Weekly Roundup

February 17, 2021

In Focus:

New Report Supports State Medicaid Programs to Advance Health Justice

Roundup:

Florida Healthy Kids Suffers Data Breach
Georgia House Passes Bill for Auto Medicaid Enrollment of Children Eligible for Food Stamps
Hawaii Awards Community Care Services Contract to Centene/WellCare
Chicago’s Oldest Hospital Files For Chapter 11 Bankruptcy
Nevada Issues PBM RFP For Medicaid FFS, Ryan White
Medicaid Expansion News: North Dakota, Tennessee, Texas
WI Governor Proposes Public Option With Medicaid Buy-in
Biden to Revoke Rules Allowing Medicaid Work Requirements
CMS Faces Calls to Delay Geographic Direct Contracting

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February 10, 2021

In Focus:

Medicaid Managed Care Enrollment Update – Q4 2020

Roundup:

California May Make Some Telehealth Flexibilities Permanent
Medicaid Expansion News: Florida, Mississippi, South Dakota
Kentucky Senate Panel Clears Bills to Reduce Number of Medicaid Plans, Eliminate Copays
Missouri to Contract With 3 Medicaid Managed Care Plans
Puerto Rico Needs Risk-Based Oversight of Medicaid Procurement Process, GAO Says
Tennessee Lawmakers Introduce Medicaid Buy-in Bill
House Proposal Would Raise ACA Subsidies for Two Years

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February 3, 2021

In Focus:

MACPAC Report Examines Medicaid Services for ID/DD Populations

Roundup:

Arizona Awards Medicaid Housing Contract
Drug Importation News: Colorado, Florida
Medicaid Expansion News: Georgia, Kansas, Missouri
Kentucky Releases RFP for Medicaid Fee-for-Service PBM
DentaQuest Medicaid, CHIP Lives Top 840,000 in Lousiana
New Jersey Medicaid Covers Doulas, Raises Midwives Rates
New York Retroactively Cuts Medicaid Managed Care Rates
Oklahoma Announces Medicaid Managed Care Awards
Texas Schedules STAR+PLUS Pre-Solicitation Meetings
Wisconsin Medicaid to Cover SUD Treatment

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January 27. 2021

In Focus:

The Centers for Medicare & Medicaid Services Innovation Center’s Geographic Direct Contracting Model

Roundup:

Alabama Seeks Medicaid Quality Improvement Organization
Florida Receives Medicaid Managed Care Waiver Extension
Kentucky Seeks External Quality Review Organization
Missouri Lawmakers Consider Extending Provider Tax to Fund Medicaid Expansion
New Jersey Lifts UnitedHealth Medicaid Enrollment Freeze
New Mexico Medicaid Enrollment to Hit 931,000 By June 2021
Oklahoma to Move Forward with Medicaid Managed Care
Medicaid, CHIP Enrollment to Rise 5-10 Million by 2022
Medicare ACO Membership Falls in 2021

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January 20, 2021

In Focus:

Health Management Associates Launches Institute on Addiction

Roundup:

Kentucky Medicaid Directed Payments Initiative Is Approved
North Carolina Readies for Medicaid Managed Care Launch
Ohio Delays Implementation of Medicaid Work Requirements
Pennsylvania Receives Health Care Reform Recommendations
Texas Uncompensated Care Waiver Extension Is Approved
CMS Reports 4.6 Million Medicaid Beneficiaries Were Treated for Substance Use Disorder in 2018
CMS Releases Preliminary State Medicaid Expenditure Data
CMS Rule Change Lets Physicians Prescribe Buprenorphine for Opioid Use Disorder Without Waiver
CMS Announces 2022 Medicare Advantage, Part D Rates

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January 13, 2021

In Focus:

Drivers and Barriers to Adoption of Flexible Medicare Advantage Supplemental Benefits

Roundup:

Arizona Approves UnitedHealth Group Acquisition of Certain Solstice Health Plans Operations
Colorado Releases Report on Medicaid Prescription Drugs
Medicaid Expansion News: Georgia, Oklahoma, Texas, Virginia
Minnesota Releases Medicaid Plan Procurement Timeline
Oklahoma Medicaid RFP Bidders to Include CareSource
South Carolina Governor Taps Thomas Clark Phillip Jr. as Acting Medicaid Director
Tennessee Medicaid Block Grant Receives CMS Approval
CMS Withdraws Medicaid Fiscal Accountability Rule

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January 6, 2021

In Focus:

Hawaii, Minnesota Rerelease Medicaid Managed Care RFPs

Roundup:

Hawaii Releases Medicaid Dental TPA RFI
Indiana Governor To Make Long-Term Care Reform a Priority
Kentucky Awards Medicaid Managed Care PBM Contract
Kentucky Awards Aetna Foster Care Contract
Minnesota Releases Medicaid Managed Care RFP
Nevada to Implement D-SNP Program in 2021
New Jersey DHS Commissioner to Join Biden COVID-19 Team
South Carolina Bills Propose Medicaid Expansion Referendum
Texas Releases Medicaid Plan Procurement Timelines
Congress Gives Medicare Physicians 2021 Pay Boost

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December 16, 2020

In Focus:

2020 In Review: Top Medicare-Medicaid Integration Trends and Policies

Roundup:

District of Columbia Judge Rules Medicaid Managed Care Procurement Violated Law
Florida Medicaid Finds $89.6 Million Differential Between Prices Paid to PBMs, Prices Paid to Pharmacies
Hawaii Medicaid Plans Sought to Limit Number of Award Winners in Current Procurement
Louisiana to Release Medicaid Managed Care RFP in Spring
South Carolina Medicaid Director to Step Down
Texas Sees High Early Turn Out for Exchange Plans
MACPAC Releases 2020 MACStats Medicaid, CHIP Data Book

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December 9, 2020

In Focus:

CMS Finalizes Meaningful Expansions of Medicare Telehealth Service Coverage Through 2021

Roundup:

Hawaii Releases RFP For Quest Integration Medicaid Plans
Missouri RFP To Carve-In Behavioral Health for Foster Kids
Montana Receives One-Year Extension of Medicaid Expansion
New York To Seek Medicaid Redesign Team Waiver Extension
Ohio Taps Gainwell As Medicaid Fiscal Intermediary
Oklahoma Medicaid Waiver Providers to Receive 20 Percent Retroactive Rate Adjustment
Biden’s Potential Administrative Actions Could Impact

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December 2, 2020

In Focus:

North Carolina Releases RFA For Behavioral Health, Intellectual/ Developmental Disability Tailored Plans

Roundup:

Arizona To Release Procurement in August 2021 For Expanded Integrated SMI, Medicaid Managed Care Program
Delaware Care Collaborative to Serve as Medicaid, Chip ACO
New Jersey Medicaid Plan to Terminate Contract with Children’s Hospital of Philadelphia
Oregon Governor Proposes Medicaid Cuts
Oregon CCOs Post 0.6 Percent Operating Margin
Pennsylvania Enacts Medicaid PBM Price Transparency Law
Texas To Drop Planned Parenthood from Medicaid Network
CMS Releases 2021 Physician Fee Schedule

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