Weekly Roundup

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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February 26, 2020

In Focus:

Medicaid Managed Care Enrollment Update – Q4 2019

Roundup:

Colorado Releases Proposed Public Option Hospital Rates
Illinois Lawmaker Introduces Bill to Study Medicaid Buy-In
Kentucky Senate Passes Revised Bill to Establish Single PBM, Formulary for Medicaid Managed Care
Louisiana to Decide on Medicaid Managed Care Contract Awards Protest by March 17 at Earliest
New York Medicaid DSRIP Waiver Extension Is Denied by CMS
Vermont OneCare ACO Spends More Than Expected
West Virginia Senate Passes Medicaid Trust Fund Bill
CMS to Increase Oversight of Accrediting Organizations

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February 19, 2020

In Focus:

POTUS FY2021 Budget: Summary of Medicare Provisions

Roundup:

Washington Medicaid Rate Increase Bill Passes State Senate
Texas Health Plans Point to Scoring Inconsistencies in STAR+PLUS Contract Awards
Medicaid Work Requirements News: Arkansas, Iowa
California Exchange Sees Big Increase in New Enrollees
District of Columbia Further Extends Medicaid Managed Care RFP Deadline
Expansion News: Kansas, Wyoming
Missouri Lawmakers Seek Halt to Medicaid Disenrollments
South Dakota Issues Medicaid Job Training RFP

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February 12, 2020

In Focus:

Medicaid Expansion in Missouri - Economic Implications for Missouri and Interviews Reflecting Arkansas, Indiana, and Ohio Experiences

Roundup:

DC Medicaid Managed Care RFP Deadline Is Extended to February 14
Georgia Proposal to Drop ACA Exchange Is Delayed by Trump Administration
Illinois Medicaid Director to Step Down
Senate Committee Advances Bill to Limit Number of Medicaid Plans, Eliminate Role of PBMs
Texas HHSC Commissioner to Step Down
Medicaid Expansion updates in Missouri, Tennessee, Wyoming
Proposed HHS Funding Cuts to Impact Medicaid, Medicare
States Criticize Proposed Medicaid Fiscal Accountability Rule

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