Weekly Roundup

August 9, 2017

In Focus:

North Carolina Outlines Medicaid Managed Care Program Design

Roundup:

Arkansas Names DMS Director
Temporary Cuts to Medi-Cal Reimbursements Ruled Improper
Florida Medicaid Waiver Receives CMS Approval
New Jersey 1115 Waiver Extension Approved
New York FIDA Duals Demonstration Expands
New York Previews CCOs for Individuals with I/DD
Maine Waiver Calls for Work Requirements, Premiums
Washington Duals Demo Shows Positive Quality, Cost Results

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August 2, 2017

In Focus:

Chronicle Of A Death Foretold: ACA Repeal And Replace Stalls in Senate

Roundup:

Alabama to Pursue an Alternative to Regional Care Organizations
Colorado Issues Regional Accountable Entities RFP
Florida Releases Medicaid Prepaid Dental Program RFI
Illinois Begins Making Overdue Payments to Medicaid Plans
Indiana Issues RFI for FFS Medicaid PBM
New York Provides DSRIP Year 2 Results
Pennsylvania Delays HealthChoices Implementation
Centurion Retains Tennessee Correctional Health Contract
CMS Outlines DSH Funding Reductions Set to Begin in October

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July 26, 2017

In Focus:

Virginia Releases Medallion 4.0 RFP

Roundup:

Mississippi True, Anthem Protest Medicaid MCO Awards
Nebraska, Montana Propose Medicaid Provider Payment Cuts
New York Demonstrates Progress in Reducing Avoidable Hospital Use
New York Awards Contract to Administer Medicaid Insurance Programs
Medicaid Expansion States See Decline in Unpaid Medical Bills, Higher Financial Satisfaction

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July 19, 2017

In Focus:

Florida Releases Statewide Medicaid Managed Care (SMMC) Procurement

Roundup:

Virginia Releases Medallion 4.0 Statewide Medicaid Managed Care RFP
Arkansas Submits Waiver Rolling Back Medicaid Expansion, Adding Work Requirement
Aetna, CCPN Sign Network Agreement in Rural North Carolina
Ohio Developing 1332 Innovation Waiver to Eliminate Individual, Employer Mandates
Texas STAR+PLUS, STAR, CHIP Operational Start Dates Aligned to September 2019
CMS Proposes to Reduce 340B Drug Payments to Hospitals

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July 12, 2017

In Focus:

Medicaid MCO Enrollment Update – Q2 2017

Roundup:

CMS Approves Alaska’s 1332 Waiver for Reinsurance Program
Illinois House Overrides Budget Veto After Two-Year Stalemate
New York Legislative Session Summary
New York Releases Draft Application for Care Coordination Organizations for People with I/DD
Oregon County Sees 17 Percent Drop in Cardiac Arrests After Medicaid Expansion
Pennsylvania DHS Secretary Leaves Wolf Administration for Geisinger Health
Texas HHS Deputy Executive Commissioner to Step Down
Wisconsin Family Care and IRIS Managed Care Contracts for Dane County Awarded
Study: Medicaid Beneficiaries Satisfied with Coverage, Care

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June 28, 2017

In Focus:

Better Care Reconciliation Act of 2017 Summary

Roundup:

California Single-Payer Bill Dies
Delaware Identifies RFQ Respondents
Florida ITN to be Released July 14, 2017
Massachusetts Co-op Seeks Shift to For-Profit Status
Texas IDD Managed Care Pilot Contract Awards Announced
Senate Delays Health Bill Vote Until After July 4 Recess
CBO Projects 22 Million Would Lose Health Care Coverage under Senate Bill; Federal Deficit Reduced by $321 Billion

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June 21, 2017

In Focus:

NASBO’s Spring 2017 Fiscal Survey of States

Roundup:

MississippiCAN Medicaid MCO Awards Announced
Virginia Medicaid MCO RFP to be Released Early Summer
Florida Governor Signs Nursing Home Reimbursement Bill
MDwise to Exit Indiana Exchange in 2018
Nevada Governor Vetoes Medicaid-for-All Bill
Kansas Governor Signs Bill Reversing Some Rate Reductions
Maryland’s Evergreen Health Approved for Acquisition, For-Profit Conversion
MACPAC Publishes June 2017 Report to Congress

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June 14, 2017

In Focus:

Duals Demonstration Enrollment Update

Roundup:

Oklahoma Cancels SoonerHealth+ Procurement
Illinois to Delay Medicaid Managed Care Awards
Iowa Proposes Waiver to Stablize Exchange Market
Ohio Senate Proposes Medicaid Cuts To Fill Budget Gap
States Continue to Lag in Shift to HCBS, Report Says
AHCA Could Result in 13 Million More Uninsured, Per Actuary Report

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June 7, 2017

In Focus:

Texas Budget and Health Care Legislation Summary

Roundup:

California Senate Approves Bill to Establish Single-Payer Health System
Colorado Governor Signs Medicaid Home Health, Conflict-Free Case Management Bills
Michigan Children’s Medicaid Dental Care RFP Released
Nevada Legislature Passes Bill to Create Medicaid Buy-in Program
New York Governor Promulgates Emergency Regulations to Protect Health Insurance Coverage
Anthem to Exit Ohio Exchange Market Statewide in 2018
West Virginia to Transition Medicaid Pharmacy Benefits Back to Fee-For-Service

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May 31, 2017

In Focus:

HMA’s Vern Smith Discusses Medicaid Per Capita Caps in Health Affairs Blog Post

Roundup:

DC Announces Intent to Award Medicaid MCO Contracts
Indiana Adds Work Requirement to HIP 2.0 Waiver Extension Application
BCBS of Kansas City Announces Missouri Exchange Exit
Nebraska Dental Managed Care Contract Awarded to MCNA
New Jersey Bill Would Establish Medicaid Reimbursement Rate for Personal Care Services
New Mexico MCO Procurement Schedule Announced
Ohio AG Files Lawsuits Against Five Drug Companies Over Opioid Epidemic
Texas Legislature Passes Budget, Reducing Medicaid Spending by $1.9 Billion

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