Weekly Roundup

January 20, 2021

In Focus:

Health Management Associates Launches Institute on Addiction

Roundup:

Kentucky Medicaid Directed Payments Initiative Is Approved
North Carolina Readies for Medicaid Managed Care Launch
Ohio Delays Implementation of Medicaid Work Requirements
Pennsylvania Receives Health Care Reform Recommendations
Texas Uncompensated Care Waiver Extension Is Approved
CMS Reports 4.6 Million Medicaid Beneficiaries Were Treated for Substance Use Disorder in 2018
CMS Releases Preliminary State Medicaid Expenditure Data
CMS Rule Change Lets Physicians Prescribe Buprenorphine for Opioid Use Disorder Without Waiver
CMS Announces 2022 Medicare Advantage, Part D Rates

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January 13, 2021

In Focus:

Drivers and Barriers to Adoption of Flexible Medicare Advantage Supplemental Benefits

Roundup:

Arizona Approves UnitedHealth Group Acquisition of Certain Solstice Health Plans Operations
Colorado Releases Report on Medicaid Prescription Drugs
Medicaid Expansion News: Georgia, Oklahoma, Texas, Virginia
Minnesota Releases Medicaid Plan Procurement Timeline
Oklahoma Medicaid RFP Bidders to Include CareSource
South Carolina Governor Taps Thomas Clark Phillip Jr. as Acting Medicaid Director
Tennessee Medicaid Block Grant Receives CMS Approval
CMS Withdraws Medicaid Fiscal Accountability Rule

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January 6, 2021

In Focus:

Hawaii, Minnesota Rerelease Medicaid Managed Care RFPs

Roundup:

Hawaii Releases Medicaid Dental TPA RFI
Indiana Governor To Make Long-Term Care Reform a Priority
Kentucky Awards Medicaid Managed Care PBM Contract
Kentucky Awards Aetna Foster Care Contract
Minnesota Releases Medicaid Managed Care RFP
Nevada to Implement D-SNP Program in 2021
New Jersey DHS Commissioner to Join Biden COVID-19 Team
South Carolina Bills Propose Medicaid Expansion Referendum
Texas Releases Medicaid Plan Procurement Timelines
Congress Gives Medicare Physicians 2021 Pay Boost

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December 16, 2020

In Focus:

2020 In Review: Top Medicare-Medicaid Integration Trends and Policies

Roundup:

District of Columbia Judge Rules Medicaid Managed Care Procurement Violated Law
Florida Medicaid Finds $89.6 Million Differential Between Prices Paid to PBMs, Prices Paid to Pharmacies
Hawaii Medicaid Plans Sought to Limit Number of Award Winners in Current Procurement
Louisiana to Release Medicaid Managed Care RFP in Spring
South Carolina Medicaid Director to Step Down
Texas Sees High Early Turn Out for Exchange Plans
MACPAC Releases 2020 MACStats Medicaid, CHIP Data Book

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December 9, 2020

In Focus:

CMS Finalizes Meaningful Expansions of Medicare Telehealth Service Coverage Through 2021

Roundup:

Hawaii Releases RFP For Quest Integration Medicaid Plans
Missouri RFP To Carve-In Behavioral Health for Foster Kids
Montana Receives One-Year Extension of Medicaid Expansion
New York To Seek Medicaid Redesign Team Waiver Extension
Ohio Taps Gainwell As Medicaid Fiscal Intermediary
Oklahoma Medicaid Waiver Providers to Receive 20 Percent Retroactive Rate Adjustment
Biden’s Potential Administrative Actions Could Impact

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December 2, 2020

In Focus:

North Carolina Releases RFA For Behavioral Health, Intellectual/ Developmental Disability Tailored Plans

Roundup:

Arizona To Release Procurement in August 2021 For Expanded Integrated SMI, Medicaid Managed Care Program
Delaware Care Collaborative to Serve as Medicaid, Chip ACO
New Jersey Medicaid Plan to Terminate Contract with Children’s Hospital of Philadelphia
Oregon Governor Proposes Medicaid Cuts
Oregon CCOs Post 0.6 Percent Operating Margin
Pennsylvania Enacts Medicaid PBM Price Transparency Law
Texas To Drop Planned Parenthood from Medicaid Network
CMS Releases 2021 Physician Fee Schedule

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November 18, 2020

In Focus:

CMS Introduces New Medicare Direct Contracting Model Opportunity

Roundup:

California Legislative Analyst Projects 14.2 Percent Increase in Fiscal 2022 Medicaid Spending
California Delays Implementation of Medi-Cal Rx
Illinois Unveils Medicaid Transformation Proposal
Kentucky Submits Waiver to Treat SUD in Prisons
Kentucky Judge Orders Mediation of Medicaid Managed Care Procurement Dispute
Missouri to Release Medicaid Managed Care RFP By July 2021
North Carolina Releases RFA for Behavioral, IDD Plans
CMS Releases Final Rule Revising Several Provisions of Medicaid and CHIP Managed Care Regulations
State Tax Revenues Fall $28 Billion, Report Finds

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November 11, 2020

In Focus:

A Short-Term Path to Avoid ACA Uncertainty as the Pandemic Continues

Roundup:

Hawaii Releases Community Care Services Program RFP
New Jersey to Submit Section 1115 Waiver Renewal
New York Lawmakers Seek To Delay Medicaid Drug Carve-out
North Carolina Launches Medicaid Managed Care Enrollment Website
Neighborhood Health Plan of Rhode Island Signs Three-Year Duals Demo Contract Extension
Tennessee Receives Federal Waiver Approval for Katie Beckett Program for Children with Disabilities
CMS Issues Final Rule on Medicaid Managed Care Changes

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November 4, 2020

In Focus:

HMA Colleagues Author Evidence-Based Health Promotion Programs Paper

Roundup:

Arizona Is Approved to Increase Hospital Reimbursements
Georgia Receives Federal Approval to Exit ACA Exchanges
Kentucky to Comply With Court Order to Grant Medicaid Managed Care Contract to Anthem
Nebraska Names Kevin Bagley as Medicaid Director
Ohio Releases OhioRISE Managed Behavioral Plan RFA
Texas Republican Lawmakers Consider Medicaid Expansion
CMS Issues Final Rule on Health Plan Price Transparency
Telehealth Flexibilities to Be Permanent for Medicare Home Health Providers

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October 28, 2020

In Focus:

Oklahoma, North Dakota Release Medicaid Managed Care RFPs

Roundup:

California Releases RFI for Dental ASO
Florida Procurement for Canada Drug Importation Program Fails to Attract Any Bidders
Georgia Eyes Privatization of Prison Healthcare Services
Hawaii Tentatively Schedules QUEST Integration RFP Release for December 2020, Community Care Services RFP for November
Indiana Receives 10-Year Extension for HIP Alternative Medicaid Expansion Program
Kentucky Health Plan Appeals Order to Grant Medicaid Managed Care Contract to Anthem
Verma Says CMMI Record on Value-Based Payments ‘Is Deeply Concerning,’ Calls for Change

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