Weekly Roundup

March 11, 2020

In Focus:

HMA Analysis of the 2020 Medicare Advantage Annual Election Period

Roundup:

Arizona High Court Voids State Balance Billing Law
Colorado Submits Prescription Drug Importation Proposal
Florida Nursing Homes to See Medicaid Payments Increase
Medicaid Expansion News: Idaho, Kansas, Oklahoma
Michigan Seeks Funds for Medicaid Transformation Office
New Jersey Governor Again Proposes Tax on Companies With 50 or More Employees on Medicaid
North Carolina Official Does Not Rule Out Late 2020 Transition to Medicaid Managed Care
Vermont Protesters Question OneCare’s Use of Funds
CMS Issues Guidance to Medicare Plans on COVID-19

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March 4, 2020

In Focus:

HMA Analysis of New Requirements Expanding Medicare Advantage Eligibility to Individuals with End-Stage Renal Disease

Roundup:

California Revises Medicaid Managed Care RFP Schedule
Delaware Awards Two Corrections Contracts to Centene
Georgia Lawmaker Sponsors Medicaid Buy-in Bill
Medicaid Expansion News: Kansas, Oklahoma, Texas
Michigan Work Requirements Are Struck Down
Minnesota Issues Special Needs BasicCare RFP
Tennessee Names Stephen Smith as Medicaid Director
Washington Issues Exchange Public Option Plan RFA
West Virginia Senate Approves Medicaid Dental for Adults

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February 26, 2020

In Focus:

Medicaid Managed Care Enrollment Update – Q4 2019

Roundup:

Colorado Releases Proposed Public Option Hospital Rates
Illinois Lawmaker Introduces Bill to Study Medicaid Buy-In
Kentucky Senate Passes Revised Bill to Establish Single PBM, Formulary for Medicaid Managed Care
Louisiana to Decide on Medicaid Managed Care Contract Awards Protest by March 17 at Earliest
New York Medicaid DSRIP Waiver Extension Is Denied by CMS
Vermont OneCare ACO Spends More Than Expected
West Virginia Senate Passes Medicaid Trust Fund Bill
CMS to Increase Oversight of Accrediting Organizations

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February 19, 2020

In Focus:

POTUS FY2021 Budget: Summary of Medicare Provisions

Roundup:

Washington Medicaid Rate Increase Bill Passes State Senate
Texas Health Plans Point to Scoring Inconsistencies in STAR+PLUS Contract Awards
Medicaid Work Requirements News: Arkansas, Iowa
California Exchange Sees Big Increase in New Enrollees
District of Columbia Further Extends Medicaid Managed Care RFP Deadline
Expansion News: Kansas, Wyoming
Missouri Lawmakers Seek Halt to Medicaid Disenrollments
South Dakota Issues Medicaid Job Training RFP

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February 12, 2020

In Focus:

Medicaid Expansion in Missouri - Economic Implications for Missouri and Interviews Reflecting Arkansas, Indiana, and Ohio Experiences

Roundup:

DC Medicaid Managed Care RFP Deadline Is Extended to February 14
Georgia Proposal to Drop ACA Exchange Is Delayed by Trump Administration
Illinois Medicaid Director to Step Down
Senate Committee Advances Bill to Limit Number of Medicaid Plans, Eliminate Role of PBMs
Texas HHSC Commissioner to Step Down
Medicaid Expansion updates in Missouri, Tennessee, Wyoming
Proposed HHS Funding Cuts to Impact Medicaid, Medicare
States Criticize Proposed Medicaid Fiscal Accountability Rule

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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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