Weekly Roundup

February 23, 2022

In Focus:

Iowa Releases Medicaid Managed Care RFP

Roundup:

Colorado RAE Improperly Denies Claims Due to System Issue
District of Columbia Awards District Dual Choice Contract
Florida House Considers Bill to Carve-in Medicaid Dental
Iowa Releases Medicaid Managed Care RFP
Massachusetts to Release Medicaid ACOs RFR
Medicaid Expansion News: Missouri, North Carolina, Wyoming
Michigan Legislature Passes PBM Transparency Bill
Nevada Medicaid Providers Are Under-Prescribing MAT
Oregon Focuses on Equity in Medicaid 1115 Waiver Renewal
Rhode Island Denies Proposed Hospital Systems Merger
Wisconsin Senate Passes Bills to Tighten Medicaid Eligibility
CMS Ends Program to Develop Rural ACOs

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February 16, 2022

In Focus:

California Releases Medi-Cal Managed Care RFP for Two-Plan, GMC, and Regional Models

Roundup:

Florida Lawmaker Proposes Statewide Medicaid Managed Care Procurement, Cap on Market Share
Indiana Bill May Upend Move to Medicaid Managed LTSS
Medicaid Expansion News: Kansas, Missouri, North Carolina, South Dakota, Wyoming
Louisiana Awards Medicaid Managed Care Contracts
Michigan Governor Allocates $243.3 Million to Procure Single Dental Medicaid Managed Care Plan
Mississippi Bill that Would End Contract With Medicaid Managed Care Plan Moves to Senate
Eligibility Redetermination News: Oregon, Utah
West Virginia Legislators Consider Medicaid Buy-in Program

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February 9, 2022

In Focus:

CMS Payment Notice Signals Shift in COVID-19 Policies For Medicare Advantage and Part D Programs

Roundup:

Arizona to Offer HCBS Providers Incentive for EVV Use
Arkansas PASSE Gets Investment from Trive Capital
California Releases Medicaid Managed Care RFP
California Medicaid Members Struggle to Fill Prescriptions
California Plan Gets Medicaid Pact Ahead of Procurement
Florida Senator Looks to Raise Nursing Home Employee Wages
Kansas Bill to Extend Medicaid Plan Contracts Is Questioned
Missouri Medicaid Recipients May Wrongly Lose Coverage
New Mexico To Releases Medicaid Plan RFP in September 2022
North Carolina to Join Medicaid Alternative Payment Pilot
Texas Releases Draft of STAR+PLUS Medicaid Plan RFP

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February 2, 2022

In Focus:

Delaware Releases Medicaid Managed Care RFP

Roundup:

California Delays Medi-Cal Managed Care RFP By One Week
Colorado Eyes Reform of Medicaid Behavioral Health System
Delaware Selects Sandata Technologies for EVV Program
Georgia Bill Would Set Minimum MLR for Medicaid Plans
Kansas Lawmakers Look to Extend Medicaid Plan Contracts
Massachusetts Community Behavioral Health Centers RFP
Minnesota Governor Seeks MinnesotaCare Buy-In
South Dakota House OKs Higher Medicaid Dental Rates
CMS Releases 2023 Medicare, Part D Advance Notice
Hospital Readmission Rates for Dual Eligibles Are Only Mildly Impacted by Social Determinants of Health, Study Says
Participation in Medicare Shared Savings ACOs to Rise in 2022

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January 26, 2022

In Focus:

Minnesota Releases Medicaid Medical Assistance, MinnesotaCare RFP Covering 80 Counties Outside Twin Cities

Roundup:

Arkansas Budget Proposal Assumes Rising Medicaid Costs
Georgia Seeks to Reinstate Medicaid Work Requirements
Indiana Delays Release of MLTSS RFP Until May 2022
Maryland Senators Seek Enhanced Adult Dental Coverage
Montana Lawmakers Consider CCBHCs
New York Expects Savings from Medicaid Plan Procurement
Wyoming Medicaid Administrator Teri Green Retires
Medication Assisted Treatment Use for SUD Rises, CMS Reports
States Prepare to Restart Medicaid Redeterminations
Exchange Plan Offerings Increase in 2021

