Weekly Roundup

April 12, 2017

In Focus:

Indiana Smoking-Attributable Medicaid Expenses Report

Roundup:

Alabama Publishes MLTSS Concept Paper
Illinois to Shift 26,000 MCO Members to Fee-For-Service
Massachusetts Seeks Waiver Flexibility in Letter to CMS
North Carolina House Introduces Medicaid Expansion Bill
Ohio Releases Timeline for Medicaid MLTSS Procurement
Oklahoma Considers Provider Rate Cuts
Pennsylvania Releases Independent Enrollment Broker RFP
States Seek Waiver Funds for SUD Treatment Facilities

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April 5, 2017

In Focus:

The 340B Drug Discount Program: Recent and Potential Regulatory Changes

Roundup:

Alabama Delays RCO Implementation
Alaska, Minnesota consider Exchange Market Reinsurance Programs
Arkansas Renews Medicaid Expansion
Medicaid Funding Cuts in Colorado, Texas Budget Proposals
Indiana Releases NEMT RFP
Wellmark to Exit Iowa Individual Insurance Market in 2018
Kansas Governor Vetoes Medicaid Expansion, Override Fails
New York Expands FIDA Demonstration
South Carolina Medicaid Director Soura Resigns
Society of Actuaries Releases Report on Medicaid MCO Profit Margins

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March 29, 2017

In Focus:

Puerto Rico Health Care Update

Roundup:

Iowa to Address Medicaid MCO Losses Through Risk Corridors
Illinois State Supreme Court Upholds Property Tax Exemption for Not-for-Profit Hospitals
Kansas Legislature Passes Medicaid Expansion Bill, Awaits Governor
New Jersey Budget Proposes Increase in DDD Funding
Pennsylvania OMAP Updates HealthChoices Implementation Timeline
Wisconsin DHS Reissues Family Care, Partnership RFPs
AHCA Bill Pulled Before Scheduled Vote

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March 22, 2017

In Focus:

Medicaid & Exchange Enrollment Update – December 2016 / January 2017

Roundup:

Florida Waiver Proposal Seeks Medicaid Flexibility
Illinois Medicaid MCO RFP Update
Indiana University Health Sells Three Hospitals
New York Executive Budget Supports Minimum Wage Increase, Extends Global Cap
Texas Opens Investigation into Medicaid Transportation Privatization
Moody’s: AHCA Would Increase Medicaid Costs for States

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March 15, 2017

In Focus:

Nebraska Releases LTSS Redesign Draft

Roundup:

Rural Georgia Hospitals Continue to Struggle Financially
North Carolina Senate Proposes Medicaid Prepaid Dental Plans
UPMC and PinnacleHealth Agree to Affiliate
Tigue Named Rhode Island Medicaid Director
Wisconsin DHS Cancels Family Care/Partnership RFP
U.S. Senate Confirms Verma as CMS Administrator
CBO Estimates AHCA Would Increase Uninsured by 24 Million
AHCA Would Strain Hospital Finances, per Moody’s and S&P
CMS Medicaid Innovation Accelerator Program National Webinar scheduled for March 27

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March 8, 2017

In Focus:

New Jersey Health Care Quality Institute Issues “Medicaid 2.0 Blueprint for the Future”

Roundup:

AHCCCS Announces ALTCS Contract Awards
Arkansas Gov. Seeks Medicaid Expansion Work Requirements, Eligibility Limits
UnitedHealth Completes Acquisition of Rocky Mountain Health Plans
Advocate, NorthShore Abandon Plans to Merge
MassHealth Selects Optum as TPA for LTSS Programs
Oregon Study Highlights Upsides, Limitations of Medicaid Expansion
House Republicans Release ACA Replacement Plan, To Cap Federal Medicaid Funding
Republican Governors Criticize House ACA Bill, Continue Drafting Alternative Proposal
Brian Neale Nominated as Director of the Center for Medicaid and CHIP Services

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March 1, 2017

In Focus:

Illinois Issues RFP to Rebid Medicaid Managed Care Programs, Expand Statewide

Roundup:

Centene Ends Partnership with Alabama RCO
Kansas House Advances Bill to Expand Medicaid
New Jersey DOH Posts DSRIP Update
New York Duals Demo Extended, Expanded
Vermont All-Payer ACO Model to Begin with Medicaid Pilot
Wisconsin Releases Family Care, Family Care Partnership RFP

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February 22, 2017

In Focus:

Washington Releases Fully Integrated Managed Care RFP for North Central RSA

Roundup:

MDwise to Withdraw from Indiana’s Hoosier Care Connect
Texas CHIP Rural and Hidalgo Service Areas RFP Released
Florida AHCA Posts Statewide Medicaid Managed Care LOI Responses
Colorado Medicaid to Receive Mid-year Budget Increase
Medicaid Expansion to Appear on Ballot in Maine
Minnesota Audit Finds State Lacks Adequate HCBS Oversight
House Leadership Outlines Elements of ACA Repeal and Replace
Medicaid Innovation Accelerator Program National Webinar scheduled for February 27

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February 15, 2017

In Focus:

Duals Demonstration Enrollment Update

Roundup:

Georgia Extends Hospital Assessment Program
Connecticut Governor Proposes Medicaid Cuts
New York Exceeds Global Cap Citing Drug, LTSS Spending
Moda Health Prevails in Risk Corridor Lawsuit
Magellan Awarded South Carolina Pharmacy Contract
Vermont Contracts with OneCare for One-year ACO Pilot
HHS Proposes Rule Changes Aimed at Stabilizing Exchange Markets
U.S. Senate Confirms Tom Price as HHS Secretary
Uninsured Rate Hits All-time Low of 8.8 Percent in 2016

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February 8, 2017

In Focus:

Mississippi Releases Medicaid Managed Care RFP

Roundup:

Arizona to Request Waiver Approval for Medicaid Work Requirement, Eligibility Cap
Arkansas Dental Managed Care Contract Awards Announced
Florida Announces Reprocurement Process for Statewide Medicaid Managed Care
Minnesota Legislature Passes Bill Opening Medicaid, Individual Markets to For-Profit HMOs
Missouri Governor Proposes Medicaid Provider Cuts
Utah to Move Ahead on Limited Medicaid Expansion
Study Estimates Medicaid Block Grants Could Save Federal Government $150 Billion Over Five Years
Trump Administration Submits Rule to OMB to Stabilize Exchanges

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