Weekly Roundup

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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November 14, 2018

In Focus:

CMS Releases Proposed Medicaid Managed Care Regulations

Roundup:

Florida Closes ITN for Regions 3-7 of SMMC MMA PSN
Maine Governor to Implement Medicaid Expansion Upon Taking Office
Montana Voters Reject Tobacco Tax to Fund Medicaid Expansion
New Jersey Creates Consumer Portal to Facilitate ACA Open Enrollment
CMS Considers Allowing Hospitals to Use Medicaid Funds for Housing
CMS Announces Short-Term IMD Exclusion Waivers for Serious Mental Illness
CMS to Propose Rule Allowing States to Limit NEMT Services

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November 7, 2018

In Focus:

Florida Statewide Medicaid Managed Care (SMMC) Awards

Roundup:

Idaho, Nebraska, Utah Voters Approve Medicaid Expansion Ballot Measures
New York Publishes Inpatient and Nursing Home Medicaid Rate Increase
Texas-Based Scott and White Health Plan to Acquire FirstCare Health Plans
California Faces Investigation Following Report of Inadequate Prison Mental Health Care
Colorado To Tighten Limits on Opioid Prescriptions
Midterm Election Results Are Boost for Medicaid Expansion

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October 31, 2018

In Focus:

Highlights from Kaiser/HMA 50-State Medicaid Director Survey

Roundup:

North Carolina Receives CMS Approval for Medicaid Managed Care Transition
Montana Voters Divided on Taxing Tobacco to Fund Medicaid Expansion
Pennsylvania Governor Vetoes Medicaid Work Requirements Bill
Wisconsin Receives Federal Approval for Medicaid Work Requirements
Texas Drug Utilization Review Board Seeks to Expand Medicaid Opioid Treatment
New York Officials Holding Statewide Forums on IDD Transition to Managed Care
President Trump Signs Opioid Legislation
CMS Proposes Payment Changes to Physician-Administrated, Medicare Part B Drugs

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October 24, 2018

In Focus:

CMS Guidance on ACA Section 1332 Waivers

Roundup:

Minnesota to Release Medicaid Managed Care RFPs in 2019
Missouri Names State House Speaker Todd Richardson Medicaid Director
North Carolina Receives 8 Bids for Medicaid MCO Procurement
Pennsylvania Announces New Program to Support Housing Needs of Individuals with OUD
Texas Releases RFI for Program Improvements to STAR Health
Medicaid Enrollment Drops as Economy Improves, According to Report

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October 17, 2018

In Focus:

CMS Section 1115 Medicaid Demonstration Evaluation Requirements

Roundup:

Former Maine Health Commissioner Appointed Federal Medicaid Director
Arkansas Drops 4,100 More Medicaid Beneficiaries for Failing to Meet Work Requirements
Four Plans to Exit New York Fully Integrated Duals Advantage Program
Texas Reports ‘Significant Progress’ In System Redesign for IDD Population

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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

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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

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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

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