Weekly Roundup

September 18, 2019

In Focus:

The Future of the ACA: Implications of the 5th Circuit's Decision in Texas v. U.S.

Roundup:

Arkansas PASSE Market to Consolidate
Connecticut Releases RFP for Person-Centered Medical Home Plus Program
District of Columbia to Rebid Medicaid Plan Contracts
Medicaid Expansion News: Idaho, North Carolina
Medicaid Work Requirements News: Michigan, Pennsylvania
Missouri Democrats Seek Answers for Medicaid Disenrollment
New York Releases DSRIP Medicaid Waiver Amendment Draft
Tennessee Releases Medicaid Block Grant Proposal
West Virginia Issues Request for Quotation for NEMT Services

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September 11, 2019

In Focus:

Highlights from this Week’s HMA Conference on The Next Wave of Medicaid Growth and Opportunity

Roundup:

L.A. Care Health Plan, Blue Shield-California to Jointly Operate 14 Community Resource Centers
Florida State Senator Introduces Resolution to Put Medicaid Expansion Back onto 2020 Ballot
Georgia Providers Oppose Centene, WellCare Merger
Michigan Medicaid Work Requirements May Impact 270,000 Beneficiaries
Mississippi Mental Health System Is Discriminatory, Judge Rules
Nevada Returns to State-Run Exchange Website After Five Years
Oklahoma Work Group Considers Medicaid Managed Care

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September 4, 2019

In Focus:

Hawaii Releases Quest Integration Medicaid Managed Care RFP

Roundup:

Arizona Releases RFI for Integrated Foster Care ASO
California to Carve Long-Term Care into Medicaid Managed Care Statewide in 2021
Louisiana to Seek Emergency Contracts with Current Medicaid Managed Care Plans
Minnesota Cancels Medicaid MCO, MSHO, MSC+ RFPs
New Jersey to Carve Long-Term Residential Services into Managed Care for DDD, MLTSS, FIDE-SNP Enrollees
North Carolina Delays Medicaid Managed Care Rollout
Medicare Advantage Plans Oppose Proposed Changes to CMS Audit Methodology

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August 21, 2019

In Focus:

Strategies to Support Postpartum Visits for Women in Medicaid

Roundup:

Medicaid Foster Care RFP News: Arizona, Virginia
California Hospitals See Charity Care Expenses Fall by Half
Delaware Received IMD Exclusion Waiver
Florida CHIP Costs to Rise as Enrollment Increases
Georgia Is Still Failing on Mental Health Care, Report Says
Kansas Asks Aetna to Submit New Corrective Action Plan
Centene, Aetna Protest Louisiana Medicaid Awards
New Hampshire Medicaid to Expand Telehealth Coverage
CareOregon to Become Subsidiary of Providence Health
Portland Hospitals Urged to Contract with Centene-Trillium
Texas Delays STAR, CHIP ImplementationWest

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August 7, 2019

In Focus:

CMS Medicare Fee-For-Service FY 2020 Proposed Rules Part 2: Physician Fee Schedule and Home Health

Roundup:

Florida to Raise Medicaid Managed Care Rates 0.2 Percent
Illinois Enacts Law to Address Medicaid Applications Backlog, Require Health Plans to Pay Providers Promptly
Kentucky Launches Medicaid Program to Help Cover Cost of Employer-Sponsored Insurance Premiums
Louisiana Announces Medicaid MCO Awards
Missouri Health Care Task Force to Consider Medicaid Expansion Waiver
New York Is Actively Pursuing DSRIP Waiver Renewal

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July 31, 2019

In Focus:

CMS Medicare Fee-For-Service FY 2020 Proposed Rules: Hospital Outpatient Department and End-Stage Renal Disease

Roundup:

MCO Withdraws Florida Healthy Kids Award Protest
Illinois Governor Vetoes Bill Aimed at Limiting His Administration's Ability to Seek Medicaid Waivers
Kentucky AG Clears Evolent Acquisition of Passport
Missouri Names Chief of Medicaid Transformation
New Hampshire Medicaid Work Requirements Are Blocked
Ohio Medicaid Enrollment Declines, Uninsured Rate Rises
Oklahoma Lawmakers to Reconsider Medicaid Expansion
Utah Faces Rejection of Partial Medicaid Expansion Waiver Proposal

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July 24, 2019

In Focus:

CMS Releases Section 1332 Waiver Application Resource Tools

Roundup:

Florida Announces Healthy Kids Awards
Georgia Convenes Advisory Council to Discuss Medicaid, Exchange Waivers
Idaho Seeks Waiver to Allow Medicaid Expansion Eligibles to Remain in Exchange Plans
Massachusetts Lawmakers Advance Drug Pricing Plan
Study: Mortality Rates Lower in Medicaid Expansion States
Senate Finance Committee Drafts Drug Pricing Legislation

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July 17, 2019

In Focus:

HMA Summary of CMS Innovation Models Pertaining to Radiation Oncology, Kidney Care, ESRD

Roundup:

Arizona Releases RFP for Managed Foster Care ASO
Indiana Implements Medicaid Work Requirements
Iowa Medicaid Plans to Receive 8.6 Percent Rate Increase
Minnesota Commissioner of Health Services Resigns
New Mexico to Overhaul Developmental Disabilities Program
New York Uses Budget Maneuver to Keep Medicaid Spending Within Global Cap
North Carolina Begins Transition to Medicaid Managed Care
West Virginia Delays CHIP Transition to Managed Care

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July 10, 2019

In Focus:

California 2019-20 Budget Overview

Roundup:

Centene Subsidiary Takes Over Health Care Services In Arizona Prisons
California Exchange Premiums to Rise 0.8 Percent in 2020, Lowest Since 2014
California to Pay Off $58.6 Million in Medical School Student Loans for 247 Physicians Serving Medi-Cal Patients.
Iowa, Medicaid Plans Continue to Negotiate Fiscal 2020 Payment Rates
Kansas Expands Medicaid Services for Brain Injuries
Louisiana Medicaid MCO Awards Are Delayed
New Hampshire Announces Delay of Medicaid Expansion Work Requirements
North Carolina Could Delay Medicaid Managed Care Implementation if State Budget is Not Signed
Oregon Announces CCO 2.0 Contract Awards
Texas Delays STAR+PLUS Implementation
West Virginia Releases Managed Foster Care RFP

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June 26, 2019

In Focus:

Dual Eligible Financial Alignment Demonstration Enrollment Update

Roundup:

Arkansas Medicaid Work Requirements Raised Uninsured Rate, Study Finds
Georgia to Reinstate Medicaid Benefits to 17,000 Elderly, Disabled Medicaid Members After Disenrollment Backlash
Louisiana Receives CMS Approval for Hepatitis C Subscription Drug Model
Maine Enrolls 26,000 Medicaid Expansion Members, Far Fewer than Expected
New Jersey Proposes Legislation to Increase HMO Annual Assessment

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