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January 19, 2022

In Focus:

CMS Seeks New Direction for Medicare Advantage and Part D Markets on Health Equity, Dual Eligible Integration

Roundup:

Florida Governor Snubs Federal COVID-19 Vaccine Mandate
Georgia Budget Proposal to Fund New Insurance Exchange
Louisiana Releases Medicaid PBM Services RFP
Minnesota Releases Medicaid Managed Care, MinnesotaCare RFP Covering 80 Counties
Missouri Receives 3 Bids for Medicaid Managed Care Program
New Mexico to Extend Medicaid Postpartum Coverage
New York Eyes Competitive Bidding for Medicaid Plans
New York Governor Proposes Medicaid Rate Increases
Wisconsin Releases HCBS Care Management System RFP
Behavioral Health Group Buys Center for Behavioral Health

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January 12, 2022

In Focus:

CMS Changes to the Medicare Advantage Star Rating Program Drive Significant Increases to Overall Star Ratings

Roundup:

Arkansas Reaches Settlement with Empower Healthcare
California FQHCs to Receive Less 340B Funding
Florida Bill Would Reshape Medicaid Managed Care Regions
Indiana Awards Medicaid Managed Care Contracts
Expansion News: Kansas, Missouri, South Dakota, Wyoming
Minnesota Seeks Models that Increase HCBS Provider Wages
New York Looks to Rebuild State Healthcare Economy
Oregon Clears Centene/Trillium to Enroll New Members
CMS Looks to Partnerships to Address Costs, Disparities

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January 5, 2022

In Focus:

Medicaid Managed Care Provides Opportunities for States to Address Social Determinants of Health and Health Equity

Roundup:

California Receives Approval for CalAIM Demonstration
Georgia Must Remove Medicaid Expansion Work Requirements
Idaho Seeks Offers to Administer Behavioral Health Plan
Iowa Delays Release of Medicaid Managed Care RFP
Montana Must Wind Down Medicaid Expansion Premiums Above 2 Percent of Income, CMS Says
Anthem Acquires Ohio Medicaid Contract from Paramount
South Dakota Voters to Decide on Medicaid Expansion
CMS Proposes Rule to Standardize Exchange Plans

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December 22, 2021

In Focus:

MS Releases MississippiCAN, CHIP RFQ

Roundup:

Arkansas Is Cleared to Continue Covering Medicaid Expansion Eligibles Through Exchange Plans
California to Tighten Medicaid Plan Subcontracting Rules
District of Columbia Delays Carve-In of Medicaid Behavioral
Louisiana Is Cleared to Launch Medicaid Coverage for Children with Disabilities
Montana to Increase Income Eligibility Limit for Medically Needy Program
Utah Appoints Jack Szczepanowski as Medicaid Director
Individual Health Plans Pay $1.3 Billion in MLR Rebates
CMS to Investigate PBM Fees Charged to Pharmacies
CMMI to Launch New Payment Models in 2023 at the Earliest

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December 15, 2021

In Focus:

District of Columbia Releases Medicaid Managed Care RFP

Roundup:

California OKs Single Medicaid Plan Model in 3 Counties
Delaware Releases Medicaid Managed Care RFP
HCBS News: Arkansas, New Hampshire, Wisconsin
Mississippi Releases RFQ for MississippiCAN, CHIP
Missouri ACOs Produce $58 Million in Medicare Savings
Nebraska Seeks Input Ahead of Medicaid Plan Procurement
Virginia Releases Medicaid Dental Benefits Administrator RFP
Medicaid, CHIP Enrollment Rises 8.9 Percent, MACStats Says
States Turn to Medicaid Plans to Address SDOH

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