Weekly Roundup

April 28, 2021

In Focus:

Dual Eligible Financial Alignment Demonstration Enrollment Update

Roundup:

Georgia Wins Approval to Extend Medicaid Postpartum Coverage to Six Months
Iowa Governor Appoints Matney as Medicaid Director
Medicaid Expansion News: Missouri, Texas
Nevada Medicaid Home Care Bill Addresses Quality, Working Conditions
Ohio Health Plans Protest Medicaid Managed Care Awards
Molina to Acquire Cigna’s Texas Medicaid, MMP Contracts
CMS to Ease Medicare Price Transparency Requirements for Hospitals, Raise Payment Rates Under Proposed Rule

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April 21, 2021

In Focus:

Modest Skilled Nursing Facility Payment Update and Policy Updates in 2022 Proposed Rule

Roundup:

Arkansas House Approves Medicaid Budget
Florida Senate Budget Bill Rolls Back Medicaid Cuts
Georgia Releases NEMT RFP
Missouri Accepts Resignations of Two Top Health Officials
Missouri House Passes Budget Without Medicaid Expansion
Oklahoma House Moves to Halt Medicaid MCO Transition
Texas Medicaid Waiver Extension Is Rescinded
CMMI Director Discusses Alternate Payment Models
CMS Issues Guidance on Pricing Transparency Rule

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April 14, 2021

In Focus:

Federal Funding for Home and Community-Based Services (HCBS): Enacted and Proposed Investments

Roundup:

Medicaid Expansion News: Arkansas, Mississippi, Montana
Arkansas PASSE Program Is Eyed By CareSource
Medicaid Postpartum Coverage: Florida, Illinois
North Carolina Falls Short in Medicaid Oversight Audit
Ohio Awards Medicaid Managed Care Contracts
Oklahoma House Committee Advances Bill Challenging State’s Planned Medicaid Managed Care Transition
South Carolina Nominates Robert Kerr as Medicaid Director
Biden Is Expected to Sign Bill Extending Moratorium on Medicare Provider Cuts
CMMI Names New Model Winners

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April 7, 2021

In Focus:

Nursing Home HMA Report Highlights Benefits of Single Resident Rooms

Roundup:

Leavitt Partners Becomes Part of HMA
Arkansas Names Elizabeth Pitman Medicaid Director
Medicaid Expansion News: Indiana, North Carolina, Georgia, Missouri, Wyoming
Iowa Senate Approves Medicaid Primary Care Capitation Pilot
Michigan Medicaid Work Requirements Waiver Is Rescinded
Missouri Taps Kirk Mathews as Interim Medicaid Director
New York to Delay Medicaid Pharmacy Carve-Out Until 2023
Ohio Awards OhioRISE Managed Behavioral Plan Contract
South Carolina Awards Medicaid RAC Contract to HMS

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March 31, 2021

In Focus:

HMA Analysis of Medicare Advantage Star Rating Challenges

Roundup:

Arkansas Medicaid Work Incentive Bill Heads to Governor
California Panel Advances Inmate Medicaid Eligibility Bill
Florida Medicaid Plan Simply Healthcare Purchases Medicaid Business of Miami Children’s Health Plan
Florida House Budget Plan Includes Nursing Home Pay Cut
Expansion News: Georgia, Missouri, Wyoming
Illinois Looks to Cover CHIP Under Medicaid Expansion
Iowa Seeks Waiver on Medicaid Dental Benefits for Children
Mississippi Fails to Extend Medicaid Postpartum Coverage
Rhode Island State-Run Hospital to Restart Billing Medicaid

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March 24, 2021

In Focus:

Nevada Releases Medicaid Managed Care RFP

Roundup:

Medicaid Expansion News: Alabama, Florida, South Dakota, Tennessee, Wyoming
Arkansas House Panel Clears Medicaid Work Incentive Bill
Florida Lawmaker Introduces Legislation to Extend Medicaid Postpartum Coverage to Full Year
Hawaii Awards Medicaid Managed Care Contracts
Michigan Medicaid Expansion Impacts Dental Health
Mississippi Medicaid Plan, Others Face Investigation Over Pharmacy Benefits
Ohio Medicaid Plan to Invest $18 Million to Foster Telehealth
Utah Names Emma Chacon Interim State Medicaid Director
Pierce County, WA, Council to Vote on Medicaid Overhaul
Medicaid HCBS Would Be Mandatory Under Proposed Bill

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March 17, 2021

In Focus:

Highlights from Kaiser/HMA 50-State Medicaid Director Survey COVID-19 Update for FY 2021 and FY 2022

Roundup:

Medicaid Expansion News: Alabama, Wisconsin
Hawaii Tentatively Delays Medicaid Managed Care Awards
Nevada Releases Medicaid Managed Care RFP
Oklahoma Medicaid To Cover Opioid Use Disorder Treatments
Tennessee to Release Medicaid Managed Care RFP in 2Q21
Texas Can Remove Planned Parenthood from Medicaid
Washington Governor Proposes Medicaid Rate Increase for Family Planning Services
Medicaid HBCS Providers Could Get $11 Billion in Enhanced FMAP Funds, Kaiser Projects
Medicaid Enrollment, Spending Projections

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March 10, 2021

In Focus:

California Releases Revised CalAIM Proposal

Roundup:

Arkansas Senate Passes Medicaid Work Incentive Bill
Medicaid Expansion News: Georgia, Kansas, Louisiana, Missouri, Wyoming
Idaho Committee Approves 20 Percent Increase in Fiscal 2022 Medicaid Budget
Nevada Medicaid Plans Begin Implementing 6 Percent Provider Rate Reduction, State Says
ACA Exchange News: New York, South Carolina, National
MedPAC Is Expected to Call For Simplified Medicare Alternative Payment Models

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March 3, 2021

In Focus:

Health Management Associates Provides Updates in 2021 Federal Healthcare Policy Landscape

Roundup:

Arkansas Lawmakers Introduce Medicaid Work Incentive Bill
Hawaii Releases RFP for Medicaid Dental TPA
Louisiana Governor Proposes Budget Without Medicaid Cuts
Missouri Medicaid Director to Take Leave of Absence
New Jersey Medicaid Bill To Cover Undocumented Immigrants
New York Delays Medicaid Pharmacy Benefit Carve-Out
Rhode Island Releases Medicaid Managed Care RFI
Texas Projects Medicaid Caseloads to Fall 8 Percent
Vermont Has RFI For SUD Treatment, Recovery Coordination
House Lawmakers Reintroduce Telehealth Bill
Medicaid Plans Look to Address Risk Corridor Exposure
CMS Delays Medicare Geographic Direct Contracting Model

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February 24, 2021

In Focus:

Medicaid Managed Care Spending in 2020

Roundup:

Alabama Voters Support Medicaid Expansion, Poll Finds
Arkansas to Drop Medicaid Work Requirements, Eyes ‘Work Incentive’ Plan
California Again Delays Implementation of Medi-Cal Rx
North Carolina Medicaid Official Cites Automated System for Failing to Verify Provider Licenses
North Carolina Judge Upholds Medicaid Plan Awards
Oklahoma Awards Three Medicaid Dental Plan Contracts
Median Voluntary Disenrollment Rate in D-SNP Dominant Plans Is 10 Percent, Study Shows

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