Weekly Roundup

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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April 15, 2020

In Focus:

Medicare and Medicaid Telehealth Coverage in Response to COVID-19

Roundup:

Medicaid Expansion News: Florida, Nebraska
Oregon Could See Medicaid Enrollment Increase by 320,000
Health Systems Criticize HHS for Tying Emergency COVID-19 Funding to Medicare Billings
Many ACOs May Leave Medicare Shared Savings Program
Molina, NextLevel Health Break Off Merger Talks
Blue Shield of California Affiliate to Buy Brown & Toland

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April 8, 2020

In Focus:

HMA Model Provides Forecast of COVID-19 Impact on Medicaid, Marketplace, Uninsured

Roundup:

Medicaid Expansion News: Alabama, Tennessee, Texas
Louisiana Medicaid Director Ruth Johnson Takes Office
Missouri FQHCs Face Financial Hardship as COVID-19 Keeps Patients Home
New York Reaches Final Budget for Fiscal 2021
CMS to Raise Medicare Advantage Plan Payment Rates by 1.66 Percent in 2021
CMS Delivers $34 Billion to Medicare Providers, Suppliers Through Accelerated and Advance Payment Program

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April 1, 2020

In Focus:

HMA Review of State Appendix K Waivers in Response to COVID-19

Roundup:

Medicaid Dental Managed Care News: Florida, Louisiana
Hawaii Postpones Implementation of New Medicaid Managed Care Contracts Amid COVID-19 Outbreak
Navajo Nation President Vetoes New Mexico Medicaid Managed Care Initiative
New York Governor to Refuse Federal Medicaid Aid
South Carolina Puts Limit on Medicaid Mental Telehealth
Texas Cancels STAR, CHIP Procurement, Scraps STAR+PLUS Awards
Wisconsin Expects Medicaid Expenditures to Surge
Healthcare.gov Will Not Have Special Enrollment Period

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March 25, 2020

In Focus:

D-SNP 2021 Hospital and Skilled Nursing Facility Admission Data Sharing Requirements: States and Health Plan Opportunity to Support Care Transitions

Roundup:

1135 Waiver News: Arizona, California, Illinois, Iowa, Massachusetts, Minnesota, New York, North Carolina, Oklahoma, Washington
Alaska to Ration Medicaid Payments
Arizona Legislature Passes Hospital Fee
Missouri Medicaid Expansion Initiative Has Enough Signatures for November Ballot, Backers Say
Oklahoma Health Care Authority Releases HAO Waiver for Public Comment
CMS Issues Guidance on 6.2 Percent Medicaid FMAP Increase

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March 18, 2020

In Focus:

Medicare and Medicaid Flexibilities During Public Health Emergencies

Roundup:

Florida Receives Federal Approval for 1135 Medicaid Waiver to Help Address COVID-19
Florida Lawmakers Agree on Budget Without Cuts To Medicaid Supplemental Payments
Illinois Bill Would Further Delay Transition to Managed Care for Foster Children
New Jersey Seeks to Re-open ACA Enrollment
New York Medicaid Redesign Team to Recommend Cuts
House Passes FMAP Increase as Part of COVID-19 Relief Bill
Medicare to Cover In-Home Telehealth Visits Nationwide in Response to COVID-19

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March 11, 2020

In Focus:

HMA Analysis of the 2020 Medicare Advantage Annual Election Period

Roundup:

Arizona High Court Voids State Balance Billing Law
Colorado Submits Prescription Drug Importation Proposal
Florida Nursing Homes to See Medicaid Payments Increase
Medicaid Expansion News: Idaho, Kansas, Oklahoma
Michigan Seeks Funds for Medicaid Transformation Office
New Jersey Governor Again Proposes Tax on Companies With 50 or More Employees on Medicaid
North Carolina Official Does Not Rule Out Late 2020 Transition to Medicaid Managed Care
Vermont Protesters Question OneCare’s Use of Funds
CMS Issues Guidance to Medicare Plans on COVID-19

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March 4, 2020

In Focus:

HMA Analysis of New Requirements Expanding Medicare Advantage Eligibility to Individuals with End-Stage Renal Disease

Roundup:

California Revises Medicaid Managed Care RFP Schedule
Delaware Awards Two Corrections Contracts to Centene
Georgia Lawmaker Sponsors Medicaid Buy-in Bill
Medicaid Expansion News: Kansas, Oklahoma, Texas
Michigan Work Requirements Are Struck Down
Minnesota Issues Special Needs BasicCare RFP
Tennessee Names Stephen Smith as Medicaid Director
Washington Issues Exchange Public Option Plan RFA
West Virginia Senate Approves Medicaid Dental for Adults

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