Weekly Roundup

October 16, 2019

In Focus:

Pennsylvania Releases HealthChoices Physical Health RFA

Roundup:

California Wholesale Drug Prices Rise 26 Percent, Study Says
Georgia Readies Expansion, Reinsurance Waiver Proposals
Louisiana to Resume Medicaid Auto-Disenrollment
New York Nursing Homes Expect Reimbursement Cuts
North Carolina Disputes ‘Conflict of Interest’ Concerns in Medicaid Managed Care Contract Awards
Oklahoma Medicaid Expansion Advocates Gather Enough Signatures for 2020 Ballot Initiative
Texas Submits DSRIP Draft Transition Plan to CMS
Public Charge Rule Change Is Impacting Medicaid Enrollment

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October 9, 2019

In Focus:

Utah Releases Medicaid Expansion Fall Back Plan Waiver Amendment

Roundup:

Colorado Issues Draft Report on State Option Exchange Plan
Illinois Medicaid Auto-Enrollments Favor Low-Rated Plan
Iowa to Issue RFP for Third Medicaid Plan
Michigan Announces Plan to Carve Out Medicaid Pharmacy Benefits from Managed Care
Missouri House Committee Holds Medicaid Expansion Hearing
New York Health + Hospitals Expands Program for Uninsured
North Carolina Awards Centene Additional Medicaid Region
Appeals Court To Hear Arguments in KY Medicaid Work Requirements Case

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October 2, 2019

In Focus:

Medicaid Managed Care Enrollment Update – Q2 2019

Roundup:

Florida Recommends Redesign of HCBS Program
Foster Care News: Illinois, West Virginia
Michigan Lawmakers Hope to Move Ahead With Medicaid Managed Care Physical, Behavioral Integration
Expansion News: Idaho, North Carolina, Utah, Virginia
Texas to Get Boost in Federal Funds for Uncompensated Care
Texas to Announce STAR+PLUS Awards in October
Skilled Nursing Facilities Transition to New Payment Model Leads to Layoffs

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September 25, 2019

In Focus:

Preliminary Insights on 2020 Medicare Advantage and Part D Plan Offerings

Roundup:

Arkansas Families, Provider Say PASSE Is Still Falling Short
Florida Disability Advocates Seek Additional HCBS Funding
Hawaii Medicaid Enrollment Falls 7 Percent After State Institutes Wage Verification Process
Michigan Eases Member Reporting Rules for Medicaid Work Requirements
North Carolina Faces Renewed Legal Challenge to Medicaid Managed Care Contract Awards
Medicaid Health Plans of America Names Craig Kennedy CEO
NCQA Releases 2019-20 Quality Rankings of Medicaid Plans

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September 18, 2019

In Focus:

The Future of the ACA: Implications of the 5th Circuit's Decision in Texas v. U.S.

Roundup:

Arkansas PASSE Market to Consolidate
Connecticut Releases RFP for Person-Centered Medical Home Plus Program
District of Columbia to Rebid Medicaid Plan Contracts
Medicaid Expansion News: Idaho, North Carolina
Medicaid Work Requirements News: Michigan, Pennsylvania
Missouri Democrats Seek Answers for Medicaid Disenrollment
New York Releases DSRIP Medicaid Waiver Amendment Draft
Tennessee Releases Medicaid Block Grant Proposal
West Virginia Issues Request for Quotation for NEMT Services

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September 11, 2019

In Focus:

Highlights from this Week’s HMA Conference on The Next Wave of Medicaid Growth and Opportunity

Roundup:

L.A. Care Health Plan, Blue Shield-California to Jointly Operate 14 Community Resource Centers
Florida State Senator Introduces Resolution to Put Medicaid Expansion Back onto 2020 Ballot
Georgia Providers Oppose Centene, WellCare Merger
Michigan Medicaid Work Requirements May Impact 270,000 Beneficiaries
Mississippi Mental Health System Is Discriminatory, Judge Rules
Nevada Returns to State-Run Exchange Website After Five Years
Oklahoma Work Group Considers Medicaid Managed Care

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September 4, 2019

In Focus:

Hawaii Releases Quest Integration Medicaid Managed Care RFP

Roundup:

Arizona Releases RFI for Integrated Foster Care ASO
California to Carve Long-Term Care into Medicaid Managed Care Statewide in 2021
Louisiana to Seek Emergency Contracts with Current Medicaid Managed Care Plans
Minnesota Cancels Medicaid MCO, MSHO, MSC+ RFPs
New Jersey to Carve Long-Term Residential Services into Managed Care for DDD, MLTSS, FIDE-SNP Enrollees
North Carolina Delays Medicaid Managed Care Rollout
Medicare Advantage Plans Oppose Proposed Changes to CMS Audit Methodology

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August 21, 2019

In Focus:

Strategies to Support Postpartum Visits for Women in Medicaid

Roundup:

Medicaid Foster Care RFP News: Arizona, Virginia
California Hospitals See Charity Care Expenses Fall by Half
Delaware Received IMD Exclusion Waiver
Florida CHIP Costs to Rise as Enrollment Increases
Georgia Is Still Failing on Mental Health Care, Report Says
Kansas Asks Aetna to Submit New Corrective Action Plan
Centene, Aetna Protest Louisiana Medicaid Awards
New Hampshire Medicaid to Expand Telehealth Coverage
CareOregon to Become Subsidiary of Providence Health
Portland Hospitals Urged to Contract with Centene-Trillium
Texas Delays STAR, CHIP ImplementationWest

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August 7, 2019

In Focus:

CMS Medicare Fee-For-Service FY 2020 Proposed Rules Part 2: Physician Fee Schedule and Home Health

Roundup:

Florida to Raise Medicaid Managed Care Rates 0.2 Percent
Illinois Enacts Law to Address Medicaid Applications Backlog, Require Health Plans to Pay Providers Promptly
Kentucky Launches Medicaid Program to Help Cover Cost of Employer-Sponsored Insurance Premiums
Louisiana Announces Medicaid MCO Awards
Missouri Health Care Task Force to Consider Medicaid Expansion Waiver
New York Is Actively Pursuing DSRIP Waiver Renewal

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July 31, 2019

In Focus:

CMS Medicare Fee-For-Service FY 2020 Proposed Rules: Hospital Outpatient Department and End-Stage Renal Disease

Roundup:

MCO Withdraws Florida Healthy Kids Award Protest
Illinois Governor Vetoes Bill Aimed at Limiting His Administration's Ability to Seek Medicaid Waivers
Kentucky AG Clears Evolent Acquisition of Passport
Missouri Names Chief of Medicaid Transformation
New Hampshire Medicaid Work Requirements Are Blocked
Ohio Medicaid Enrollment Declines, Uninsured Rate Rises
Oklahoma Lawmakers to Reconsider Medicaid Expansion
Utah Faces Rejection of Partial Medicaid Expansion Waiver Proposal

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