Weekly Roundup

August 31, 2022

In Focus:

Roundup:

California Awards Medi-Cal Managed Care Contracts to Three Health Plans
District of Columbia Medicaid Managed Care Contract Awards Await Mayor’s Recommendations
Florida Medicaid Providers to Pay Long-Term Care Staff $15 Per Hour
Illinois Enacts Legislation to Increase Nursing Home Pay
Iowa Awards Medicaid Managed Care Contracts to 2 Health Plans
Louisiana Awards Single, Statewide PBM Contract to Magellan
Louisiana Medicaid Begins Using State Directed Payment Model for Hospitals
Mississippi Medicaid Managed Care Bidders File Protests
Nebraska Delays Medicaid Managed Care Awards to September 23
New Hampshire Releases Adult Medicaid Dental Managed Care RFP
New York Removes Barrier to Home Care M&A Activity With New Licensure Process
CMS Awards $98.9 Million to Navigators to Assist in 2023 Exchange Open Enrollment
8.8 Million Medicaid Beneficiaries Received LTSS in 2019, CMS Report Finds
Medicare Advantage Accounts for Nearly Half of All Medicare Beneficiaries, KFF Analysis Finds
Walgreens Boots Alliance Completes Acquisition of 55 Percent Stake in CareCentrix

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August 24, 2022

In Focus:

Roundup:

California Releases Mobile Crisis Intervention Services RFI
California Exchange Plans Must Resubmit 2023 Rates to Reflect Impact of Inflation Reduction Act
Florida Medicaid Enrollment to Increase 5.5 Percent, Surplus to Top $1.25 Billion in Fiscal 2023
Georgia Can Reinstate Medicaid Expansion Work Requirements, Federal Judge Rules
Nebraska Awards Maxmius Contract for MMIS Provider Services Module
New York Legislators Introduce Bill to Ease Burden of Medicaid Provider Audits, Recoveries
North Carolina Healthy Opportunities Pilot Struggles to Gain Traction
Ohio Counties Win $600 Million in Damages in Opioid Lawsuit
Oregon Health Plan to Use Tech Platform to Connect Medicaid Members to Social Services
Texas Dual Eligible Demonstration Shows Cost Reductions, Study Finds
Utah Releases Medicaid Dental Managed Care RFP
U.S. Senate Panel Investigates Medicare Advantage, Part D Marketing Tactics
Sonas Home Health Care Acquires Focus Forward Skilled Care

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August 17, 2022

In Focus:

Roundup:

Arizona Works on New Health Plan Contracts for ALTCS-EPD Program
Delaware Judge Denies Motion to Quash Audit of Medicaid Program
District of Columbia Accepts Bids from 2 Medicaid Managed Care Plans
Florida Medicaid Plan Capitated Rates to Fall, Driven by Lower Utilization
Illinois Announces PACE Program Awardees
Massachusetts Seeks Input on Improving Medicaid MCO/ACO Risk Adjustment Model
Minnesota Releases RFP for School-Linked SUD Services for Students
Missouri Medicaid Software Vendor Wins $23 Million in Lawsuit Against State
Nebraska Delays Medicaid Managed Care Awards to August 31
North Carolina Legislators Fail to Reach an Agreement on Medicaid Expansion
CMS Proposes Rule to Expand Medically Necessary Dental Services Covered by Medicare
Medicare Rates Expected to Rise 2.5 Percent for Inpatient Psychiatric Facilities in Fiscal 2023
Humana to Acquire Wisconsin-based MCO Inclusa
LHC Group Agrees to Acquire Three Rivers Home Health

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August 10, 2022

In Focus:

Roundup:

California Delays Medi-Cal Managed Care Program Awards
Connecticut HUSKY Health to Cover Additional Maternity Benefits in 2023
Florida Medicaid Managed Care RFI Responses Stress Social Determinants, Providers, HCBS
Georgia Proposal to Bypass Healthcare.gov Is Again Rejected by CMS
Idaho Releases Quality Improvement Organization RFP
Mississippi Awards MississippiCAN, CHIP Medicaid Managed Care Contracts to 3 Health Plans
Missouri Commits to Trimming Medicaid Applications Backlog Under Federal Plan
Ohio Pharmacists Express Concern Over Single PBM Program
West Virginia Medicaid Must Cover Gender-Affirming Care, Federal Judge Rules
U.S. Senate Passes Legislation Allowing Medicare to Negotiate Drug Prices, Extending Enhanced Exchange Subsidies
CVS Is Reportedly Interested in Acquiring Signify Health
UnitedHealth/Optum Acquires CareMount Medical

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