Weekly Roundup

June 14, 2017

In Focus:

Duals Demonstration Enrollment Update

Roundup:

Oklahoma Cancels SoonerHealth+ Procurement
Illinois to Delay Medicaid Managed Care Awards
Iowa Proposes Waiver to Stablize Exchange Market
Ohio Senate Proposes Medicaid Cuts To Fill Budget Gap
States Continue to Lag in Shift to HCBS, Report Says
AHCA Could Result in 13 Million More Uninsured, Per Actuary Report

Download

June 7, 2017

In Focus:

Texas Budget and Health Care Legislation Summary

Roundup:

California Senate Approves Bill to Establish Single-Payer Health System
Colorado Governor Signs Medicaid Home Health, Conflict-Free Case Management Bills
Michigan Children’s Medicaid Dental Care RFP Released
Nevada Legislature Passes Bill to Create Medicaid Buy-in Program
New York Governor Promulgates Emergency Regulations to Protect Health Insurance Coverage
Anthem to Exit Ohio Exchange Market Statewide in 2018
West Virginia to Transition Medicaid Pharmacy Benefits Back to Fee-For-Service

Download

May 31, 2017

In Focus:

HMA’s Vern Smith Discusses Medicaid Per Capita Caps in Health Affairs Blog Post

Roundup:

DC Announces Intent to Award Medicaid MCO Contracts
Indiana Adds Work Requirement to HIP 2.0 Waiver Extension Application
BCBS of Kansas City Announces Missouri Exchange Exit
Nebraska Dental Managed Care Contract Awarded to MCNA
New Jersey Bill Would Establish Medicaid Reimbursement Rate for Personal Care Services
New Mexico MCO Procurement Schedule Announced
Ohio AG Files Lawsuits Against Five Drug Companies Over Opioid Epidemic
Texas Legislature Passes Budget, Reducing Medicaid Spending by $1.9 Billion

Download

May 24, 2017

In Focus:

HMA Conference on the Future of Medicaid

Roundup:

Washington Awards Managed Care Contracts for North Central Region
Indiana Medicaid Director Moser Resigns
Missouri Governor Names Corsi DSS Director
BCBS-NC, Anthem to Jointly Bid For North Carolina Medicaid Managed Care Contract
Pennsylvania Governor to Nominate Insurance Commissioner as Inaugural DHHS Secretary
CBO Publishes Score of House Republican AHCA Bill
President’s Budget Proposal Reduces Medicaid Funding by $610 Billion Over Next Decade
Senators Propose Easing Restrictions on Medicaid Reimbursement for Substance Use Treatmen

Download

May 17, 2017

In Focus:

CMS Publishes Checklist for States Pursuing 1332 Innovation Waivers

Roundup:

California Releases Managed Care RFP/RFA Schedule
Colorado Regional Accountable Entity RFP Released
Illinois Publishes Medicaid Managed Care RFP Bidders List
KentuckyOne Health to Sell Louisville Hospitals
McCance-Katz Nominated to Lead SAMHSA
Supreme Court Allows Nursing Home Arbitration Agreements

Download

May 10, 2017

In Focus:

States Receive More Time to Bring HCBS Settings into Compliance

Roundup:

Arkansas Tightens Eligibility for Medicaid Expansion
Florida Budget Includes Hospital Payment Cuts
Last Remaining Insurer May Exit Iowa Exchange
Louisiana to Consider Medicaid Work Requirements
Maryland Exchange Plans Seek 38.5 Percent Premium Hike
AHCA Provision to End New York County Responsibility for Medicaid Funding
New Jersey DHS Outlines Accomplishments, FY 18 Initiatives
House Narrowly Passes AHCA Bill

Download

May 3, 2017

In Focus:

Depression Mapping and “Hot-Spotting” Reveals Potential Best Practices

Roundup:

Delaware Medicaid Managed Care RFQ Released
Florida Legislature Debates Hospital Cuts
Michigan Behavioral, Physical Health Integration Update
New York Medicaid Transportation Management Contract Awarded
Puerto Rico Medicaid Funding Agreement Reached by Congress
House Republicans Discuss Changes to Stalled ACA Repeal, Replace Bill
Access to Care for Medicaid Members Is Comparable to Private Insurance, Study Says

Download

April 26, 2017

In Focus:

Medicaid MCO Enrollment Update – Q1 2017

Roundup:

D.C. Issues Medicaid ACO RFI
Florida, Maine, Ohio Consider Medicaid Work Requirements
Ohio House Finance Committee Delays MLTSS Implementation
Rhode Island Announces Medicaid MCO Contract Awards
States Look to Reinsurance Programs to Stabilize Exchanges

Download

April 19, 2017

In Focus:

Alabama, Ohio Medicaid MLTSS Program Overviews

Roundup:

Florida LIP Funding Restoration Approved by CMS
Indiana’s HIP 2.0 Gaining Attention as Medicaid Expansion Model
Kansas Legislature May Revisit Medicaid Expansion
Wisconsin Seeks Approval for Medicaid Drug Screening, Work Requirements

Download

April 12, 2017

In Focus:

Indiana Smoking-Attributable Medicaid Expenses Report

Roundup:

Alabama Publishes MLTSS Concept Paper
Illinois to Shift 26,000 MCO Members to Fee-For-Service
Massachusetts Seeks Waiver Flexibility in Letter to CMS
North Carolina House Introduces Medicaid Expansion Bill
Ohio Releases Timeline for Medicaid MLTSS Procurement
Oklahoma Considers Provider Rate Cuts
Pennsylvania Releases Independent Enrollment Broker RFP
States Seek Waiver Funds for SUD Treatment Facilities

Download