Weekly Roundup

June 24, 2020

In Focus:

CMS Medicare Advantage and Section 1876 Cost Plan Network Adequacy Update

Roundup:

California Budget Adopts Cuts to Medicaid Managed Care
Delaware to Tap Magarik to Head Health and Social Services
Kentucky Seeks to Bring Back State-Based Health Exchange
North Carolina House Committee Advances Medicaid Managed Care Bill
North Dakota Seeks Input on Re-Procurement of Medicaid Expansion Managed Care Plan
Oklahoma to Release Medicaid Managed Care RFP This Fall
Texas Names McCreary COO of Health and Human Services
CMS Can Force Hospitals to Reveal Prices Negotiated with Insurers, Federal Judge Rules

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June 17, 2020

In Focus:

Impact of COVID-19 Federal Policy on Medicare Advantage

Roundup:

California Names Lightbourne Health Care Services Director
Kansas Names Christiane Swartz Interim Medicaid Director
Missouri Chamber of Commerce Supports Medicaid Expansion
North Carolina Senate Committee Clears Bill Delaying Transition to Medicaid Managed Care Until July 2021
West Virginia Awards Medicaid Managed Care Contracts
Medicare Would Permanently Cover Telemedicine at FQHCs, Rural Clinics Under House Bill
MedPAC Calls for Accelerated Transition to Medicare Value-based Payments

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June 10, 2020

In Focus:

Optimizing Capacity for Prescribing Buprenorphine in Jails and Prisons

Roundup:

California Provides Updated Timeline for Medicaid Managed Care Procurement RFP
District of Columbia Medicaid May Integrate Behavioral
Florida Medicaid to Update Inpatient Payment Methodology
Illinois Medicaid Plan NextLevel Health to Close Down
Illinois Health System to Accept Molina Medicaid Members
Kentucky Plan to Protest Medicaid Managed Care Awards
Missouri Medicaid Expansion Ballot Measure Can Proceed
New Jersey Falls Short in Medicaid LTSS Payment Audit
New York Primary Care Practices Are Hard Hit By COVID-19
CMS to Use ‘Glide Path’ to Phase Out Medicaid 1135 Waivers
CMS Releases Medicaid, CHIP Plan MLR Guidance

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June 3, 2020

In Focus:

HMA Framework Examines Behavioral Health Crisis Diversion Facilities

Roundup:

California DHCS Director Bradley Gilbert Resigns
California Governor Proposes Fiscal 2021 Medicaid Cuts
Florida AHCA Secretary Mayhew Eyes Medicaid Changes
Hawaii to Rescind Medicaid Managed Care Contracts Scheduled to Take Effect in July
Illinois to Extend Medicaid to Undocumented Seniors
Kentucky Awards Medicaid Managed Care Contracts
Louisiana to Form Joint Medicaid Oversight Committee
New Jersey Proposes Revisions to Telehealth Requirements
New York Governor Holds Back On Budget Cuts
Puerto Rico Medicaid Plan Is For Sale, Molina Says

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May 27, 2020

In Focus:

HMA Conference on What’s Next for Medicaid, Medicare, and Publicly Sponsored Healthcare

Roundup:

Illinois Lawmakers Pass Hospital Bill Without Funds to Support Merger of Troubled Safety-Net Hospitals
Indiana Awards Medicaid Managed Care ABD Contracts
Medicaid Expansion News: Kansas, Missouri, Oklahoma
Kentucky Medicaid Managed Care Awards Expected In May
CMS Releases Final Rule on Medicare Advantage Use of Telehealth, Coverage of ESRD Patients

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May 20, 2020

In Focus:

Medicare FY 2021 Hospital Inpatient Proposed Rule, Federal Flexibilities for COVID-19

Roundup:

State Budget News: California, Michigan
Hawaii Medicaid Enrollment Hits 348,000 as Applications Spike
Kansas Medicaid Director Adam Proffitt Resigns
Nebraska Is on Track to Implement Medicaid Expansion
Oklahoma Senate Confirms Kevin Corbett to Head OHCA
1199SEIU, Home Care Providers Call On Congress for Support
CMS Gives States Medicaid Managed Care Rate Flexibility
States Expect Medicaid Spending Growth to Accelerate
Medicaid Plan Profit Margin Dips to 0.1% In 2019

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May 13, 2020

In Focus:

Medicaid Managed Care Spending in 2019

Roundup:

California Faces $54 Billion Budget Deficit
Colorado Eyes 25 Percent Cut to IDD Services
Florida Projects $1 Billion in Additional State Medicaid Costs
Illinois SEIU, Nursing Homes Continue to Negotiate
New Mexico Medicaid Serves 40 Percent of State Population
New York Requests Emergency Medicaid Waiver Extension
Ohio to Cut Rates to Medicaid Managed Care Plans
Pennsylvania Projects Financial Hit to CHIP
Texas Awards STAR Kids Medicaid Contract to Aetna
CMS Issues Final Rule, Backs Off Plan to Alter Auto Re-enrollment Process on Exchanges

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May 6, 2020

In Focus:

50-State Survey of Medicaid Pharmacy Directors

Roundup:

Colorado Public Option Bill Is Tabled Until 2021
Illinois Hospital Files Federal Lawsuit Claiming Inadequate State Oversight of Medicaid Plans
Maine Experiences Surge in Medicaid Enrollment
Missouri Advocates Gather Enough Signatures to Put Medicaid Expansion on November Ballot
North Carolina Gets COVID-19 Relief Package, But Not Medicaid Expansion
Texas Taps Stephanie Stephens as Medicaid Director
Virginia Order to Make Medicaid Services More Accessible
HHS Signals Approach to Distributing CARES Act Funds to Medicaid Providers
Molina Healthcare to Acquire Magellan Complete Care

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April 29, 2020

In Focus:

Majority of Full Benefit Dual Eligibles Are Not Enrolled In Integrated Program

Roundup:

Medicaid Expansion News: Florida, North Carolina
New Jersey to Temporarily Increase Wages for Professionals Caring for Adults with IDD
New Jersey Issues Behavioral Telehealth Guidelines
New York Signals Additional Cuts to Health Care
Rhode Island Names Benjamin Shaffer as Medicaid Director
Tennessee Plan to Use Medicaid Funds to Care for Uninsured COVID-19 Patients Is In Doubt
Washington Receives Federal Approval for Section 1115 Emergency Medicaid Waiver
Exchange Plans Win $12 Billion Supreme Court Ruling

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April 22, 2020

In Focus:

Dual Eligible Financial Alignment Demonstration Enrollment Update

Roundup:

Medicaid Expansion News: Arkansas, North Carolina, Oklahoma
California Delays CalAIM Implementation
Illinois Foster Families Worry Transition to Managed Care Will Disrupt Care
Oklahoma Submits HAO Waiver for Federal Approval
Washington Releases Medicaid Integrated Managed Care RFP for Additional Service Areas
Trump Administration Lacks Details on Plan to Cover Treatment of Uninsured COVID-19 Patients

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