Weekly Roundup

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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June 19, 2019

In Focus:

Highlights from NASBO Spring 2019 Fiscal Survey of States

Roundup:

Arkansas Medicaid Corruption Probe Widens
California Approves Plan to Allow Some Undocumented Immigrants to Enroll in Medicaid
Expansion News: Florida, Oklahoma
Georgia Addresses Backlash Over Elderly, Disabled Medicaid Members Slated for Disenrollment
Kentucky Waiver to Expand Treatment for Substance Abuse
New Hampshire Legislature Nears Agreement to Suspend Medicaid Work Requirements
Ohio Releases RFI for Medicaid Managed Care Reprocurement
Oregon Subcommittee Advances Plan to Cut CCO Allowable Inflation Rate to 3.3 Percent

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June 12, 2019

In Focus:

New Opportunities and Requirements for Integrated Managed Care Models for Medicare-Medicaid Dually Eligible Individuals Served by Health Plans

Roundup:

Alaska Awards Contract to Evaluate Medicaid Block Grant
California Lawmakers Agree to Allow Undocumented Immigrants Ages 19 to 25 to Enroll in Medicaid
Florida Governor Signs Prescription Drug Importation Bill
Health Alliance Plan to Acquire Trusted HP-Michigan
New Hampshire Proposal to Raise Medicaid Reimbursement Rates Faces Opposition
Virginia Is Cited for Inadequate Oversight of Medicaid Eligibility Determinations

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June 5, 2019

In Focus:

Texas 2020-21 Biennium Budget Overview

Roundup:

Arizona to Allow Rideshare Companies to Provide NEMT
Florida Medicaid Expansion Ballot Measure Goes to State Supreme Court for Review
Louisiana Announces Medicaid Managed Care RFP Bidders
Nebraska Announces Fiscal 2020 MLTC Rate Increase for Nursing Homes
Ohio Releases Draft Medicaid Managed Care Procurement Timeline
Texas Releases STAR Health Draft RFP Committee
Wisconsin Approves Health Care Budget Without Medicaid Expansion

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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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