Weekly Roundup

December 13, 2017

In Focus:

Dual Eligible Financial Alignment Demonstration Enrollment Update

Roundup:

Michigan Study Finds Half of Medicaid Expansion Enrollees Work
New York Medicaid MCO Financial Performance Deteriorated in 2016
Federal Funding for New York’s Essential Plan in Jeopardy
New Mexico Scales Back, Delays Some Proposed Medicaid Cuts
Heather Smith Named Wisconsin Medicaid Director
Hospitals Issue Flood of Bonds Ahead of Tax Overhaul
Exchange Enrollment Lags Prior Years

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December 6, 2017

In Focus:

Texas Issues STAR+PLUS Request for Proposals

Roundup:

Kansas Secretary of Health to Step Down
Illinois Finalizes Contracts with Seven Medicaid Managed Care Plans
21 Florida MCOs Submit Bids for Medicaid Managed Care Procurement
Colorado Expands Access to Hepatitis C Drugs for Medicaid Members

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November 29, 2017

In Focus:

Ballot Initiative Requirements in Non-Medicaid Expansion States

Roundup:

Arizona Supreme Court Upholds Medicaid Expansion Funding
Arkansas Approves Gateway-sponsored PASSE
Florida Gov. Releases Proposed 2018-19 Budget
Suits Force Florida, Missouri to Expand Hepatitis C Treatment
Iowa Health Link RFP Attracts LOIs from Centene, Medica
Iowa Appoints Randol as Medicaid Director
Massachusetts Seeks Waiver to Negotiate Drug Rebates, Exclude Certain Medications
OIG Report Says New Jersey Owes $300 Million for Special Education Services
North Carolina Proposes Medicaid Premiums, Work Requirements in Waiver Amendment

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November 15, 2017

In Focus:

New CMS Guidelines to Expedite Approval of 1115 Waivers and State Plan Amendments

Roundup:

Trump Nominates Alex Azar as Health and Human Services Secretary
Virginia announces medallion 4.0 Medicaid managed care notices of intent to negotiate
Texas Names Muth as New Medicaid Director
New Jersey DHS Expands Behavioral Health Benefits Covered Under NJ Family Care
West Virginia Considers Medicaid Work Requirements for Expansion Population
Senate Finance Committee Adds Repeal of Individual Mandate to Tax Bill
CBO Projects 13 Million Additional Uninsured Following Repeal of Individual Mandate

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November 8, 2017

In Focus:

Arizona, Kansas Medicaid MCO RFPs Reviewed

Roundup:

Maine Voters Approve Ballot Initiative to Expand Medicaid
CMS Issues New Guidelines to Expedite Medicaid Waiver, State Plan Amendment Approval Process
Verma Confirms Support for Medicaid Work Requirements
Florida Medicaid Managed Care ITN Respondents Identified
Utah Medicaid Expansion Waiver Approved
Idaho Seeks Waivers to Expand Coverage, Create Complex Needs Program
New Hampshire Submits 1115 Waiver Application, Includes Medicaid Work Requirements
North Carolina Releases Managed Care RFIs
Taylor Named Indiana Medicaid Director
Pennsylvania Postpones Phase 2 and Phase 3 Rollout of Community HealthChoices

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November 1, 2017

In Focus:

Iowa Issues RFP to Add Medicaid MCOs

Roundup:

CMS Approves Iowa Request to End Retroactive Coverage
Kansas Requests Work Requirement Under KanCare Waiver
Mississippi to Transition Medicaid Eligibility Verification to DHS, Eyes Medicaid Work Requirements
Veyo Ends Idaho NEMT Contract
CMS Proposed Rule Provides States Flexibility in Defining Essential Health Benefits
Exchange Enrollment Numbers Expected to Decline

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October 25, 2017

In Focus:

HMA/KFF 50-State Medicaid Director Survey

Roundup:

1332 Waiver Update: Oregon Approved, Massachusetts rejected, Iowa Withdrawn
New Jersey Provides Updates on FamilyCare Program
Kansas Medicaid Director Steps Down
Four More Plans to Exit New York FIDA Program
Maryland Hospital Cost Comparison Website Launched
Oklahoma to Cut Medicaid Provider Rates
Wisconsin to increase behavioral health provider rates
IRS to Enforce Individual Health Insurance Mandate Despite Executive Order
Federal Judge Allows Administration to Halt CSR Payments
California Spends Most on Inmate Health Care, Louisiana Spends Least, Report Finds

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October 18, 2017

In Focus:

Murray-Alexander Bipartisan Health Bill

Roundup:

Massachusetts Medicaid MCO Awards Announced
KanCare Waiver Granted One-Year Extension
Florida Releases Statewide Prepaid Dental ITN
Pennsylvania Announces Approved 2018 Exchange Rates
CMS to Permit Exchange Rate Changes After Deadline

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October 11, 2017

In Focus:

Medicaid Managed Care Enrollment Update

Roundup:

Drug Pricing Measures Become Law in California
Florida Hospitals Face $1 Billion in Medicaid Cuts Under Proposed Budget
New Jersey Governor Signs Medicaid Reimbursement Bill for Personal Care Services
Oklahoma to Reduce Medicaid Provider Rates
Pennsylvania Court Denies United MLTSS Award Protest
MedPAC Calls for Repeal and Replace of Merit-Based Incentive Payment System (MIPS)

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October 4, 2017

In Focus:

HMA Authors Report on Digitally Driven Integrated Primary Care, Behavioral Health

Roundup:

Delaware Medicaid Managed Care Awards Announced
Hawaii Submits 1115 Medicaid Waiver for Housing Services
Massachusetts Waiver Proposes Moving Adults Off Medicaid, Limited Access to LTSS, Drugs
Medicaid Expansion Saves Montana $30 Million
North Shore LIJ to End MLTC Plan Operations
Oklahoma Withdraws 1332 Innovation Waiver for Reinsurance Program
Texas IDD Managed Care Pilot Canceled
House, Senate Committees Move to Advance CHIP Bill

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