Weekly Roundup

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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March 06, 2019

In Focus:

Minnesota Releases Medicaid Managed Care RFPs

Roundup:

Arkansas Providers Ask Judge to Further Delay Transition to Medicaid Managed Care
California Community Leaders to Pursue Ballot Initiative for Two-Plan Medicaid System in Ventura
Illinois Lawmakers Introduce Medicaid Managed Care Reform Legislation
Iowa to Kick Off Medicaid Managed Care Open Enrollment Period
Louisiana Receives Responses from 3 Drug Makers to Medicaid, Inmate Hepatitis C Treatment Proposal
Medicaid Expansion News: Missouri, Ohio, Texas, Wisconsin

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February 27, 2019

In Focus:

Medicaid Plan PMPM Rates Rise 0.3 Percent in 2018 for TANF/CHIP In 19 States, 4 Percent for Expansion, HMAIS Analysis Shows

Roundup:

Alaska Governor Proposes 33 Percent Medicaid Funding Cut
Georgia Senate Approves Partial Medicaid Expansion
Louisiana Releases Medicaid Managed Care RFP
Minnesota Releases Medicaid Managed Care RFPs
New Jersey Releases Medicaid MCO Contract Updates
Texas Lawmakers to Introduce Medicaid Overhaul Legislation
Medicaid Spending Growth to Accelerate, CMS Projects

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February 20, 2019

In Focus:

MA Releases One Care Dual Demonstration 2.0 Request for Responses

Roundup:

Medicaid Expansion News: AK, GA, ID, NE, OK
Iowa Senate Democrats Propose Moving Managed LTC Members Back to Fee-for-Service
New Hampshire Announces Medicaid Managed Care Awards
North Carolina Releases Scoring of Medicaid Plan Bids
Oregon Receives 11 Updates to Letters of Intent for CCO 2.0
Wisconsin Releases Family Care Partnership RFP for Selected Service Areas

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February 13, 2019

In Focus:

Evolving Integrated Managed Care Models for Medicare-Medicaid Dual Eligible Beneficiaries: Key Considerations for Health Plans

Roundup:

Arkansas Provider-Led Entities Move Forward After PASSE Readiness Review
Medicaid Expansion Updates: FL, GA, LA, NC, UT
Missouri Medicaid Overhaul Could Save $1 Billion Annually, Report Says
New York Releases RFAs to Address Opioid Crisis
North Carolina Faces Appeal from My Health Over Medicaid Managed Care Contract Awards
Pennsylvania To Expand LIFE Program In Multiple Counties

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February 6, 2019

In Focus:

CMS Issues Medicare Advantage Advance Notice Part II and Draft Call Letter

Roundup:

Florida Governor Maintains ‘Status Quo’ on Medicaid Budget
Kentucky Delays Start Date for Medicaid Work Requirements
Maine Governor Orders Audit of State Medicaid Program
North Carolina Announces Medicaid Managed Care Awards
Ohio Medicaid to Rebid Managed Care Contracts
Oregon Health Authority Receives 24 Letters of Intent for CCO 2.0 Contracts
HHS Proposes Overhaul of PBM Drug Rebate Rules

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January 30, 2019

In Focus:

Oregon Releases Medicaid Coordinated Care Organizations 2.0 RFA

Roundup:

Arizona Behavioral Health Providers Are Owed Millions in Unpaid Medicaid Claims
Arkansas, Maine Appoint Medicaid Directors
Florida Judge Rejects State Medicaid Contract in Southwest Region; AHCA Appeals
Kentucky Medicaid Plan Passport Health Could Face Bankruptcy Given Rate Cuts, CEO Says
New Jersey Governor Outlines Initiatives to Combat Opioid Epidemic
Health Share of Oregon to Seek New Medicaid CCO 2.0 Contract
Medicaid Expansion Developments In Kansas, Montana, Utah, West Virginia, Wyoming

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January 23, 2019

In Focus:

Arkansas PASSE Program Readies for Full Risk Capitation

Roundup:

Arizona Wins Approval for Medicaid Work Requirements
Georgia Considers Medicaid Waiver to Expand Coverage
Kansas Governor to Submit Medicaid Expansion Plan to Legislature This Month
Kentucky Medicaid Plan Passport Health May Exit Market
Maine Governor Reverses Medicaid Work Requirements
North Carolina Audit Finds Medicaid LME/MCO Capitation Rates Were Actuarially Sound
West Virginia Lawmakers Seek Transition to Managed Health Care for Foster Kids

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