Weekly Roundup

February 13, 2019

In Focus:

Evolving Integrated Managed Care Models for Medicare-Medicaid Dual Eligible Beneficiaries: Key Considerations for Health Plans

Roundup:

Arkansas Provider-Led Entities Move Forward After PASSE Readiness Review
Medicaid Expansion Updates: FL, GA, LA, NC, UT
Missouri Medicaid Overhaul Could Save $1 Billion Annually, Report Says
New York Releases RFAs to Address Opioid Crisis
North Carolina Faces Appeal from My Health Over Medicaid Managed Care Contract Awards
Pennsylvania To Expand LIFE Program In Multiple Counties

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February 6, 2019

In Focus:

CMS Issues Medicare Advantage Advance Notice Part II and Draft Call Letter

Roundup:

Florida Governor Maintains ‘Status Quo’ on Medicaid Budget
Kentucky Delays Start Date for Medicaid Work Requirements
Maine Governor Orders Audit of State Medicaid Program
North Carolina Announces Medicaid Managed Care Awards
Ohio Medicaid to Rebid Managed Care Contracts
Oregon Health Authority Receives 24 Letters of Intent for CCO 2.0 Contracts
HHS Proposes Overhaul of PBM Drug Rebate Rules

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January 30, 2019

In Focus:

Oregon Releases Medicaid Coordinated Care Organizations 2.0 RFA

Roundup:

Arizona Behavioral Health Providers Are Owed Millions in Unpaid Medicaid Claims
Arkansas, Maine Appoint Medicaid Directors
Florida Judge Rejects State Medicaid Contract in Southwest Region; AHCA Appeals
Kentucky Medicaid Plan Passport Health Could Face Bankruptcy Given Rate Cuts, CEO Says
New Jersey Governor Outlines Initiatives to Combat Opioid Epidemic
Health Share of Oregon to Seek New Medicaid CCO 2.0 Contract
Medicaid Expansion Developments In Kansas, Montana, Utah, West Virginia, Wyoming

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January 23, 2019

In Focus:

Arkansas PASSE Program Readies for Full Risk Capitation

Roundup:

Arizona Wins Approval for Medicaid Work Requirements
Georgia Considers Medicaid Waiver to Expand Coverage
Kansas Governor to Submit Medicaid Expansion Plan to Legislature This Month
Kentucky Medicaid Plan Passport Health May Exit Market
Maine Governor Reverses Medicaid Work Requirements
North Carolina Audit Finds Medicaid LME/MCO Capitation Rates Were Actuarially Sound
West Virginia Lawmakers Seek Transition to Managed Health Care for Foster Kids

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January 16, 2019

In Focus:

Medicaid Managed Care Enrollment Update - Q4 2018

Roundup:

Alabama Releases Coordinated Health Network RFP
Arkansas Says 3 Provider-Led Entities Will Move to Full Risk in Next Phase of PASSE Program
Colorado, New York, Ohio Release Budget Proposals
Kentucky Medicaid Beneficiaries Again File Lawsuit to Block Work Requirements, Premiums
Louisiana Releases RFP for Subscription-Based Hepatitis C Drug Purchasing Agreement
Michigan Names Gordon to Lead State Health Department
Wisconsin Governor to Push for Medicaid Expansion Despite Legislative Opposition
Trump Administration Is Reportedly Preparing Medicaid Block Grant Guidelines

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January 9, 2019

In Focus:

HMA Experts Contribute to Report on Health Disparities in Minnesota’s Medicaid Population

Roundup:

AZ, FL, NM Name Medicaid Directors
California Governor Orders Transition of Medicaid Pharmacy Benefit from Managed Care to FFS
Florida Rejects Rebid of Medicaid Managed Care Contract Award for HIV/AIDS
Virginia Medicaid Director Calls for Overhaul of Forecasting, Rate-Setting Processes
CMS Names Chris Traylor Acting Director of Center for Medicaid and CHIP Services

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December 19, 2018

In Focus:

Medicaid Expansion Considerations for Non-Expansion States

Roundup:

Arkansas Drops Another 4,655 Medicaid Beneficiaries for Failing to Meet Work Requirements
New York DOH Announces Funding for Community-Based Organizations
Indiana Releases PBM Administrative Services RFP
Molina Healthcare to Cut Ties with Golden Shore Medical Group Clinics
Ohio Medicaid Director Barbara Sears To Step Down
Oregon Names Lori Coyner Medicaid Director
Federal Judge Rules ACA Is Unconstitutional
December MACPAC Meeting Focuses on State Innovations in Drug Pricing, Network Adequacy, DSH Funding

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December 12, 2018

In Focus:

Medicaid and Exchange Enrollment Update - September 2018

Roundup:

Maine Judge Sets February 1 Deadline for Medicaid Expansion Enrollment
Mississippi Awards CHIP Contracts to Molina, UnitedHealth
New York to Sunset Duals Demo (FIDA)
Oklahoma Seeks Federal Approval for Medicaid Work Requirements
U.S. Health Spending Growth Slowed to 3.9 Percent in 2017, CMS Says

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December 5, 2018

In Focus:

Premium Assistance Programs for the Working Adult Population in Medicaid Expansion States

Roundup:

CMS Approves Florida Request to Shorten Retroactive Medicaid Eligibility
Massachusetts Receives CMS Approval for Flexible Services Program
Massachusetts Approves Beth Israel-Lahey Health Merger
New Hampshire Receives Federal Approval of Medicaid Expansion Work Requirements
New York Provides DSRIP Update
TennCare Director Accepts Health Care Post in Nashville
Bipartisan Senate Bill Aims to Lower Drug Pricing
Number of Uninsured Children Increased By 276,000 in 2017

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November 28, 2018

In Focus:

Proposed Policy Changes Affecting Health Reimbursements Arrangements

Roundup:

Judge Rejects Florida Medicaid Managed Care Contract Award for HIV/AIDS
Kentucky Work Requirements Waiver Approved by CMS After Further Review
Maine Judge Orders Implementation of Medicaid Expansion; LePage To Appeal
New Mexico Judge Rejects Medicaid Contract Award Challenge By Molina
Arkansas Delays Phase II of Medicaid Managed Care Transition Until March 2019
Florida AHCA Secretary Justin Senior to Step Down

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