Weekly Roundup

August 18, 2021

In Focus:

Arizona Releases Competitive Contract Expansion (CCE) RFP

Roundup:

Colorado to Continue Exchange Reinsurance Program
Illinois Enacts Medicaid Behavioral Network Adequacy Law
Kansas to Investigate Pharmacy Benefit Managers
Massachusetts to Submit MassHealth 1115 Waiver Extension
Missouri Looks to Release Medicaid Managed Care RFP in Fall
New York Auditors Question $1.5 Billion in Medicaid Payments
North Carolina Clears Mecklenburg County to Switch Managed Care Plans for Behavioral, IDD Beneficiaries
Ohio Awards Medicaid Managed Care Contract to Centene
Medicare Plan Is Subject to Overpayment Rule, Court Says

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August 11, 2021

In Focus:

Senate Infrastructure Bill Has Both Direct, Indirect Impact on U.S. Health Care System, Leavitt Partners Analysis Shows

Roundup:

Missouri Is Ordered to Begin Medicaid Expansion Immediately
Mississippi Advocates Dispute Claims of Medicaid Fraud
Tennessee Medicaid Block Grant Waiver Is Open for Comment
Virginia Sees Medicaid Addiction Treatment Benefit Use Rise
Lawmakers Push CMS to Issue Guidance on Postpartum Medicaid Coverage Extension

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August 4, 2021

In Focus:

Cost Estimate of Federal Funding for Gun Violence Research and Data Infrastructure

Roundup:

Arizona RFP Seeks Medicaid Plans to Integrate Coverage for Individuals with Serious Mental Illness
California to Stagger CalAIM Behavioral Health Changes
California Delays Implementation of Medi-Cal Rx
Georgia Medicaid Plans Could Face $500 Million in Clawbacks
New York Releases NEMT Brokerage Management RFP
Pennsylvania Receives Federal Funding I/DD, LTSS
Texas Submits Medicaid Managed Care Waiver Amendment to Federal Regulators
Biden Seeks to Overturn Medicaid Waiver Guardrails
CMS Scraps Provider, Medicare Plan Contract Transparency Requirement

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July 28, 2021

In Focus:

HMA Prepares Issue Briefs Exploring MLTSS Impacts on State Medicaid Programs

Roundup:

Alaska Medicaid Covers Gender Reaffirming Health Care
Connecticut to Use Medicaid Funds for Violence Prevention
NEMT News: Connecticut, Georgia, Idaho
Missouri Supreme Court Upholds Medicaid Expansion
North Carolina Awards Medicaid Managed Care Regional Behavioral Health I/DD Contracts to Seven Plans

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July 21, 2021

In Focus:

Vermont Proposes Risk-Bearing, State-Run Medicaid Managed Care Entity

Roundup:

California Budget Eliminates Asset Test for Dual Eligibles
Delaware to Release Medicaid Managed Care RFP in December
Florida Medicaid Enrollment Surpasses State Projections
Indiana Releases Medicaid MLTSS RFI
Kentucky Health Plans Appeal Ruling that Would Force Medicaid Managed Care Rebid
Medicaid Waiver Renewals: Maryland, Massachusetts
North Carolina Medicaid Plans Join Care Coordination Platform
Washington Medicaid Drug Payment Plan Is Remanded to CMS
Senate Democrats Agree to Medicare, Medicaid Expansions

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July 14, 2021

In Focus:

Medicare-Medicaid Integration: Essential Program Elements and Policy Recommendations for Integrated Care Programs for Dually Eligible Individuals

Roundup:

HCBS Spending Plans: Arizona, Florida, New York
Iowa to Release Medicaid Managed Care RFP in December
Medicaid Expansion News: Mississippi, Missouri, Montana
Missouri Supreme Court Hears Medicaid Expansion Case
New Jersey Enacts ‘Cover All Kids’ Universal Care Initiative
Ohio Medicaid Readies New Nursing Home Rates
Vermont Proposes Risk-Bearing, State-Run Medicaid Managed Care Entity

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July 7, 2021

In Focus:

Minnesota Releases Integrated Health Partnerships Program RFP

Roundup:

Arkansas Approves CareSource to Participate in PASSE Program
California Submits CalAIM Waivers for Federal Approval
State Budget News: California, Maine, New Jersey
Guam Could Transition Thousands from Medically Indigent Program to Medicaid
Missouri Legislature Renews Medicaid Hospital Tax
Ohio Governor Vetoes Medicaid Procurement Changes
Oklahoma Medicaid to Provide Adult Preventative Dental Services
CMS Appoints Meena Seshamani as Medicare Director

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June 30, 2021

In Focus:

State Efforts to Integrate Care Across Medicaid FFS LTSS and Medicare Advantage D-SNPs; Louisiana Releases Medicaid Managed Care RFP

Roundup:

Georgia to Delay Limited Medicaid Expansion Roll Out
Minnesota Releases IV&V RFP
Missouri Supreme Court to Hear Medicaid Expansion Case
Ohio Bill Scraps Medicaid Managed Care Procurement Redo
Lawmakers in 42 States Introduce Bills to Regulate PBMs
CMS to Expand Home Health Value-Based Purchasing Model
CMS Names Daniel Tsai Director for Medicaid, CHIP Services

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June 23, 2021

In Focus:

COVID-19 Policy Flexibilities Affecting Children and Youth with Special Health Care Needs

Roundup:

HCBS Spending Plans: California, Pennsylvania
Florida to Roll Back Medicaid Flexibilities on July 1
Georgia Department of Community Health Chief to Retire
Dental News: Illinois, New Hampshire, Virginia
Kentucky Must Rebid Medicaid Managed Care Contracts
Mississippi Investigates Health Plan, Medicaid PBM
Missouri Judge Rules Against Medicaid Expansion
Pennsylvania Law to Expand Caregivers Eligibility, Support
Ohio Denies Medicaid Managed Care Award Protest
Vermont Audit Says Medicaid ACO Missed Financial Targets
CMS Announces Grants to Improve State-based Marketplaces

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June 16, 2021

In Focus:

Tennessee Releases Medicaid Managed Care RFP

Roundup:

Florida Releases Medicaid Dental Plan ITN for Healthy Kids
Florida Seeks Extension on Enhanced Medicaid HCBS Funds
Illinois Statewide Dual Demo Plan Receives Approval
Missouri House Leader Sees Progress on Medicaid Hospital Tax
Nevada to Award Medicaid Plan Contracts
North Carolina Residents Are Unaware of Planned Medicaid Managed Care Transition, Poll Shows
Ohio Senate Clears Rebid of Medicaid MCO Contracts
Medicaid Plan Settles Ohio PBM Lawsuit
Oregon Medicaid Director Steps Downs
Tennessee Releases Medicaid Managed Care RFP
Exchange Premiums Fall 26 Percent for New Enrollees

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