Weekly Roundup

March 15, 2017

In Focus:

Nebraska Releases LTSS Redesign Draft

Roundup:

Rural Georgia Hospitals Continue to Struggle Financially
North Carolina Senate Proposes Medicaid Prepaid Dental Plans
UPMC and PinnacleHealth Agree to Affiliate
Tigue Named Rhode Island Medicaid Director
Wisconsin DHS Cancels Family Care/Partnership RFP
U.S. Senate Confirms Verma as CMS Administrator
CBO Estimates AHCA Would Increase Uninsured by 24 Million
AHCA Would Strain Hospital Finances, per Moody’s and S&P
CMS Medicaid Innovation Accelerator Program National Webinar scheduled for March 27

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March 8, 2017

In Focus:

New Jersey Health Care Quality Institute Issues “Medicaid 2.0 Blueprint for the Future”

Roundup:

AHCCCS Announces ALTCS Contract Awards
Arkansas Gov. Seeks Medicaid Expansion Work Requirements, Eligibility Limits
UnitedHealth Completes Acquisition of Rocky Mountain Health Plans
Advocate, NorthShore Abandon Plans to Merge
MassHealth Selects Optum as TPA for LTSS Programs
Oregon Study Highlights Upsides, Limitations of Medicaid Expansion
House Republicans Release ACA Replacement Plan, To Cap Federal Medicaid Funding
Republican Governors Criticize House ACA Bill, Continue Drafting Alternative Proposal
Brian Neale Nominated as Director of the Center for Medicaid and CHIP Services

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March 1, 2017

In Focus:

Illinois Issues RFP to Rebid Medicaid Managed Care Programs, Expand Statewide

Roundup:

Centene Ends Partnership with Alabama RCO
Kansas House Advances Bill to Expand Medicaid
New Jersey DOH Posts DSRIP Update
New York Duals Demo Extended, Expanded
Vermont All-Payer ACO Model to Begin with Medicaid Pilot
Wisconsin Releases Family Care, Family Care Partnership RFP

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February 22, 2017

In Focus:

Washington Releases Fully Integrated Managed Care RFP for North Central RSA

Roundup:

MDwise to Withdraw from Indiana’s Hoosier Care Connect
Texas CHIP Rural and Hidalgo Service Areas RFP Released
Florida AHCA Posts Statewide Medicaid Managed Care LOI Responses
Colorado Medicaid to Receive Mid-year Budget Increase
Medicaid Expansion to Appear on Ballot in Maine
Minnesota Audit Finds State Lacks Adequate HCBS Oversight
House Leadership Outlines Elements of ACA Repeal and Replace
Medicaid Innovation Accelerator Program National Webinar scheduled for February 27

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February 15, 2017

In Focus:

Duals Demonstration Enrollment Update

Roundup:

Georgia Extends Hospital Assessment Program
Connecticut Governor Proposes Medicaid Cuts
New York Exceeds Global Cap Citing Drug, LTSS Spending
Moda Health Prevails in Risk Corridor Lawsuit
Magellan Awarded South Carolina Pharmacy Contract
Vermont Contracts with OneCare for One-year ACO Pilot
HHS Proposes Rule Changes Aimed at Stabilizing Exchange Markets
U.S. Senate Confirms Tom Price as HHS Secretary
Uninsured Rate Hits All-time Low of 8.8 Percent in 2016

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February 8, 2017

In Focus:

Mississippi Releases Medicaid Managed Care RFP

Roundup:

Arizona to Request Waiver Approval for Medicaid Work Requirement, Eligibility Cap
Arkansas Dental Managed Care Contract Awards Announced
Florida Announces Reprocurement Process for Statewide Medicaid Managed Care
Minnesota Legislature Passes Bill Opening Medicaid, Individual Markets to For-Profit HMOs
Missouri Governor Proposes Medicaid Provider Cuts
Utah to Move Ahead on Limited Medicaid Expansion
Study Estimates Medicaid Block Grants Could Save Federal Government $150 Billion Over Five Years
Trump Administration Submits Rule to OMB to Stabilize Exchanges

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February 1, 2017

In Focus:

Indiana Submits HIP 2.0 Waiver Renewal

Roundup:

Alabama Medicaid Seeks Additional Funding for RCO Roll-out
Florida Governor Proposes Hospital Payment Cuts
New Jersey Provides Update on MLTSS Spending
New York DOH Provides DSRIP Program Update
Ohio Governor’s Proposed Budget Expands MLTSS
Pennsylvania Gov. Proposes Consolidation of Health Agencies
CMS Offers to Extend Dual Demos in Massachusetts, Minnesota, Washington

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January 25, 2017

In Focus:

Medicaid Managed Care Spending in 2016

Roundup:

Arizona Releases AHCCCS MCO RFI
Medi-Cal Accounting Error Drives Budget Deficit Projection
KanCare Waiver Extension Denied by CMS
Maryland Begins Enrolling Former Inmates in Medicaid
New Jersey Auditor Report Raises Medicaid Network Adequacy Concerns
New York Gov. Proposes Extension of Global Spending Cap
Rhode Island Budget Proposal Freezes Rates for Hospitals, Nursing Homes, Cuts MCO Administrative Rates
Wisconsin DHS Announces Awards for Family Care MLTSS

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January 18, 2017

In Focus:

Reviewing Oregon’s Medicaid Expenditure Cap Waiver

Roundup:

California Governor’s 2017-18 Budget Highlights
Senior to be Named Secretary of Florida AHCA
Massachusetts Governor Proposes Employer Assessment to Offset MassHealth Costs
Mississippi to Rebid Medicaid MCO Contracts Early this Year
Ohio Medicaid Oversight Committee Reports $1.6B in Savings
Pennsylvania to Test New Payment Model for Rural Hospitals
Pennsylvania to Close Two State Facilities
Block Grant Proposals Discussed in Tennessee, Missouri
CMS Finalizes Rule Blocking Pass-Through Payments to Safety Net Providers
CBO Report Says ACA Repeal Could Double Premiums, Leave 32 Million Uninsured by 2026

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January 11, 2017

In Focus:

HHS Selects Eight States for CCBHC Demonstration

Roundup:

Pennsylvania Announces Preliminary HealthChoices Awards
Washington 1115 Waiver Approved by CMS
California Governor Proposes Ending CCI Demonstration
Alabama Requests CMS Approval for RCO Rollout Delay
Florida AHCA Submits 1115 Waiver Extension Request
North Carolina Medicaid Expansion Proposal May Receive Expedited CMS Review
Texas Announces New Schedule for Future MCO Procurements, Releases Draft for CHIP Rural Service Areas Procurement
West Virginia Appoints New DHHR Head

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