Weekly Roundup

August 5, 2020

In Focus:

Regulatory Changes to Medicare in Response to COVID-19

Roundup:

California Medi-Cal to Amend Certain Contracts to Address Racial Disparities
Maine Budget Committee Projects Fiscal 2021 Shortfall
Missouri Voters Approve Medicaid Expansion Ballot Measure
Washington Announces IMC Expanded Access Awards
Trump Administration Moves to Make Certain Medicare Telehealth and Scope of Practice Flexibilities Permanent

Download

July 29, 2020

In Focus:

Hawaii Releases Quest Integration Reprocurement RFI

Roundup:

California Seeks Section 1115 Medicaid Waiver Extension
Florida Expects ‘Significant’ Fiscal 2020 Medicaid Budget Gap
Georgia Lacks Proper Oversight of Medicaid Plans, Audit Says
Iowa Medicaid Director to Step Down
Medicaid Housing Support: Minnesota, Virginia
New York to Leverage Exchange to Connect Individuals with Home Care Agencies
Ohio Releases Single Pharmacy Benefit Manager RFP
Texas Taps Cecile Young as Executive Commissioner of HHSC
Senate COVID-19 Relief Bill Excludes More Medicaid Funding

Download

July 22, 2020

In Focus:

Oklahoma Releases Medicaid Managed Care Request for Public Feedback

Roundup:

District of Columbia Announces Medicaid Managed Care Awards
Florida Medicaid Expansion Could Cover Nearly 700,000
Kentucky Medicaid Plans Point to Flaw in Bidding, Awards Process
Montana Announces Behavioral Provider Relief Grants
Nevada Legislature Approves Cuts to Medicaid
Oklahoma Seeks Input for Medicaid Managed Care RFP
South Dakota Medicaid Expansion Advocates Prepare for 2022 Ballot Measures
CMS Issues Medicare Advantage MLR Requirement Guidance

Download

July 15, 2020

In Focus:

Medicaid and Exchange Enrollment Update – March 2020

Roundup:

Georgia Delays Transition Away from Federal Exchange
Kansas Appoints Sarah Fertig as Medicaid Director
Michigan Plans to Cut Medicaid Rates by 3.3 Percent
Medicaid Expansion News: Missouri, Nebraska, Oklahoma
Nevada Considers Medicaid Reimbursement, Program Cuts
New Jersey Extends Duration of Telehealth Access
North Carolina Governor Signs Medicaid Managed Care Bill
Pennsylvania Announces HealthChoices Awards
Walmart to Sell Medicare Health Insurance in Texas
Number of Uninsured Adults Rises by 5.4 Million, Study Shows

Download

July 1, 2020

In Focus:

GAO 50-State Medicaid Survey on Federal Policy Challenges

Roundup:

Florida Governor Vetoes Disability Provider Rate Increase for Providers Serving Individuals with Disabilities
Illinois Unit of Centene to Acquire NextLevel Members
Kentucky Health Plans Formally Protest Medicaid Awards
New York Medicaid Plan Sells Certain Assets to Molina
North Carolina Medicaid Bill Awaits Governor’s Signature
Oklahoma Voters Approve Medicaid Expansion Measure
Virginia Governor Redirects $30 Million From Medicaid Plans
House Votes to Increase Exchange Subsidies

Download

June 24, 2020

In Focus:

CMS Medicare Advantage and Section 1876 Cost Plan Network Adequacy Update

Roundup:

California Budget Adopts Cuts to Medicaid Managed Care
Delaware to Tap Magarik to Head Health and Social Services
Kentucky Seeks to Bring Back State-Based Health Exchange
North Carolina House Committee Advances Medicaid Managed Care Bill
North Dakota Seeks Input on Re-Procurement of Medicaid Expansion Managed Care Plan
Oklahoma to Release Medicaid Managed Care RFP This Fall
Texas Names McCreary COO of Health and Human Services
CMS Can Force Hospitals to Reveal Prices Negotiated with Insurers, Federal Judge Rules

Download

June 17, 2020

In Focus:

Impact of COVID-19 Federal Policy on Medicare Advantage

Roundup:

California Names Lightbourne Health Care Services Director
Kansas Names Christiane Swartz Interim Medicaid Director
Missouri Chamber of Commerce Supports Medicaid Expansion
North Carolina Senate Committee Clears Bill Delaying Transition to Medicaid Managed Care Until July 2021
West Virginia Awards Medicaid Managed Care Contracts
Medicare Would Permanently Cover Telemedicine at FQHCs, Rural Clinics Under House Bill
MedPAC Calls for Accelerated Transition to Medicare Value-based Payments

Download

June 10, 2020

In Focus:

Optimizing Capacity for Prescribing Buprenorphine in Jails and Prisons

Roundup:

California Provides Updated Timeline for Medicaid Managed Care Procurement RFP
District of Columbia Medicaid May Integrate Behavioral
Florida Medicaid to Update Inpatient Payment Methodology
Illinois Medicaid Plan NextLevel Health to Close Down
Illinois Health System to Accept Molina Medicaid Members
Kentucky Plan to Protest Medicaid Managed Care Awards
Missouri Medicaid Expansion Ballot Measure Can Proceed
New Jersey Falls Short in Medicaid LTSS Payment Audit
New York Primary Care Practices Are Hard Hit By COVID-19
CMS to Use ‘Glide Path’ to Phase Out Medicaid 1135 Waivers
CMS Releases Medicaid, CHIP Plan MLR Guidance

Download

June 3, 2020

In Focus:

HMA Framework Examines Behavioral Health Crisis Diversion Facilities

Roundup:

California DHCS Director Bradley Gilbert Resigns
California Governor Proposes Fiscal 2021 Medicaid Cuts
Florida AHCA Secretary Mayhew Eyes Medicaid Changes
Hawaii to Rescind Medicaid Managed Care Contracts Scheduled to Take Effect in July
Illinois to Extend Medicaid to Undocumented Seniors
Kentucky Awards Medicaid Managed Care Contracts
Louisiana to Form Joint Medicaid Oversight Committee
New Jersey Proposes Revisions to Telehealth Requirements
New York Governor Holds Back On Budget Cuts
Puerto Rico Medicaid Plan Is For Sale, Molina Says

Download

May 27, 2020

In Focus:

HMA Conference on What’s Next for Medicaid, Medicare, and Publicly Sponsored Healthcare

Roundup:

Illinois Lawmakers Pass Hospital Bill Without Funds to Support Merger of Troubled Safety-Net Hospitals
Indiana Awards Medicaid Managed Care ABD Contracts
Medicaid Expansion News: Kansas, Missouri, Oklahoma
Kentucky Medicaid Managed Care Awards Expected In May
CMS Releases Final Rule on Medicare Advantage Use of Telehealth, Coverage of ESRD Patients

Download

Get the free
HMA Weekly
Roundup

Subscribe