Roundup:

Medicaid Expansion News: Arkansas, Kansas, Montana, Nebraska, Utah, West Virginia
Florida Is Approved for Behavioral Health Housing Pilot
Iowa Medicaid Plan UnitedHealthcare to Exit Market
Louisiana Is No Longer Pursuing Medicaid Work Requirements
Minnesota Individual Plans Post Strong 2018 Financials
North Carolina Audit Finds Behavioral Health LME/MCOs Had $440 Million in Excess Savings
Tennessee Medicaid Program Cuts 128,000 Kids over Past Two Years

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March 27, 2019

In Focus:

CMS Increases Monitoring and Evaluation Requirements for Section 1115(a) Medicaid Demonstrations

Roundup:

Medicaid Expansion News: Alabama, Colorado, Georgia, Idaho, Kansas, North Carolina
Arizona Announces DDD Health Plan Awards
Kentucky Attorney General Launches PBM Investigation
Louisiana Awards Hepatitis C Pact to Asegua Therapeutics
New Jersey Releases 2018 Medicaid Plan CAHPS Results
New Mexico to Develop Medicaid Home and Community Supports Waiver Program
Ohio Medicaid to Release Managed Care Procurement RFI

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March 20, 2019

In Focus:

Analysis of Key Medicare Proposals in the President's FY 2020 Budget

Roundup:

Florida House Panel Votes to Make 30-Day Retroactive Medicaid Eligibility Permanent
Illinois Governor Proposes Medicaid MCO Tax to Improve Care, Reduce Cost to Taxpayer
Kansas Senate, House Committees Remove Medicaid Expansion Funding From Proposed Budget
Pennsylvania Experiences Bumpy Transition to Community HealthChoices Dual Eligible Program
Texas Releases Outline of IDD Strategic Plan
Medicaid Drug Spending Grows 14.8 Percent from 2013-17

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March 13, 2019

In Focus:

Louisiana Releases Medicaid MCO RFP

Roundup:

California Releases Revised Medi-Cal Managed Care RFP Schedule
Kentucky Medicaid Plan Passport Health May Face Bankruptcy Despite Cuts, CEO Says
New Jersey Governor Proposes Increase in Funds for Community-Based Services
New York Revises Children’s Managed Care Transition Timeline
West Virginia Senate Passes Bill to Transition Health Care Services for Foster Children to Managed Health Care

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