Weekly Roundup

September 20, 2017

In Focus:

Graham-Cassidy ACA Repeal-Replace Bill

Roundup:

D.C. Wins Ruling in Suit Filed by Nursing Home Residents Over HCBS
Iowa Considering Managed Care Exemption for Individuals with Serious Disabilities
New Jersey Governor Allocates $200M for SUD Initiatives
New York Blames Correctional Health Company for Death of Three Inmates
Pennsylvania Delays More Than $1B in Medicaid Payments
Texas Draft STAR+PLUS RFP Released
Graham-Cassidy Bill Gains Momentum, Vote Set for Next Week

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September 13, 2017

In Focus:

Highlights from HMA Conference on Future of Medicaid

Roundup:

MassHealth Submits 1115 Waiver Renewal to CMS
Montana Legislative Committee Blocks Medicaid Cut
New Jersey Requests Applications to Expand PACE
New York May Have Made $1.4B in Improper MLTC Payments
Ohio Releases Medicaid Managed Care Report Card
Pennsylvania Provides Update on MCO Award Challenge
Senate HELP Committee Holds Hearings on Health Reform
Senate Finance Agrees on Five-Year CHIP Reauthorization
MACPAC Set to Meet Thursday-Friday, September 14-15

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September 6, 2017

In Focus:

New Mexico Issues Centennial Care 2.0 RFP

Roundup:

HMA Announcement:
HMA, Community Care of North Carolina Form Strategic Partnership

Oregon Medicaid Audit Finds 55,000 Individuals Ineligible
New York Drug Spending Exceeds Cap, Triggering Supplemental Rebate Provisions
New Jersey Appropriates Funding Towards End-Of-Life Initiatives
Governors Offer Bipartisan Blue Print to Stabilize Exchange
Funding for ACA Exchange Enrollment Outreach Significantly Decreased

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August 30, 2017

In Focus:

Key Takeaways from HMA Report on ACA Health Insurance Tax Impact

Roundup:

Alabama MLTSS RFP Delayed
Georgia DCH Names Fulenwider Medicaid Director
MassHealth Selects ACOs, Community Partners
CareConnect Leaves New York Marketplace
Texas Medicaid Proposes 10 Percent Provider Rate Cut

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August 23, 2017

In Focus:

Medicaid & Exchange Enrollment Update – May 2017

Roundup:

Illinois General Assembly Passes Bill that Could Require Managed Care Rebid
New York Announces 2018 Exchange Rates
Ohio Medicaid MLTSS Plans on Hold
Pennsylvania Governor Appoints Miller as Acting DHS Secretary
HHS Delays Planned Changes to 340B Program
Senate HELP Committee to Hear from Governors, Insurance Commissioners After Labor Day

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August 16, 2017

In Focus:

HMA Weekly Roundup – August 16, 2017

Roundup:

Illinois Announces Medicaid Managed Care Awards
Georgia Medicaid Director, Deputy Director Step Down
Montana to End Medicaid Expansion TPA Contract
Nebraska Releases Final Medicaid LTSS Redesign Plans
CBO Releases Score of Exchange CSR Impact

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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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