Weekly Roundup

May 20, 2020

In Focus:

Medicare FY 2021 Hospital Inpatient Proposed Rule, Federal Flexibilities for COVID-19

Roundup:

State Budget News: California, Michigan
Hawaii Medicaid Enrollment Hits 348,000 as Applications Spike
Kansas Medicaid Director Adam Proffitt Resigns
Nebraska Is on Track to Implement Medicaid Expansion
Oklahoma Senate Confirms Kevin Corbett to Head OHCA
1199SEIU, Home Care Providers Call On Congress for Support
CMS Gives States Medicaid Managed Care Rate Flexibility
States Expect Medicaid Spending Growth to Accelerate
Medicaid Plan Profit Margin Dips to 0.1% In 2019

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May 13, 2020

In Focus:

Medicaid Managed Care Spending in 2019

Roundup:

California Faces $54 Billion Budget Deficit
Colorado Eyes 25 Percent Cut to IDD Services
Florida Projects $1 Billion in Additional State Medicaid Costs
Illinois SEIU, Nursing Homes Continue to Negotiate
New Mexico Medicaid Serves 40 Percent of State Population
New York Requests Emergency Medicaid Waiver Extension
Ohio to Cut Rates to Medicaid Managed Care Plans
Pennsylvania Projects Financial Hit to CHIP
Texas Awards STAR Kids Medicaid Contract to Aetna
CMS Issues Final Rule, Backs Off Plan to Alter Auto Re-enrollment Process on Exchanges

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May 6, 2020

In Focus:

50-State Survey of Medicaid Pharmacy Directors

Roundup:

Colorado Public Option Bill Is Tabled Until 2021
Illinois Hospital Files Federal Lawsuit Claiming Inadequate State Oversight of Medicaid Plans
Maine Experiences Surge in Medicaid Enrollment
Missouri Advocates Gather Enough Signatures to Put Medicaid Expansion on November Ballot
North Carolina Gets COVID-19 Relief Package, But Not Medicaid Expansion
Texas Taps Stephanie Stephens as Medicaid Director
Virginia Order to Make Medicaid Services More Accessible
HHS Signals Approach to Distributing CARES Act Funds to Medicaid Providers
Molina Healthcare to Acquire Magellan Complete Care

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April 29, 2020

In Focus:

Majority of Full Benefit Dual Eligibles Are Not Enrolled In Integrated Program

Roundup:

Medicaid Expansion News: Florida, North Carolina
New Jersey to Temporarily Increase Wages for Professionals Caring for Adults with IDD
New Jersey Issues Behavioral Telehealth Guidelines
New York Signals Additional Cuts to Health Care
Rhode Island Names Benjamin Shaffer as Medicaid Director
Tennessee Plan to Use Medicaid Funds to Care for Uninsured COVID-19 Patients Is In Doubt
Washington Receives Federal Approval for Section 1115 Emergency Medicaid Waiver
Exchange Plans Win $12 Billion Supreme Court Ruling

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April 22, 2020

In Focus:

Dual Eligible Financial Alignment Demonstration Enrollment Update

Roundup:

Medicaid Expansion News: Arkansas, North Carolina, Oklahoma
California Delays CalAIM Implementation
Illinois Foster Families Worry Transition to Managed Care Will Disrupt Care
Oklahoma Submits HAO Waiver for Federal Approval
Washington Releases Medicaid Integrated Managed Care RFP for Additional Service Areas
Trump Administration Lacks Details on Plan to Cover Treatment of Uninsured COVID-19 Patients

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April 15, 2020

In Focus:

Medicare and Medicaid Telehealth Coverage in Response to COVID-19

Roundup:

Medicaid Expansion News: Florida, Nebraska
Oregon Could See Medicaid Enrollment Increase by 320,000
Health Systems Criticize HHS for Tying Emergency COVID-19 Funding to Medicare Billings
Many ACOs May Leave Medicare Shared Savings Program
Molina, NextLevel Health Break Off Merger Talks
Blue Shield of California Affiliate to Buy Brown & Toland

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April 8, 2020

In Focus:

HMA Model Provides Forecast of COVID-19 Impact on Medicaid, Marketplace, Uninsured

Roundup:

Medicaid Expansion News: Alabama, Tennessee, Texas
Louisiana Medicaid Director Ruth Johnson Takes Office
Missouri FQHCs Face Financial Hardship as COVID-19 Keeps Patients Home
New York Reaches Final Budget for Fiscal 2021
CMS to Raise Medicare Advantage Plan Payment Rates by 1.66 Percent in 2021
CMS Delivers $34 Billion to Medicare Providers, Suppliers Through Accelerated and Advance Payment Program

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April 1, 2020

In Focus:

HMA Review of State Appendix K Waivers in Response to COVID-19

Roundup:

Medicaid Dental Managed Care News: Florida, Louisiana
Hawaii Postpones Implementation of New Medicaid Managed Care Contracts Amid COVID-19 Outbreak
Navajo Nation President Vetoes New Mexico Medicaid Managed Care Initiative
New York Governor to Refuse Federal Medicaid Aid
South Carolina Puts Limit on Medicaid Mental Telehealth
Texas Cancels STAR, CHIP Procurement, Scraps STAR+PLUS Awards
Wisconsin Expects Medicaid Expenditures to Surge
Healthcare.gov Will Not Have Special Enrollment Period

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March 25, 2020

In Focus:

D-SNP 2021 Hospital and Skilled Nursing Facility Admission Data Sharing Requirements: States and Health Plan Opportunity to Support Care Transitions

Roundup:

1135 Waiver News: Arizona, California, Illinois, Iowa, Massachusetts, Minnesota, New York, North Carolina, Oklahoma, Washington
Alaska to Ration Medicaid Payments
Arizona Legislature Passes Hospital Fee
Missouri Medicaid Expansion Initiative Has Enough Signatures for November Ballot, Backers Say
Oklahoma Health Care Authority Releases HAO Waiver for Public Comment
CMS Issues Guidance on 6.2 Percent Medicaid FMAP Increase

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March 18, 2020

In Focus:

Medicare and Medicaid Flexibilities During Public Health Emergencies

Roundup:

Florida Receives Federal Approval for 1135 Medicaid Waiver to Help Address COVID-19
Florida Lawmakers Agree on Budget Without Cuts To Medicaid Supplemental Payments
Illinois Bill Would Further Delay Transition to Managed Care for Foster Children
New Jersey Seeks to Re-open ACA Enrollment
New York Medicaid Redesign Team to Recommend Cuts
House Passes FMAP Increase as Part of COVID-19 Relief Bill
Medicare to Cover In-Home Telehealth Visits Nationwide in Response to COVID-19

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