Weekly Roundup

January 26, 2022

In Focus:

Minnesota Releases Medicaid Medical Assistance, MinnesotaCare RFP Covering 80 Counties Outside Twin Cities

Roundup:

Arkansas Budget Proposal Assumes Rising Medicaid Costs
Georgia Seeks to Reinstate Medicaid Work Requirements
Indiana Delays Release of MLTSS RFP Until May 2022
Maryland Senators Seek Enhanced Adult Dental Coverage
Montana Lawmakers Consider CCBHCs
New York Expects Savings from Medicaid Plan Procurement
Wyoming Medicaid Administrator Teri Green Retires
Medication Assisted Treatment Use for SUD Rises, CMS Reports
States Prepare to Restart Medicaid Redeterminations
Exchange Plan Offerings Increase in 2021

Download

January 19, 2022

In Focus:

CMS Seeks New Direction for Medicare Advantage and Part D Markets on Health Equity, Dual Eligible Integration

Roundup:

Florida Governor Snubs Federal COVID-19 Vaccine Mandate
Georgia Budget Proposal to Fund New Insurance Exchange
Louisiana Releases Medicaid PBM Services RFP
Minnesota Releases Medicaid Managed Care, MinnesotaCare RFP Covering 80 Counties
Missouri Receives 3 Bids for Medicaid Managed Care Program
New Mexico to Extend Medicaid Postpartum Coverage
New York Eyes Competitive Bidding for Medicaid Plans
New York Governor Proposes Medicaid Rate Increases
Wisconsin Releases HCBS Care Management System RFP
Behavioral Health Group Buys Center for Behavioral Health

Download

January 12, 2022

In Focus:

CMS Changes to the Medicare Advantage Star Rating Program Drive Significant Increases to Overall Star Ratings

Roundup:

Arkansas Reaches Settlement with Empower Healthcare
California FQHCs to Receive Less 340B Funding
Florida Bill Would Reshape Medicaid Managed Care Regions
Indiana Awards Medicaid Managed Care Contracts
Expansion News: Kansas, Missouri, South Dakota, Wyoming
Minnesota Seeks Models that Increase HCBS Provider Wages
New York Looks to Rebuild State Healthcare Economy
Oregon Clears Centene/Trillium to Enroll New Members
CMS Looks to Partnerships to Address Costs, Disparities

Download

January 5, 2022

In Focus:

Medicaid Managed Care Provides Opportunities for States to Address Social Determinants of Health and Health Equity

Roundup:

California Receives Approval for CalAIM Demonstration
Georgia Must Remove Medicaid Expansion Work Requirements
Idaho Seeks Offers to Administer Behavioral Health Plan
Iowa Delays Release of Medicaid Managed Care RFP
Montana Must Wind Down Medicaid Expansion Premiums Above 2 Percent of Income, CMS Says
Anthem Acquires Ohio Medicaid Contract from Paramount
South Dakota Voters to Decide on Medicaid Expansion
CMS Proposes Rule to Standardize Exchange Plans

Download

December 22, 2021

In Focus:

MS Releases MississippiCAN, CHIP RFQ

Roundup:

Arkansas Is Cleared to Continue Covering Medicaid Expansion Eligibles Through Exchange Plans
California to Tighten Medicaid Plan Subcontracting Rules
District of Columbia Delays Carve-In of Medicaid Behavioral
Louisiana Is Cleared to Launch Medicaid Coverage for Children with Disabilities
Montana to Increase Income Eligibility Limit for Medically Needy Program
Utah Appoints Jack Szczepanowski as Medicaid Director
Individual Health Plans Pay $1.3 Billion in MLR Rebates
CMS to Investigate PBM Fees Charged to Pharmacies
CMMI to Launch New Payment Models in 2023 at the Earliest

Download

December 15, 2021

In Focus:

District of Columbia Releases Medicaid Managed Care RFP

Roundup:

California OKs Single Medicaid Plan Model in 3 Counties
Delaware Releases Medicaid Managed Care RFP
HCBS News: Arkansas, New Hampshire, Wisconsin
Mississippi Releases RFQ for MississippiCAN, CHIP
Missouri ACOs Produce $58 Million in Medicare Savings
Nebraska Seeks Input Ahead of Medicaid Plan Procurement
Virginia Releases Medicaid Dental Benefits Administrator RFP
Medicaid, CHIP Enrollment Rises 8.9 Percent, MACStats Says
States Turn to Medicaid Plans to Address SDOH

Download

December 8, 2021

In Focus:

HMA Report Compares Quality Outcomes Across State Medicaid Program Delivery Models

Roundup:

Arkansas Investigates Medicaid PASSE for Fraud
Colorado RAE Won’t Recoup Behavioral Provider Claims
Louisiana Expects to Make Medicaid Managed Care Contract Award Recommendations This Week
CareSource, TrueCare Eye Mississippi Medicaid Plan Contract
North Dakota Contracts with Conduent to Upgrade MMIS
Ohio Issues Dental OPTIONS Program RFI
Oregon Releases Medicaid 1115 Waiver Renewal Draft
Wisconsin Medicaid Director to Step Down
CMS Says State Medicaid Can Cover Audio-Only Telehealth

Download

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

Download

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

Download

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

Download