Weekly Roundup

March 31, 2021

In Focus:

HMA Analysis of Medicare Advantage Star Rating Challenges

Roundup:

Arkansas Medicaid Work Incentive Bill Heads to Governor
California Panel Advances Inmate Medicaid Eligibility Bill
Florida Medicaid Plan Simply Healthcare Purchases Medicaid Business of Miami Children’s Health Plan
Florida House Budget Plan Includes Nursing Home Pay Cut
Expansion News: Georgia, Missouri, Wyoming
Illinois Looks to Cover CHIP Under Medicaid Expansion
Iowa Seeks Waiver on Medicaid Dental Benefits for Children
Mississippi Fails to Extend Medicaid Postpartum Coverage
Rhode Island State-Run Hospital to Restart Billing Medicaid

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March 24, 2021

In Focus:

Nevada Releases Medicaid Managed Care RFP

Roundup:

Medicaid Expansion News: Alabama, Florida, South Dakota, Tennessee, Wyoming
Arkansas House Panel Clears Medicaid Work Incentive Bill
Florida Lawmaker Introduces Legislation to Extend Medicaid Postpartum Coverage to Full Year
Hawaii Awards Medicaid Managed Care Contracts
Michigan Medicaid Expansion Impacts Dental Health
Mississippi Medicaid Plan, Others Face Investigation Over Pharmacy Benefits
Ohio Medicaid Plan to Invest $18 Million to Foster Telehealth
Utah Names Emma Chacon Interim State Medicaid Director
Pierce County, WA, Council to Vote on Medicaid Overhaul
Medicaid HCBS Would Be Mandatory Under Proposed Bill

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March 17, 2021

In Focus:

Highlights from Kaiser/HMA 50-State Medicaid Director Survey COVID-19 Update for FY 2021 and FY 2022

Roundup:

Medicaid Expansion News: Alabama, Wisconsin
Hawaii Tentatively Delays Medicaid Managed Care Awards
Nevada Releases Medicaid Managed Care RFP
Oklahoma Medicaid To Cover Opioid Use Disorder Treatments
Tennessee to Release Medicaid Managed Care RFP in 2Q21
Texas Can Remove Planned Parenthood from Medicaid
Washington Governor Proposes Medicaid Rate Increase for Family Planning Services
Medicaid HBCS Providers Could Get $11 Billion in Enhanced FMAP Funds, Kaiser Projects
Medicaid Enrollment, Spending Projections

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March 10, 2021

In Focus:

California Releases Revised CalAIM Proposal

Roundup:

Arkansas Senate Passes Medicaid Work Incentive Bill
Medicaid Expansion News: Georgia, Kansas, Louisiana, Missouri, Wyoming
Idaho Committee Approves 20 Percent Increase in Fiscal 2022 Medicaid Budget
Nevada Medicaid Plans Begin Implementing 6 Percent Provider Rate Reduction, State Says
ACA Exchange News: New York, South Carolina, National
MedPAC Is Expected to Call For Simplified Medicare Alternative Payment Models

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March 3, 2021

In Focus:

Health Management Associates Provides Updates in 2021 Federal Healthcare Policy Landscape

Roundup:

Arkansas Lawmakers Introduce Medicaid Work Incentive Bill
Hawaii Releases RFP for Medicaid Dental TPA
Louisiana Governor Proposes Budget Without Medicaid Cuts
Missouri Medicaid Director to Take Leave of Absence
New Jersey Medicaid Bill To Cover Undocumented Immigrants
New York Delays Medicaid Pharmacy Benefit Carve-Out
Rhode Island Releases Medicaid Managed Care RFI
Texas Projects Medicaid Caseloads to Fall 8 Percent
Vermont Has RFI For SUD Treatment, Recovery Coordination
House Lawmakers Reintroduce Telehealth Bill
Medicaid Plans Look to Address Risk Corridor Exposure
CMS Delays Medicare Geographic Direct Contracting Model

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February 24, 2021

In Focus:

Medicaid Managed Care Spending in 2020

Roundup:

Alabama Voters Support Medicaid Expansion, Poll Finds
Arkansas to Drop Medicaid Work Requirements, Eyes ‘Work Incentive’ Plan
California Again Delays Implementation of Medi-Cal Rx
North Carolina Medicaid Official Cites Automated System for Failing to Verify Provider Licenses
North Carolina Judge Upholds Medicaid Plan Awards
Oklahoma Awards Three Medicaid Dental Plan Contracts
Median Voluntary Disenrollment Rate in D-SNP Dominant Plans Is 10 Percent, Study Shows

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February 17, 2021

In Focus:

New Report Supports State Medicaid Programs to Advance Health Justice

Roundup:

Florida Healthy Kids Suffers Data Breach
Georgia House Passes Bill for Auto Medicaid Enrollment of Children Eligible for Food Stamps
Hawaii Awards Community Care Services Contract to Centene/WellCare
Chicago’s Oldest Hospital Files For Chapter 11 Bankruptcy
Nevada Issues PBM RFP For Medicaid FFS, Ryan White
Medicaid Expansion News: North Dakota, Tennessee, Texas
WI Governor Proposes Public Option With Medicaid Buy-in
Biden to Revoke Rules Allowing Medicaid Work Requirements
CMS Faces Calls to Delay Geographic Direct Contracting

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February 10, 2021

In Focus:

Medicaid Managed Care Enrollment Update – Q4 2020

Roundup:

California May Make Some Telehealth Flexibilities Permanent
Medicaid Expansion News: Florida, Mississippi, South Dakota
Kentucky Senate Panel Clears Bills to Reduce Number of Medicaid Plans, Eliminate Copays
Missouri to Contract With 3 Medicaid Managed Care Plans
Puerto Rico Needs Risk-Based Oversight of Medicaid Procurement Process, GAO Says
Tennessee Lawmakers Introduce Medicaid Buy-in Bill
House Proposal Would Raise ACA Subsidies for Two Years

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February 3, 2021

In Focus:

MACPAC Report Examines Medicaid Services for ID/DD Populations

Roundup:

Arizona Awards Medicaid Housing Contract
Drug Importation News: Colorado, Florida
Medicaid Expansion News: Georgia, Kansas, Missouri
Kentucky Releases RFP for Medicaid Fee-for-Service PBM
DentaQuest Medicaid, CHIP Lives Top 840,000 in Lousiana
New Jersey Medicaid Covers Doulas, Raises Midwives Rates
New York Retroactively Cuts Medicaid Managed Care Rates
Oklahoma Announces Medicaid Managed Care Awards
Texas Schedules STAR+PLUS Pre-Solicitation Meetings
Wisconsin Medicaid to Cover SUD Treatment

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January 27. 2021

In Focus:

The Centers for Medicare & Medicaid Services Innovation Center’s Geographic Direct Contracting Model

Roundup:

Alabama Seeks Medicaid Quality Improvement Organization
Florida Receives Medicaid Managed Care Waiver Extension
Kentucky Seeks External Quality Review Organization
Missouri Lawmakers Consider Extending Provider Tax to Fund Medicaid Expansion
New Jersey Lifts UnitedHealth Medicaid Enrollment Freeze
New Mexico Medicaid Enrollment to Hit 931,000 By June 2021
Oklahoma to Move Forward with Medicaid Managed Care
Medicaid, CHIP Enrollment to Rise 5-10 Million by 2022
Medicare ACO Membership Falls in 2021

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