Weekly Roundup

November 15, 2017

In Focus:

New CMS Guidelines to Expedite Approval of 1115 Waivers and State Plan Amendments

Roundup:

Trump Nominates Alex Azar as Health and Human Services Secretary
Virginia announces medallion 4.0 Medicaid managed care notices of intent to negotiate
Texas Names Muth as New Medicaid Director
New Jersey DHS Expands Behavioral Health Benefits Covered Under NJ Family Care
West Virginia Considers Medicaid Work Requirements for Expansion Population
Senate Finance Committee Adds Repeal of Individual Mandate to Tax Bill
CBO Projects 13 Million Additional Uninsured Following Repeal of Individual Mandate

Download

November 8, 2017

In Focus:

Arizona, Kansas Medicaid MCO RFPs Reviewed

Roundup:

Maine Voters Approve Ballot Initiative to Expand Medicaid
CMS Issues New Guidelines to Expedite Medicaid Waiver, State Plan Amendment Approval Process
Verma Confirms Support for Medicaid Work Requirements
Florida Medicaid Managed Care ITN Respondents Identified
Utah Medicaid Expansion Waiver Approved
Idaho Seeks Waivers to Expand Coverage, Create Complex Needs Program
New Hampshire Submits 1115 Waiver Application, Includes Medicaid Work Requirements
North Carolina Releases Managed Care RFIs
Taylor Named Indiana Medicaid Director
Pennsylvania Postpones Phase 2 and Phase 3 Rollout of Community HealthChoices

Download

November 1, 2017

In Focus:

Iowa Issues RFP to Add Medicaid MCOs

Roundup:

CMS Approves Iowa Request to End Retroactive Coverage
Kansas Requests Work Requirement Under KanCare Waiver
Mississippi to Transition Medicaid Eligibility Verification to DHS, Eyes Medicaid Work Requirements
Veyo Ends Idaho NEMT Contract
CMS Proposed Rule Provides States Flexibility in Defining Essential Health Benefits
Exchange Enrollment Numbers Expected to Decline

Download

October 25, 2017

In Focus:

HMA/KFF 50-State Medicaid Director Survey

Roundup:

1332 Waiver Update: Oregon Approved, Massachusetts rejected, Iowa Withdrawn
New Jersey Provides Updates on FamilyCare Program
Kansas Medicaid Director Steps Down
Four More Plans to Exit New York FIDA Program
Maryland Hospital Cost Comparison Website Launched
Oklahoma to Cut Medicaid Provider Rates
Wisconsin to increase behavioral health provider rates
IRS to Enforce Individual Health Insurance Mandate Despite Executive Order
Federal Judge Allows Administration to Halt CSR Payments
California Spends Most on Inmate Health Care, Louisiana Spends Least, Report Finds

Download

October 18, 2017

In Focus:

Murray-Alexander Bipartisan Health Bill

Roundup:

Massachusetts Medicaid MCO Awards Announced
KanCare Waiver Granted One-Year Extension
Florida Releases Statewide Prepaid Dental ITN
Pennsylvania Announces Approved 2018 Exchange Rates
CMS to Permit Exchange Rate Changes After Deadline

Download

October 11, 2017

In Focus:

Medicaid Managed Care Enrollment Update

Roundup:

Drug Pricing Measures Become Law in California
Florida Hospitals Face $1 Billion in Medicaid Cuts Under Proposed Budget
New Jersey Governor Signs Medicaid Reimbursement Bill for Personal Care Services
Oklahoma to Reduce Medicaid Provider Rates
Pennsylvania Court Denies United MLTSS Award Protest
MedPAC Calls for Repeal and Replace of Merit-Based Incentive Payment System (MIPS)

Download

October 4, 2017

In Focus:

HMA Authors Report on Digitally Driven Integrated Primary Care, Behavioral Health

Roundup:

Delaware Medicaid Managed Care Awards Announced
Hawaii Submits 1115 Medicaid Waiver for Housing Services
Massachusetts Waiver Proposes Moving Adults Off Medicaid, Limited Access to LTSS, Drugs
Medicaid Expansion Saves Montana $30 Million
North Shore LIJ to End MLTC Plan Operations
Oklahoma Withdraws 1332 Innovation Waiver for Reinsurance Program
Texas IDD Managed Care Pilot Canceled
House, Senate Committees Move to Advance CHIP Bill

Download

September 27, 2017

In Focus:

Review of Medicaid Managed Care Procurement Landscape in 2017

Roundup:

LA County Health Director Katz Joins NYC Health + Hospitals
Florida Governor Proposes Funding to Combat Opioid Abuse
Illinois' CountyCare to Acquire Medicaid Members from FHN
Illinois Awards NextLevel Medicaid MCO Contract for Cook Co.
Ohio Medicaid Proposes Hospital Reimbursement Cuts
Graham-Cassidy ACA Repeal-Replace Bill Pulled
Trump Admin to Shut Down Healthcare.gov on Sundays

Download

September 20, 2017

In Focus:

Graham-Cassidy ACA Repeal-Replace Bill

Roundup:

D.C. Wins Ruling in Suit Filed by Nursing Home Residents Over HCBS
Iowa Considering Managed Care Exemption for Individuals with Serious Disabilities
New Jersey Governor Allocates $200M for SUD Initiatives
New York Blames Correctional Health Company for Death of Three Inmates
Pennsylvania Delays More Than $1B in Medicaid Payments
Texas Draft STAR+PLUS RFP Released
Graham-Cassidy Bill Gains Momentum, Vote Set for Next Week

Download

September 13, 2017

In Focus:

Highlights from HMA Conference on Future of Medicaid

Roundup:

MassHealth Submits 1115 Waiver Renewal to CMS
Montana Legislative Committee Blocks Medicaid Cut
New Jersey Requests Applications to Expand PACE
New York May Have Made $1.4B in Improper MLTC Payments
Ohio Releases Medicaid Managed Care Report Card
Pennsylvania Provides Update on MCO Award Challenge
Senate HELP Committee Holds Hearings on Health Reform
Senate Finance Agrees on Five-Year CHIP Reauthorization
MACPAC Set to Meet Thursday-Friday, September 14-15

Download

Get the free
HMA Weekly
Roundup

Subscribe