Weekly Roundup

February 5, 2020

In Focus:

CMS Unveils Healthy Adult Opportunity

Roundup:

California Health Plan Tax Is Blocked
California Taps Brad Gilbert for Health Care Services Post
Florida Bill Would Require ‘Essential’ Providers to Contract with Medicaid Plans or Lose Supplemental Payments
Idaho Releases Behavioral Health Plan RFI
Montana Hopes to Invest in Community-Based Mental Health
Oklahoma Governor Announces Medicaid Plan, Including Alternative Expansion, Managed Care, Block Grants
Pennsylvania Partners with Medicaid Plans on Jobs, Training
Tennessee Governor Hopes to Extend Medicaid Postpartum Coverage to Full Year
Texas Further Delays STAR, CHIP Medicaid Plan Awards

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January 29, 2020

In Focus:

Life Plan Communities and Value-Based Payments

Roundup:

Hawaii Announces Medicaid QUEST Integration Awards
Louisiana Health Department, Medicaid Plans Appeal Decision to Throw Out Contracts
Nevada Intends to Issue Medicaid Managed Care RFP in January 2021
New Jersey Temporarily Freezes Enrollment in UnitedHealth Medicaid Plan
WellCare Withdraws Protest Against Texas STAR+PLUS Awards
Medicaid Expansion Updates in Kansas, Missouri, Oklahoma, Wyoming
Supreme Court Allows Trump Administration to Enforce Public Charge Rule

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January 22, 2020

In Focus:

DC and Kentucky Medicaid Managed Care RFPs

Roundup:

Medicaid Director Changes: California, Minnesota, Tennessee
Illinois Again Delays Transition to Managed Foster Kids
Kansas Governor to Prioritize Medicaid Expansion
Louisiana to Rebid Medicaid Managed Care Contracts
New York Medicaid Redesign Team to Tackle Budget Shortfall
Ohio Issues Plan to Address Medicaid Applications Backlog
Pennsylvania-based Hospital May Buy Health Partners Plans
Texas Wins Approval of Medicaid Waiver for Women’s Health
CMS to Again Issue Guidance on Medicaid Block Grants

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January 15, 2020

In Focus:

Texas STAR Kids - Dallas Service Area RFP

Roundup:

Arkansas PBM Case To Be Heard by U.S. Supreme Court
District of Columbia Releases Medicaid Managed Care RFP
Medicaid Expansion News: Florida, Kansas
Kentucky Releases Medicaid Managed Care RFP
Montana Awards Contract for Medicaid Medical Review
North Carolina Hasn’t Yet Set Medicaid Managed Care Transition Date, Official Says
Oklahoma Files Lawsuit Against Three Opioid Distributors
Rhode Island Issues Rite Smiles Medicaid Managed Dental LOI
Texas Delays Dallas Area STAR Kids RFP Implementation Date

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January 8, 2020

In Focus:

West Virginia Releases Medicaid Managed Care RFP

Roundup:

District of Columbia Releases Medicaid Quality Strategy
Expansion News: Georgia, Iowa, Kansas, Michigan, Mississippi, Nebraska, Utah, Wyoming
Kentucky to Rebid Medicaid Managed Care Contracts
Louisiana Awaits Approval of Emergency Medicaid Contracts
Massachusetts Announces One Care Dual Demo Awards
New York to Cut Medicaid Provider Reimbursements 1 Percent
Pharmacy News: New York, Ohio, Pennsylvania
Transportation News: Oregon, Texas
Rhode Island Issues Medicaid Dual Eligible Strategy RFI
WellCare Protests Texas STAR+PLUS Awards

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December 18, 2019

In Focus:

Highlights from Kaiser/HMA Study on Access to Reproductive Health for Low-Income Women

Roundup:

Arkansas to Limit Health Plan Ownership of PASSEs
Florida AHCA Secretary Addresses Medicaid Funding Priorities in Governor’s Budget Proposal
Massachusetts Issues Social Determinants of Health RFP
Puerto Rico Medicaid Funding Is Reduced
Texas Faces Lawsuit Over STAR+PLUS Awards
West Virginia Releases Medicaid Managed Care RFP
Appleas Court Rules ACA Mandate Unconstitutional

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December 11, 2019

In Focus:

D-SNP 2021 Integration Requirements: Opportunities for Plans, States to Partner on Medicare-Medicaid Integration

Roundup:

Connecticut Reaches Agreement on Hospital Provider Tax
Kentucky Legislative Committee Rejects Medicaid Managed Care Awards, Governor-Elect Pledges to Review
North Carolina Official Says Transition to Managed Care Will Eventually Happen
Expansion News: North Dakota, Wyoming
Virginia Medicaid Beneficiaries Turn to ER for Dental Care
West Virginia Medicaid Plan Cancels Proposed Merger with WVU Medicine

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December 4, 2019

In Focus:

NCQA’s Medicaid Health Insurance Plan Ratings 2019-20

Roundup:

Arizona Announces Medicaid Whole Person Care Initiative
Florida Unveils Five-Year Medicaid Housing Assistance Pilot
Indiana Seeks Extension of HIP Medicaid Expansion
KY Announces Medicaid Plan Awards, Likely to Face Protests
Missouri Cuts Lead to HCBS Waiting Lists
Oklahoma Hires HMA for Alternative to Medicaid Expansion
Tennessee Submits Medicaid Block Grant Proposal to CMS
Texas Releases Scoring Sheets for STAR+PLUS Awards

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November 20, 2019

In Focus:

California Releases Medicaid Delivery System Waiver Proposal

Roundup:

Colorado Issues Recommendation for Public Option
Florida Budget Proposal Includes New IDD Funding
Medicaid Expansion News: Idaho, Louisiana, Maine, Wyoming
Work Requirements News: Kansas, Kentucky, Ohio, Wisconsin
New Jersey Proposed Bill to Establish Regional Health Hub Program to Replace Medicaid ACO Demonstration
North Carolina Suspends Medicaid Managed Care Transition
CMS Backtracks on Guidance for Medicaid Block Grants, Per Capita Caps

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November 13, 2019

In Focus:

New Medicare Benefit: Opioid Use Disorder Treatment

Roundup:

California Awards Medicaid FFS Prescription Drug Contract to Magellan
Indiana Releases HIP 2.0 Waiver Extensions for Public Comment
Louisiana, Medicaid Plans Agree to One-Year Emergency Contracts
Montana Delays Medicaid Expansion Work Requirements
New York Submits Medicaid Redesign 1115 Waiver Amendment to Extend Medicaid to Incarcerated Individuals
North Carolina Issues Healthy Opportunities Pilot Program RFP
Tennessee Medicaid Releases Managed Care Re-Procurement RFI
CMS Issues Proposed Rule to Strengthen Fiscal Accountability in Medicaid

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