Weekly Roundup

May 29, 2019

In Focus:

It Takes a Village: How to Coordinate and Pay for a Community Response to Health Inequities

Roundup:

Arizona Budgets Funds to Eliminate KidsCare Freeze
Kentucky Medicaid Plan To Be Acquired By Evolent Health
Kentucky Schools To Use Medicaid Dollars For Physical, Behavioral Health
Massachusetts Extends Deadline For One Care Procurement
Nebraska Senate Approves Bill To Delay Transition of Long-Term Care, HCBS Beneficiaries to Managed Care
New Hampshire to Delay Start Date for New Medicaid Managed Care Contracts
New York Begins Electronic Visit Verification Implementation
Texas Lawmakers Pass Medicaid Patient Protection Bills
CMS Finalizes Rule to Update, Modernize PACE

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May 22, 2019

In Focus:

Kentucky Releases Medicaid MCO RFP

Roundup:

Alaska Issues RFP for Help Evaluating Medicaid Redesign
Indiana Seeks Financial Bridge for Individuals Leaving Medicaid Expansion
Maine Lawmakers Propose Task Force to Review Mental Health System
Michigan Appoints Kate Massey as Medicaid Director
New Jersey Releases Medicaid Managed Care, MLTSS Quality Technical Report for 2018
New Mexico Proposes Increase In Medicaid Rates
Chris Traylor to Step Down as Director of Center for Medicaid and CHIP Services

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May 15, 2019

In Focus:

Medicaid Plan Profit Margin Dips to 0.5 Percent in 2018, Continuing Multi-Year Decline, HMAIS Analysis Shows

Roundup:

Arkansas Medicaid Plans Are Questioned About Reimbursement Rates to Pharmacies
Delaware Prison Medical Contractor Faces Investigation
Medicaid Expansion News: Florida, Georgia, Kansas, Mississippi, Montana, Wisconsin
Maryland Allows Individuals to Apply for Medicaid, Exchange Plan on Income Tax Form
New Mexico Medicaid Information System Upgrade Is Endangered by Delays, Analysts Say
Washington Enacts Law to Widen Exchange Plan Options

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May 8, 2019

In Focus:

Medicaid and Exchange Enrollment Update – January 2019

Roundup:

Arkansas Reschedules PASSEs Open Enrollment to October
Illinois Medicaid Eligibility Backlog Leaves Thousands Without Coverage
Kansas Legislature Fails to Advance Medicaid Expansion
Nebraska Releases RFQ For Families First Prevention Services Act Providers
New Hampshire Lawmaker Proposes 12 Percent Raise in Medicaid Rates for Clinicians
Pennsylvania Counties Push Back Against Behavioral Health Integration Bill
Tennessee to Seek Federal Approval for Medicaid Block Grant

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May 1, 2019

In Focus:

HMA Summary of Fiscal Year 2020 Medicare Proposed Rules for Medicare Part A Providers

Roundup:

California Dual Eligibles Program Is Extended Through 2022
Florida Legislature Approves Bill to Import Prescription Drugs from Canada
Missouri Medicaid Enrollment Falls by 70,000 in 2018 Partly from Renewal Processing Errors
Nebraska Senate Advances Bill To Delay Transition of Long-Term Care, HCBS Beneficiaries to Managed Care
Texas House Committee Passes Bill Requiring Independent Review of Medicaid Managed Care Denials
Washington Legislature Passes Public Option Exchange Plan

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April 24, 2019

In Focus:

HMA Conference on the Next Wave of Medicaid Growth and Opportunity to Feature Insights from 40+ Speakers, Including Health Plan CEOs, State Medicaid Directors, Providers

Roundup:

Colorado Senate Tentatively Endorses Study of State-Run Public Option Health Plan
Federal Judge Orders Florida to Expand Hepatitis C Treatment for Inmates
Medicaid Expansion News: Montana, Oklahoma
Oregon Receives 19 Applications for CCO 2.0 Contracts
Texas Children Are Improperly Losing Medicaid Coverage, State Data Show

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April 17, 2019

In Focus:

Medicaid Managed Care Spending in 2018

Roundup:

Alaska House Committee Considers Bill to Shift Medicaid Expansion Members to Private Insurance
Arkansas Reports Increase in Medicaid Enrollment
District of Columbia to Award Medicaid Managed Care Contracts to Amerigroup, AmeriHealth Caritas, Trusted
Iowa to Evenly Distribute Medicaid Members Among 2 Plans
Michigan Considers Options for MLTSS System Revamp
Montana Senate Fails to Renew Medicaid Expansion
New Jersey Child Enrollment Declines
Foster Care News: New York, Oregon

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April 10, 2019

In Focus:

HMA Summary of 2020 Medicare Advantage and Part D Flexibility Final Rule

Roundup:

Alaska Pushes Ahead With Medicaid Block Grant Proposal
Medicaid Expansion News: Idaho, Kansas, Maine, North Carolina, North Dakota
Louisiana Medicaid Is Under Scrutiny Over Improper Enrollments
BCBS-Minnesota Posts Profit in Medicaid, MNCare Lines
CMS Approves New York Children’s HCBS Waiver
Texas Legislative Agency Reports Medicaid Quality Problems
CMMI Director Considers Bundled Payments for Post-Acute Care

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April 3, 2019

In Focus:

HMA Analysis of 2020 Medicare Advantage Rate Notice and Final Call Letter

Roundup:

Medicaid Expansion News: Arkansas, Kansas, Montana, Nebraska, Utah, West Virginia
Florida Is Approved for Behavioral Health Housing Pilot
Iowa Medicaid Plan UnitedHealthcare to Exit Market
Louisiana Is No Longer Pursuing Medicaid Work Requirements
Minnesota Individual Plans Post Strong 2018 Financials
North Carolina Audit Finds Behavioral Health LME/MCOs Had $440 Million in Excess Savings
Tennessee Medicaid Program Cuts 128,000 Kids over Past Two Years

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March 27, 2019

In Focus:

CMS Increases Monitoring and Evaluation Requirements for Section 1115(a) Medicaid Demonstrations

Roundup:

Medicaid Expansion News: Alabama, Colorado, Georgia, Idaho, Kansas, North Carolina
Arizona Announces DDD Health Plan Awards
Kentucky Attorney General Launches PBM Investigation
Louisiana Awards Hepatitis C Pact to Asegua Therapeutics
New Jersey Releases 2018 Medicaid Plan CAHPS Results
New Mexico to Develop Medicaid Home and Community Supports Waiver Program
Ohio Medicaid to Release Managed Care Procurement RFI

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