Weekly Roundup

November 14, 2018

In Focus:

CMS Releases Proposed Medicaid Managed Care Regulations

Roundup:

Florida Closes ITN for Regions 3-7 of SMMC MMA PSN
Maine Governor to Implement Medicaid Expansion Upon Taking Office
Montana Voters Reject Tobacco Tax to Fund Medicaid Expansion
New Jersey Creates Consumer Portal to Facilitate ACA Open Enrollment
CMS Considers Allowing Hospitals to Use Medicaid Funds for Housing
CMS Announces Short-Term IMD Exclusion Waivers for Serious Mental Illness
CMS to Propose Rule Allowing States to Limit NEMT Services

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November 7, 2018

In Focus:

Florida Statewide Medicaid Managed Care (SMMC) Awards

Roundup:

Idaho, Nebraska, Utah Voters Approve Medicaid Expansion Ballot Measures
New York Publishes Inpatient and Nursing Home Medicaid Rate Increase
Texas-Based Scott and White Health Plan to Acquire FirstCare Health Plans
California Faces Investigation Following Report of Inadequate Prison Mental Health Care
Colorado To Tighten Limits on Opioid Prescriptions
Midterm Election Results Are Boost for Medicaid Expansion

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October 31, 2018

In Focus:

Highlights from Kaiser/HMA 50-State Medicaid Director Survey

Roundup:

North Carolina Receives CMS Approval for Medicaid Managed Care Transition
Montana Voters Divided on Taxing Tobacco to Fund Medicaid Expansion
Pennsylvania Governor Vetoes Medicaid Work Requirements Bill
Wisconsin Receives Federal Approval for Medicaid Work Requirements
Texas Drug Utilization Review Board Seeks to Expand Medicaid Opioid Treatment
New York Officials Holding Statewide Forums on IDD Transition to Managed Care
President Trump Signs Opioid Legislation
CMS Proposes Payment Changes to Physician-Administrated, Medicare Part B Drugs

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October 24, 2018

In Focus:

CMS Guidance on ACA Section 1332 Waivers

Roundup:

Minnesota to Release Medicaid Managed Care RFPs in 2019
Missouri Names State House Speaker Todd Richardson Medicaid Director
North Carolina Receives 8 Bids for Medicaid MCO Procurement
Pennsylvania Announces New Program to Support Housing Needs of Individuals with OUD
Texas Releases RFI for Program Improvements to STAR Health
Medicaid Enrollment Drops as Economy Improves, According to Report

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October 17, 2018

In Focus:

CMS Section 1115 Medicaid Demonstration Evaluation Requirements

Roundup:

Former Maine Health Commissioner Appointed Federal Medicaid Director
Arkansas Drops 4,100 More Medicaid Beneficiaries for Failing to Meet Work Requirements
Four Plans to Exit New York Fully Integrated Duals Advantage Program
Texas Reports ‘Significant Progress’ In System Redesign for IDD Population

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October 10, 2018

In Focus:

Texas Medicaid and CHIP Managed Care Final Comprehensive Report

Roundup:

Arizona Awards MMIS Contract to CNSI
Massachusetts to Release One Care Duals RFP in 1-2 Months
Montana Lawmakers Seek Medicaid Work Requirements
Arizona, Hawaii Release Joint RFP for EVV Vendor

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October 3, 2018

In Focus:

Highlights From This Week’s HMA Conference On The Rapidly Changing World Of Medicaid

Roundup:

Texas Cancels, Re-Issues Medicaid, CHIP Solicitations
Tennessee Releases Medicaid Work Proposal for Public Comment
Alabama Receives CMS Approval for ICN Long-term Care Program
CMS Administrator Defends Medicaid Work Requirements, Highlights New Initiatives
Supreme Court to Hear Medicare DSH Payment Case

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September 26, 2018

In Focus:

Companion Medicaid and Medicare Advantage Dual Eligible Special Needs Plans

Roundup:

Hawaii Releases RFI for QUEST Integration Medicaid Managed Care Program
New Mexico to Transition to State-based Health Insurance Exchange in 2021
Virginia Files Waiver Request for Medicaid Work Requirements, Monthly Premiums
Alabama Medicaid Work Requirement Proposal to Be Reviewed by CMS
Medicaid Spending Rose 2.6 Percent to $592 Billion in 2017
DHHS Awards More Than $1 Billion to Combat Opioid Crisis

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September 19, 2018

In Focus:

Texas Health and Human Services Commission Submits Legislative Appropriations Request

Roundup:

Arkansas Drops 4,300 Medicaid Expansion Members for Failing to Meet Work Requirements
Michigan Medicaid Expansion Improved Health, Finances of Low-Income Adults, Study Finds
Pennsylvania-based Jefferson Health, Einstein Healthcare Network to Merge
Colorado to Treat 2,000 Prisoners With Chronic Hepatitis C
Wisconsin Transitions to Maximus for Medicaid HMO Enrollment Broker Services
Uninsured Rate Unchanged at 8.8 Percent in 2017

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September 12, 2018

In Focus:

Dual Eligible Financial Alignment Demonstration Enrollment Update

Roundup:

Arkansas Work Requirements Result in 4,600 Losing Coverage
California Allows State Regulators to Veto Proposed Health Plan Mergers
Massachusetts Releases Duals Demo 2.0 RFI
Michigan Seeks Federal Approval for Work Requirements
Tennessee Rereleases Pharmacy Claims Processing System RFP
ACA Exchange Plan Premiums to Rise 3.6% in 2019

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