Weekly Roundup

September 19, 2018

In Focus:

Texas Health and Human Services Commission Submits Legislative Appropriations Request

Roundup:

Arkansas Drops 4,300 Medicaid Expansion Members for Failing to Meet Work Requirements
Michigan Medicaid Expansion Improved Health, Finances of Low-Income Adults, Study Finds
Pennsylvania-based Jefferson Health, Einstein Healthcare Network to Merge
Colorado to Treat 2,000 Prisoners With Chronic Hepatitis C
Wisconsin Transitions to Maximus for Medicaid HMO Enrollment Broker Services
Uninsured Rate Unchanged at 8.8 Percent in 2017

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September 12, 2018

In Focus:

Dual Eligible Financial Alignment Demonstration Enrollment Update

Roundup:

Arkansas Work Requirements Result in 4,600 Losing Coverage
California Allows State Regulators to Veto Proposed Health Plan Mergers
Massachusetts Releases Duals Demo 2.0 RFI
Michigan Seeks Federal Approval for Work Requirements
Tennessee Rereleases Pharmacy Claims Processing System RFP
ACA Exchange Plan Premiums to Rise 3.6% in 2019

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September 5, 2018

In Focus:

North Carolina and District of Columbia Medicaid Managed Care RFPs

Roundup:

California Passes Bill to Cap Dialysis Reimbursements
New Hampshire Releases Medicaid Managed Care RFP
Mississippi Re-releases CHIP RFQ
New York MLTC Plan GuildNet to Shut Down
Magellan Receives Medicaid Contract in Florida
Illinois Halts Enrollment into BCBS Dual Plan
Phillips Appointed Texas HHSC Executive Commissioner
Steckel Named Kentucky Medicaid Commissioner
Oregon Health Share CEO Steps Down
Montana to Restore Medicaid Provider Rate Cuts
Iowa to Increase Medicaid MCO Rates
Oklahoma Considers Provider Rate Increases

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August 22, 2018

In Focus:

Medicaid Community Engagement, Work Requirement and Consumer Empowerment Programs: Key Implementation and Operations Issues and Considerations

Roundup:

North Carolina Releases Medicaid Managed Care RFP
D.C. Releases RFP to Reprocure Medicaid MCO Contracts
Arizona Releases RFI Concerning Potential Integrated Health Care Program for Foster Kids
Arkansas Residents Sue CMS Over Work Requirements
Ohio to Transition PBM Contracts to Transparent Pricing
Kansas Judge Denies Temporary Injunction in Medicaid Managed Care Awards Dispute
GAO, CMS Call for Scrutiny of Medicaid Managed Care

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August 8, 2018

In Focus:

New Report Assesses Effects of a Single-Payer Model for New York

Roundup:

Florida Healthy Kids Releases CHIP Medical Services, Coverage ITN
Illinois Enacts Law To Address Medicaid Eligibility Backlog For Nursing Home Residents
North Carolina Awards Enrollment Broker Contract to Maximus
Washington Awards Medicaid Dental Contracts
Medicaid Expansion Makes Diabetes Medication More Affordable, Study Finds

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August 1, 2018

In Focus:

New Hampshire Medicaid Care Management Draft RFP

Roundup:

Mississippi Cancels CHIP Managed Care RFQ
Florida Dental Plans Drop Medicaid Award Challenge
Mississippi Medicaid Awards NEMT Contract
Wisconsin, Maine Approved for New Reinsurance Funds
Montana Governor Restores $45 Million in Medicaid Funding
HHS Expands Availability of Short-Term Health Plans
GAO Urges CMS to Increase Oversight of Medicaid Managed Care Plans, Track Over-Payments

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July 25, 2018

In Focus:

Washington FQHC Alternative Payment Methodology

Roundup:

Texas Reissues STAR+PLUS RFP
Kentucky Restores Dental, Vision Benefits to Medicaid Beneficiaries
South Dakota Releases RFP for Medicaid, CHIP Eligibility System
California Health Exchange Rates to Rise 8.7 Percent
CMS to Resume Exchange Plan Risk-Adjustment Payments

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July 18, 2018

In Focus:

In Focus: Medicaid Managed Care Enrollment Update– Q2 2018

Roundup:

Arkansas Work Requirement Takes Effect; 7,000 Beneficiaries Fall Short
Massachusetts to Release One Care RFP in August
Ohio to Request 3-Year Extension of Dual Demonstration
Kansas, Rhode Island to Lift Limits on Hepatitis C Treatment
Oklahoma Medicaid Wins Approval for Value-Based Drug Program
New Mexico Judge Grants UnitedHealth Stay in Contract Award Dispute
New York Launches Care Management Program for People with Developmental Disabilities

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July 11, 2018

In Focus:

Mississippi Children's Health Insurance Program (CHIP) RFQ

Roundup:

Alabama Awards Integrated Care Network Contract
Arizona Releases Integrated Health Care Choice Plans RFP
Florida Awards Medicaid Prepaid Dental Program Contracts
Kansas Medicaid Managed Care Awards Face Protest
Kentucky Medicaid Work Requirement Struck Down By Judge
Maine House Sustains Medicaid Expansion Funding Veto
Nebraska Medicaid Ballot Initiative Meets Threshold
Puerto Rico Awards Medicaid Managed Care Contracts
Texas Cancels STAR+PLUS RFP

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June 27, 2018

In Focus:

MACPAC June Report to Congress Addresses Role of Managed Care in LTSS

Roundup:

Florida to Award Children’s Medical Services Contract to WellCare
Florida Decision to Award Molina Contract in Region 8 to Be Challenged By Best Care Assurance
Kansas Awards Medicaid Managed Care Contracts
Michigan Governor Signs Medicaid Work Requirements Bill
New Jersey Releases January 2019 Amendments to Medicaid MCO Contract
CMS to Increase Oversight of Medicaid Managed Care Plans, States

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