Weekly Roundup

October 27, 2021

In Focus:

Highlights from Kaiser/HMA 50-State Medicaid Director Survey

Roundup:

Alabama Receives CMS Approval for HCBS waiver
Idaho to Release ITN for Behavioral Health Plan Contract
Minnesota Releases Senior Health Options, Special Needs Basic Care RFPs
Missouri Seeks Funds for Medicaid Data Warehouse
New York Medicaid Spends $252 Million Less Than Expected
Medicaid Expansion News: South Dakota, Wyoming
Tennessee Is Cited in Federal Audit on Uncompensated Care
Anthem Encourages Virginia to Investigate Sentara
Bill to End Lifetime Limits on Medicaid Mental Health Care

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October 20, 2021

In Focus:

HMA Brief Examines Options for CMMI to Refine Approach for Testing Medicare Program Improvements

Roundup:

Arizona Medicaid Plans Bid to Integrate Individuals With SMI
Florida May Realign Medicaid Districts in Next Procurement
Illinois Official Urges Action on Nursing Home Payments
Iowa Releases Medicaid NEMT RFP
Massachusetts, Plans Sign One Care Dual Demo Contracts
Montana Seeks Waiver to Address Substance Abuse
Ohio Medicaid Managed Care Trial Continues
Oregon to Release Medicaid Waiver Renewal Draft
CMS Aims to Move Medicaid Members to Accountable Care

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October 13, 2021

In Focus:

2022 Star Ratings, An Historical Year

Roundup:

California Moves Medi-Cal RFP Release Date to February 2022
Delaware Releases RFP Seeking HCBS Providers
District of Columbia Releases Health Home Care Services RFQ
Long-term Care News: Illinois, Minnesota, Pennsylvania
AmeriHealth Caritas Launches NC Exchange Plans
Ohio Trial Over Medicaid Managed Contract Awards Begins
Oregon CCOs to Receive a 4.2 Percent PMPM Rate Increase
Tennessee Delays Medicaid Managed Care Contract Awards
Virginia to Release Draft Contract for Planned Medicaid Managed Care Program Consolidation
Washington Eyes Use of Medicaid Funds for Medical Respite
MACPAC Reports 8 Percent Medicaid, CHIP Churn Rate in 2018

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October 6, 2021

In Focus:

Strategic Approaches to Utilization of American Rescue Plan Act Funds to Support Older Adults

Roundup:

Iowa Medicaid Managed Care Contract Is Eyed by CareSource
Medicaid Expansion News: Missouri, Nebraska, South Dakota
New York Seeks Applicants for Transformation Grants
North Carolina Strengthens Regulation of PBMs
Ohio to Increase Medicaid Provider Rates for HCBS
Oklahoma Isn’t Reducing HCBS Wait List Enough, Report Says
Oregon Eyes Giving CCOs More Flexibility to Cover SDOH
Texas Releases STAR Health Foster Care RFP
Wisconsin Chooses Veyo for Medicaid NEMT Services
CMMI Eyes More Mandatory Payment Models
Medicare Advantage Premiums to Decline 10 Percent in 2022

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September 29, 2021

In Focus:

Medicaid Managed Care Enrollment Update – Q2 2021

Roundup:

California Governor May Veto PACE Telehealth Bill
Florida Officials Expect ‘Imminent’ Federal Approval of HCBS Spending Plan
Minnesota to Waive Premiums for Certain Expansion Members
Colorado Begins Scaling Back Medicaid NEMT Contract
New Jersey Hospital System to Exit Medicaid Plan Network
New York Appoints Mary Bassett Commissioner of Health
Vermont Hospital to Be Sole Parent of OneCare Vermont
Most Medicaid Members Face Inadequate Housing, Study Says

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September 22, 2021

In Focus:

HMA Launches Novel Project ECHO For MOUD In County Jails

Roundup:

Connecticut to Combine Medicaid, Housing Services
Florida Approves Exchange Premiums Hike of 6.6 Percent
Michigan to Continue Expanded Medicaid Program in Flint
Mississippi Economist Says Uncompensated Care Savings Would Cover State Cost of Medicaid Expansion
Oklahoma Fails to Win HCBS Residency Requirement Approval
Oregon to Seek Federal Funding for Health Equity
Puerto Rico Secures $2.9 Billion in Federal Medicaid Funding
CMS to Include Dual-Eligible Plan Features in Medicare Plans
Exchange Plan Enrollment Hits All Time High at 12.2 Million

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September 15, 2021

In Focus:

New Jersey Shares its Five-Year Vision for the Latest 1115 Waiver Renewal Draft

Roundup:

Colorado to Address Maternal Health Disparities
District of Columbia Delays MedStar Contract Extension
Georgia to Begin Bidding Process for Medicaid Plans in 2022
Louisiana Appoints Medicaid Executive Director
Michigan to Hold Hearings on Carving Behavioral Health Into Medicaid Managed Care
New Hampshire Renews MMIS Contract with Conduent
Ohio Medicaid Plan Faces 600 Layoffs Without State Contract
Tennessee Sees Opposition to Block Grant Waiver
Democrats Detail Plan to Close Medicaid Coverage Gap

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September 8, 2021

In Focus:

Texas Releases STAR Health Draft RFP; Seeks Public Input on STAR+PLUS, STAR Kids ACO

Roundup:

California Launches Enhanced Care Management Program
California Awards EVV Contract to Sandata
District of Columbia Extends MedStar Medicaid Contract; To Release Medicaid Managed Care RFP in November
Idaho Awards Correctional Health Contract to Centurion
Maine Medicaid To Raise Residential SUD Treatment Rates
Ohio ACO to Serve 100,000 CareSource Medicaid Members
Vermont All-Payer System Achieves Medicare Savings
CMS Gives 13 States $452 Million for Reinsurance Programs

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August 25, 2021

In Focus:

Medicaid Non-Emergency Transportation Benefit: Stakeholder Perspectives on Trends and Innovations

Roundup:

MedStar Health May Drop CareFirst, AmeriHealth Caritas Medicaid Plans from Network
Illinois Medicaid to Expand Maternal, Child Health
Missouri Medicaid Expansion Applications Hit Snag
Missouri Medicaid Director Slated to Return in September
New York Seeks Medicaid Waiver to Improve Health Disparities
Texas Medicaid Waiver Extension Is Upheld by Federal Judge
Wisconsin Releases Draft RFP for Medicaid Managed LTC
GuideWell to Acquire Triple-S Management
Independent Living Systems Completes Stock Buyback
Cityblock to Serve BCBS-NC Medicaid, Medicare Members

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August 18, 2021

In Focus:

Arizona Releases Competitive Contract Expansion (CCE) RFP

Roundup:

Colorado to Continue Exchange Reinsurance Program
Illinois Enacts Medicaid Behavioral Network Adequacy Law
Kansas to Investigate Pharmacy Benefit Managers
Massachusetts to Submit MassHealth 1115 Waiver Extension
Missouri Looks to Release Medicaid Managed Care RFP in Fall
New York Auditors Question $1.5 Billion in Medicaid Payments
North Carolina Clears Mecklenburg County to Switch Managed Care Plans for Behavioral, IDD Beneficiaries
Ohio Awards Medicaid Managed Care Contract to Centene
Medicare Plan Is Subject to Overpayment Rule, Court Says

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