Weekly Roundup

May 16, 2018

In Focus:

Medicaid and Exchange Enrollment Update – 2017-18

Roundup:

CMS Approves Maryland All-Payer Model
Connecticut Budget Reverses Medicaid Cuts
Fidelis Care Files Petition with New York Attorney General
Alaska Medicaid Backlog Stalls Provider Payments
Vermont Voluntary All-Payer ACO Enrollment Hits 112,000
Trump Administration Announces Plan to Lower Drug Prices

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May 9, 2018

In Focus:

Electronic Visit Verification: Implications for States, Providers, and Medicaid Participants

Roundup:

CMS Rejects Kansas Medicaid Lifetime Limit Waiver Proposal
Medicaid Expansion to Appear on Utah Ballot
New Hampshire Gains Approval for Medicaid Work Requirements
Texas HHSC Commissioner Retires Amid Contract Scrutiny
Illinois to Expand Medicaid Mental Health, Substance Abuse Treatments
Harvard Pilgrim Health Care, Partners Healthcare in Merger Discussions

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May 2, 2018

In Focus:

Medicaid Community Engagement Initiatives: A Comparison of Three States

Roundup:

Florida Announces Winners of Medicaid MCO Procurement, Protests Follow
Idaho to Decide on Medicaid Expansion with Ballot Initiative
Maine Advocates File Lawsuit to Force Governor to Expand Medicaid
New Jersey MCO Carve-In of Mental Health, SUD Services for Certain Eligibility Groups Planned for July 1
Ohio Medicaid Submits Work Requirements Waiver
Non-Expansion States Should Reconsider Medicaid Work Requirements, CMS Cautions
Uninsured Rate Rises, Commonwealth Fund Report Shows

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April 25, 2018

In Focus:

MLTSS Implementation Plans in North Carolina and New Hampshire

Roundup:

Florida Announces Winners of Statewide Medicaid Managed Care Procurement
Alabama Releases RFP for Administrator of LTSS Patient-Centered Care Program
District of Columbia Proposes 4 Percent Cut to Medicaid MCO Rates
Medicaid Work Requirements Debated in Kansas, Michigan, Pennsylvania, Tennessee
New York DoH Approves Centene, Fidelis Deal

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April 18, 2018

In Focus:

The Policy, Implementation and Operations of Medicaid Personal Responsibility Initiatives: An Introduction

Roundup:

Utah to Decide on Medicaid Expansion through Ballot Initiative
Tennessee House Rejects Medicaid Expansion Amendment
Louisiana Medicaid Expansion Results in Jobs, Generates Tax Revenues, Study Says
Illinois Freezes Medicaid Enrollment at BCBS-IL
New York Receives Approval for Care Coordination for Individuals with I/DD
More Governors Propose Medicaid Enhancements Than Cuts, Says Kaiser Study

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April 11, 2018

In Focus:

Medicaid Managed Care Spending in 2017

Roundup:

Texas Releases MCO RFP for STAR, CHIP
Texas Cancels Rural CHIP MCO Contract Awards
Pennsylvania Court Rules in Favor of MCO Award Protest
New Hampshire Releases MLTSS Implementation Plan
New Jersey Outlines Anti-Addiction Program Spending Plans
New York Legislature Approves Final SFY 2018-19 Budget
Ohio Medicaid To Investigate PBM Pricing
Virginia Moves Closer to Medicaid Expansion
CMS Issues Final Rule Allowing States Flexibility in Defining ‘Essential Health Benefits’
Study: Medicaid Enrollees Have Better Access to Care Than Uninsured

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April 4, 2018

In Focus:

Alabama Integrated Care Network Program

Roundup:

Arkansas, Kentucky Implement Medicaid Work Requirements
California Files Antitrust Lawsuit Against Sutter Health
Kansas Rejects Proposed Medicaid Expansion Amendment
Louisiana Rejects Bill to Transition LTSS to Managed Care
New York Reaches Deal with Fidelis, Centene
Admissions, ER Visits Lower Among Duals Who Receive Home-Delivered Meals, Study Says
ACA Exchange Enrollment Falls 3 Percent in 2018

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March 28, 2018

In Focus:

New York Medicaid Redesign: Roles and Responsibilities

Roundup:

Utah Passes Partial Medicaid Expansion; Awaits CMS Approval
Nebraska Nursing Facilities Put Into Receivership
Community Health Systems to Sell Three Tennessee Hospitals
New York Governor Proposes Budget Strategy to Take Medicaid Health Plan Reserve Funds
OIG Claims California Enrolled 450,000 Ineligible Medicaid Expansion Members
Sendero Health Plans to Exit Texas STAR Medicaid, CHIP Programs
CMS Proposal Would Roll Back Certain Medicaid Access to Care Monitoring Requirements

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March 21, 2018

In Focus:

HCBS Settings Rule Issue Briefs

Roundup:

Florida Governor Scott Signs Opioid Bill
Michigan Awards Behavioral Carve-In Contracts
Montana Medicaid Expansion Boosts Economy, Report Says
New York Senate, House Respond to Governor’s Executive Budget Proposal
New York Names Frescatore Medicaid Director
Exchange Stabilization Efforts Stall in House
MACPAC Calls for Streamlining Medicaid Managed Care Authority

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March 14, 2018

In Focus:

SNP Provisions of the Bipartisan Budget Act of 2018

Roundup:

Florida, New Jersey FY 2019 Budgets Include Key Healthcare Provisions
CMS Denies Idaho Plan to Skirt ACA Requirements
Illinois Passes Hospital Assessment Plan
Iowa Announces Medicaid Managed Care RFP Respondents
Minnesota Releases Special Needs BasicCare RFP
Nebraska Medicaid Expansion Advocates Launch Ballot Initiative
New York FQHCs Plan Merger
Texas Awards CHIP Rural and Hidalgo Service Areas Contracts

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