Weekly Roundup

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

May 20, 2020

In Focus:

Medicare FY 2021 Hospital Inpatient Proposed Rule, Federal Flexibilities for COVID-19

Roundup:

State Budget News: California, Michigan
Hawaii Medicaid Enrollment Hits 348,000 as Applications Spike
Kansas Medicaid Director Adam Proffitt Resigns
Nebraska Is on Track to Implement Medicaid Expansion
Oklahoma Senate Confirms Kevin Corbett to Head OHCA
1199SEIU, Home Care Providers Call On Congress for Support
CMS Gives States Medicaid Managed Care Rate Flexibility
States Expect Medicaid Spending Growth to Accelerate
Medicaid Plan Profit Margin Dips to 0.1% In 2019

Download

May 13, 2020

In Focus:

Medicaid Managed Care Spending in 2019

Roundup:

California Faces $54 Billion Budget Deficit
Colorado Eyes 25 Percent Cut to IDD Services
Florida Projects $1 Billion in Additional State Medicaid Costs
Illinois SEIU, Nursing Homes Continue to Negotiate
New Mexico Medicaid Serves 40 Percent of State Population
New York Requests Emergency Medicaid Waiver Extension
Ohio to Cut Rates to Medicaid Managed Care Plans
Pennsylvania Projects Financial Hit to CHIP
Texas Awards STAR Kids Medicaid Contract to Aetna
CMS Issues Final Rule, Backs Off Plan to Alter Auto Re-enrollment Process on Exchanges

Download

May 6, 2020

In Focus:

50-State Survey of Medicaid Pharmacy Directors

Roundup:

Colorado Public Option Bill Is Tabled Until 2021
Illinois Hospital Files Federal Lawsuit Claiming Inadequate State Oversight of Medicaid Plans
Maine Experiences Surge in Medicaid Enrollment
Missouri Advocates Gather Enough Signatures to Put Medicaid Expansion on November Ballot
North Carolina Gets COVID-19 Relief Package, But Not Medicaid Expansion
Texas Taps Stephanie Stephens as Medicaid Director
Virginia Order to Make Medicaid Services More Accessible
HHS Signals Approach to Distributing CARES Act Funds to Medicaid Providers
Molina Healthcare to Acquire Magellan Complete Care

Download

April 29, 2020

In Focus:

Majority of Full Benefit Dual Eligibles Are Not Enrolled In Integrated Program

Roundup:

Medicaid Expansion News: Florida, North Carolina
New Jersey to Temporarily Increase Wages for Professionals Caring for Adults with IDD
New Jersey Issues Behavioral Telehealth Guidelines
New York Signals Additional Cuts to Health Care
Rhode Island Names Benjamin Shaffer as Medicaid Director
Tennessee Plan to Use Medicaid Funds to Care for Uninsured COVID-19 Patients Is In Doubt
Washington Receives Federal Approval for Section 1115 Emergency Medicaid Waiver
Exchange Plans Win $12 Billion Supreme Court Ruling

Download

April 22, 2020

In Focus:

Dual Eligible Financial Alignment Demonstration Enrollment Update

Roundup:

Medicaid Expansion News: Arkansas, North Carolina, Oklahoma
California Delays CalAIM Implementation
Illinois Foster Families Worry Transition to Managed Care Will Disrupt Care
Oklahoma Submits HAO Waiver for Federal Approval
Washington Releases Medicaid Integrated Managed Care RFP for Additional Service Areas
Trump Administration Lacks Details on Plan to Cover Treatment of Uninsured COVID-19 Patients

Download

April 15, 2020

In Focus:

Medicare and Medicaid Telehealth Coverage in Response to COVID-19

Roundup:

Medicaid Expansion News: Florida, Nebraska
Oregon Could See Medicaid Enrollment Increase by 320,000
Health Systems Criticize HHS for Tying Emergency COVID-19 Funding to Medicare Billings
Many ACOs May Leave Medicare Shared Savings Program
Molina, NextLevel Health Break Off Merger Talks
Blue Shield of California Affiliate to Buy Brown & Toland

Download

April 8, 2020

In Focus:

HMA Model Provides Forecast of COVID-19 Impact on Medicaid, Marketplace, Uninsured

Roundup:

Medicaid Expansion News: Alabama, Tennessee, Texas
Louisiana Medicaid Director Ruth Johnson Takes Office
Missouri FQHCs Face Financial Hardship as COVID-19 Keeps Patients Home
New York Reaches Final Budget for Fiscal 2021
CMS to Raise Medicare Advantage Plan Payment Rates by 1.66 Percent in 2021
CMS Delivers $34 Billion to Medicare Providers, Suppliers Through Accelerated and Advance Payment Program

Download

April 1, 2020

In Focus:

HMA Review of State Appendix K Waivers in Response to COVID-19

Roundup:

Medicaid Dental Managed Care News: Florida, Louisiana
Hawaii Postpones Implementation of New Medicaid Managed Care Contracts Amid COVID-19 Outbreak
Navajo Nation President Vetoes New Mexico Medicaid Managed Care Initiative
New York Governor to Refuse Federal Medicaid Aid
South Carolina Puts Limit on Medicaid Mental Telehealth
Texas Cancels STAR, CHIP Procurement, Scraps STAR+PLUS Awards
Wisconsin Expects Medicaid Expenditures to Surge
Healthcare.gov Will Not Have Special Enrollment Period

Download

Get the free
HMA Weekly
Roundup

Subscribe