Weekly Roundup

December 1, 2021

In Focus:

Missouri Releases Medicaid Managed Care RFP

Roundup:

Arkansas Suspends New Enrollment in Empower Healthcare
District of Columbia Releases Medicaid Managed Care RFP
Maryland Expects Medicaid Enrollment to Fall in Fiscal 2023
Nevada Seeks Equal Distribution of Medicaid Plan Membership
North Carolina to Appoint Kody Kinsley Secretary of Health
Pharmacy Chains Helped Fuel Opioid Crisis, Jury Finds
Texas to Pilot LTSS Managed Care Carve-in
Vermont Will Not Be Penalized for Failing to Meet All-Payer ACO Enrollment Target, CMS Says

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November 17, 2021

In Focus:

Rhode Island Releases Medicaid Managed Care RFQ

Roundup:

Florida Releases Invitations to Negotiate for MMIS Upgrades
Louisiana Releases Medicaid NEMT RFP
North Carolina Delays Launch of Behavioral Health IDD Tailored Plans to December 2022
Oregon Seeks Waiver for In-Home Personal Care, Family Caregiver Assistance Program
Michigan Issues RFP for Senior Center Wellness Program
Medicaid Expansion News: Missouri, North Carolina
Pennsylvania Court Rules in Favor of State in Two Separate Protests of Medicaid Managed Care Awards
Virginia Reports $654 Million Medicaid Surplus
CMS Announces Increased Medicare Part B Premiums for 2022

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November 10, 2021

In Focus:

Minnesota Releases Senior Health Options, Special Needs Basic Care RFPs

Roundup:

BCBS Plans Align to Bid for KS Medicaid Plan Contract in 2022
Centurion Is Cleared to Assume MO Prison Health Contract
Nevada Announces Fourth Medicaid Plan Option for 2022
North Carolina Budget Stalls Over Medicaid Expansion
Ohio Medicaid Managed Care Lawsuit Is Dismissed
Oklahoma Medicaid Expansion Enrollment Surpasses 200,000
South Dakota Medicaid Expansion Ballot Measure Update
Tennessee Names Medicaid Managed Care Contract Winners
Lawmakers Introduce Bill to Extend Telehealth Eligibility

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November 3, 2021

In Focus:

Key Takeaways from CMS Innovation Center Strategy Refresh

Roundup:

Arkansas Governor Expects Approval of Expansion Waiver
California Medicare Plan Faces Whistleblower Lawsuits
District of Columbia to Increase Procurement Oversight
Maryland Announces Medicaid Rate Increases for HCBS
Minnesota Names Medicaid Managed Care Award Winners
New Hampshire Releases MMIS RFI
Ohio Official Says PBMs are Improperly Collecting Clawbacks
Oregon Publishes Concept Papers for 1115 Waiver Renewal
Jefferson Health Buys Stake in Health Partners Plans
Wisconsin Transitions Medicaid NEMT Business to Veyo
Democrats Agree to Let Medicare Negotiate Some Drug Prices

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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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