Weekly Roundup

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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June 9, 2021

In Focus:

Indiana Releases Medicaid Managed Care RFP

Roundup:

Arizona Looks to Improve Health Outcomes for Homeless
Georgia Is Asked for New Study on Exchange Waiver Impacts
Illinois Awards MMIS Contract to CNSI
Iowa Auto-Assigns Children to Medicaid Dental Plans
Medicaid Expansion News: Nebraska, Montana, North Dakota, Oklahoma
Ohio Lawmakers Seek Redo of Medicaid Plan Procurement
Vermont Medicaid Director Resigns
Lawmakers Seek More Transparency from CMMI on Value-Based Care Models

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June 2, 2021

In Focus:

California Releases Draft Medi-Cal Managed Care RFP

Roundup:

Florida Names Tom Wallace Medicaid Director
Illinois Legislature Passes Bill to Enhance Medicaid Benefits
Missouri Medicaid Expansion Court Trial to Begin June 18
Nevada Senate Passes Public Option Proposal
New Jersey Bill Would Facilitate Certification of Family Caregivers as Nursing Assistants, Raise Payments
New York Home Care Providers Worry About New Medicaid Application Process
New York Medicaid Director to Resign Effective August 11
North Carolina Completes Medicaid Plan Auto-Enrollment
Oklahoma Supreme Court Rules Against Transition to Medicaid Managed Care

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May 26, 2021

In Focus:

Which Medicare Changes Should Continue Beyond the COVID-19 Pandemic? Four Questions for Policymakers

Roundup:

Florida Medicaid Providers Lag in EHR ‘Meaningful Use’
Georgia Is Likely to Extend Existing Medicaid Managed Care Contracts, Eyes Potential Clawbacks
Medicaid Expansion News; Mississippi, Missouri, North Dakota, Wisconsin
Oklahoma Legislature Approves Bill to Place Guardrails on Medicaid Managed Care Transition
Washington Medicaid Director MaryAnne Lindeblad to Step Down Effective July 31
ACA Exchange Premiums Decline for the Third Straight Year
CMS to End Next Generation ACO Model

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May 19, 2021

In Focus:

California Proposed May Revision Budget Adds Medi-Cal Expansions

Roundup:

Connecticut Releases RFP for Behavioral Health ASO
Delaware to Implement Medicaid ACO Contracts in January
Minnesota Reaches Decision on Likely Medicaid MCO Winners
Missouri Lawmakers Fail to Renew Medicaid Provider Tax
Missouri Courts Likely to Decide Fate of Medicaid Expansion
Nevada Budget Panel Approves Roll Back of Provider Cut
New Jersey Releases RFA for Burlington County PACE
North Carolina Extends Medicaid Plan Open Enrollment
Texas to Resubmit 1115 Medicaid Waiver Extension Application
SAMHSA to Offer State Block Grants for Behavioral Health

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May 12, 2021

In Focus:

CMS Inpatient Hospital Proposed Rule to Repeal Market-based MS-DRG Weight Methodology

Roundup:

Arkansas Releases MMIS Fiscal Agent RFP
California DHCS Announces Counties That Intend to Transition to Local Medi-Cal Managed Care Plan Model
Hawaii Awards MMIS Contract to Conduent
Medicaid Expansion News: Missouri, Montana, South Dakota, Wisconsin, Wyoming
Ohio Health Plan Files Lawsuit to Access Medicaid Procurement Documents
Texas House Passes Bill to Contract with Baylor Scott & White Health in Central RSA
PBM Pricing Practices Under Scrutiny by Attorneys General in Eight States
U.S. Senate Confirms Andrea Palm as HHS Deputy Secretary

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May 5, 2021

In Focus:

HMA Analysis Finds Provider Sponsored MA Plans Generally Have Lower Churn Rates

Roundup:

Indiana Medicaid NEMT Company Faces Criticism
Iowa Medicaid Director to Focus on Social Determinants
Kentucky to Rebid Medicaid Managed Care Contracts Again
Mississippi Is Likely to Extend Centene Medicaid Contract
Medicaid Expansion News: Mississippi, Missouri, National
New Jersey Budget Proposal Includes Wage Increases for Critical Care Workers
GAO Names Melanie Bella Chair of MACPAC

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April 28, 2021

In Focus:

Dual Eligible Financial Alignment Demonstration Enrollment Update

Roundup:

Georgia Wins Approval to Extend Medicaid Postpartum Coverage to Six Months
Iowa Governor Appoints Matney as Medicaid Director
Medicaid Expansion News: Missouri, Texas
Nevada Medicaid Home Care Bill Addresses Quality, Working Conditions
Ohio Health Plans Protest Medicaid Managed Care Awards
Molina to Acquire Cigna’s Texas Medicaid, MMP Contracts
CMS to Ease Medicare Price Transparency Requirements for Hospitals, Raise Payment Rates Under Proposed Rule

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April 21, 2021

In Focus:

Modest Skilled Nursing Facility Payment Update and Policy Updates in 2022 Proposed Rule

Roundup:

Arkansas House Approves Medicaid Budget
Florida Senate Budget Bill Rolls Back Medicaid Cuts
Georgia Releases NEMT RFP
Missouri Accepts Resignations of Two Top Health Officials
Missouri House Passes Budget Without Medicaid Expansion
Oklahoma House Moves to Halt Medicaid MCO Transition
Texas Medicaid Waiver Extension Is Rescinded
CMMI Director Discusses Alternate Payment Models
CMS Issues Guidance on Pricing Transparency Rule

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April 14, 2021

In Focus:

Federal Funding for Home and Community-Based Services (HCBS): Enacted and Proposed Investments

Roundup:

Medicaid Expansion News: Arkansas, Mississippi, Montana
Arkansas PASSE Program Is Eyed By CareSource
Medicaid Postpartum Coverage: Florida, Illinois
North Carolina Falls Short in Medicaid Oversight Audit
Ohio Awards Medicaid Managed Care Contracts
Oklahoma House Committee Advances Bill Challenging State’s Planned Medicaid Managed Care Transition
South Carolina Nominates Robert Kerr as Medicaid Director
Biden Is Expected to Sign Bill Extending Moratorium on Medicare Provider Cuts
CMMI Names New Model Winners

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