Weekly Roundup

October 10, 2018

In Focus:

Texas Medicaid and CHIP Managed Care Final Comprehensive Report

Roundup:

Arizona Awards MMIS Contract to CNSI
Massachusetts to Release One Care Duals RFP in 1-2 Months
Montana Lawmakers Seek Medicaid Work Requirements
Arizona, Hawaii Release Joint RFP for EVV Vendor

Download

October 3, 2018

In Focus:

Highlights From This Week’s HMA Conference On The Rapidly Changing World Of Medicaid

Roundup:

Texas Cancels, Re-Issues Medicaid, CHIP Solicitations
Tennessee Releases Medicaid Work Proposal for Public Comment
Alabama Receives CMS Approval for ICN Long-term Care Program
CMS Administrator Defends Medicaid Work Requirements, Highlights New Initiatives
Supreme Court to Hear Medicare DSH Payment Case

Download

September 26, 2018

In Focus:

Companion Medicaid and Medicare Advantage Dual Eligible Special Needs Plans

Roundup:

Hawaii Releases RFI for QUEST Integration Medicaid Managed Care Program
New Mexico to Transition to State-based Health Insurance Exchange in 2021
Virginia Files Waiver Request for Medicaid Work Requirements, Monthly Premiums
Alabama Medicaid Work Requirement Proposal to Be Reviewed by CMS
Medicaid Spending Rose 2.6 Percent to $592 Billion in 2017
DHHS Awards More Than $1 Billion to Combat Opioid Crisis

Download

September 19, 2018

In Focus:

Texas Health and Human Services Commission Submits Legislative Appropriations Request

Roundup:

Arkansas Drops 4,300 Medicaid Expansion Members for Failing to Meet Work Requirements
Michigan Medicaid Expansion Improved Health, Finances of Low-Income Adults, Study Finds
Pennsylvania-based Jefferson Health, Einstein Healthcare Network to Merge
Colorado to Treat 2,000 Prisoners With Chronic Hepatitis C
Wisconsin Transitions to Maximus for Medicaid HMO Enrollment Broker Services
Uninsured Rate Unchanged at 8.8 Percent in 2017

Download

September 12, 2018

In Focus:

Dual Eligible Financial Alignment Demonstration Enrollment Update

Roundup:

Arkansas Work Requirements Result in 4,600 Losing Coverage
California Allows State Regulators to Veto Proposed Health Plan Mergers
Massachusetts Releases Duals Demo 2.0 RFI
Michigan Seeks Federal Approval for Work Requirements
Tennessee Rereleases Pharmacy Claims Processing System RFP
ACA Exchange Plan Premiums to Rise 3.6% in 2019

Download

September 5, 2018

In Focus:

North Carolina and District of Columbia Medicaid Managed Care RFPs

Roundup:

California Passes Bill to Cap Dialysis Reimbursements
New Hampshire Releases Medicaid Managed Care RFP
Mississippi Re-releases CHIP RFQ
New York MLTC Plan GuildNet to Shut Down
Magellan Receives Medicaid Contract in Florida
Illinois Halts Enrollment into BCBS Dual Plan
Phillips Appointed Texas HHSC Executive Commissioner
Steckel Named Kentucky Medicaid Commissioner
Oregon Health Share CEO Steps Down
Montana to Restore Medicaid Provider Rate Cuts
Iowa to Increase Medicaid MCO Rates
Oklahoma Considers Provider Rate Increases

Download

August 22, 2018

In Focus:

Medicaid Community Engagement, Work Requirement and Consumer Empowerment Programs: Key Implementation and Operations Issues and Considerations

Roundup:

North Carolina Releases Medicaid Managed Care RFP
D.C. Releases RFP to Reprocure Medicaid MCO Contracts
Arizona Releases RFI Concerning Potential Integrated Health Care Program for Foster Kids
Arkansas Residents Sue CMS Over Work Requirements
Ohio to Transition PBM Contracts to Transparent Pricing
Kansas Judge Denies Temporary Injunction in Medicaid Managed Care Awards Dispute
GAO, CMS Call for Scrutiny of Medicaid Managed Care

Download

August 8, 2018

In Focus:

New Report Assesses Effects of a Single-Payer Model for New York

Roundup:

Florida Healthy Kids Releases CHIP Medical Services, Coverage ITN
Illinois Enacts Law To Address Medicaid Eligibility Backlog For Nursing Home Residents
North Carolina Awards Enrollment Broker Contract to Maximus
Washington Awards Medicaid Dental Contracts
Medicaid Expansion Makes Diabetes Medication More Affordable, Study Finds

Download

August 1, 2018

In Focus:

New Hampshire Medicaid Care Management Draft RFP

Roundup:

Mississippi Cancels CHIP Managed Care RFQ
Florida Dental Plans Drop Medicaid Award Challenge
Mississippi Medicaid Awards NEMT Contract
Wisconsin, Maine Approved for New Reinsurance Funds
Montana Governor Restores $45 Million in Medicaid Funding
HHS Expands Availability of Short-Term Health Plans
GAO Urges CMS to Increase Oversight of Medicaid Managed Care Plans, Track Over-Payments

Download

July 25, 2018

In Focus:

Washington FQHC Alternative Payment Methodology

Roundup:

Texas Reissues STAR+PLUS RFP
Kentucky Restores Dental, Vision Benefits to Medicaid Beneficiaries
South Dakota Releases RFP for Medicaid, CHIP Eligibility System
California Health Exchange Rates to Rise 8.7 Percent
CMS to Resume Exchange Plan Risk-Adjustment Payments

Download

Get the free
HMA Weekly
Roundup

Subscribe