November 8, 2023
In Focus:
Roundup:
View RoundupNovember 1, 2023
In Focus:
Michigan Releases Medicaid Managed Care RFP
Roundup:
Alabama Releases Modular Electronic Visit Verification RFP
California Submits Section 1115 Medicaid Waiver Amendment to Provide Rental Assistance
Florida Legislators File Bills to Study Impact of Potential Medicaid Expansion on Individuals Aged 18 to 26
FL Congressional Democrats Ask CMS to Monitor Their State’s Medicaid Eligibility Redeterminations Process.
Georgia Bidding Conference for Medicaid Managed Care Contracts Is Attended by Several Health Plans.
Georgia Democratic Leaders Call on Governor to Implement Full Medicaid Expansion
Mississippi Medicaid Managed Care Procurement Stalls Following Protests from UnitedHealthcare, Elevance
New Hampshire Providers to Receive Another Increase in Medicaid Payment Rates
Pennsylvania Bill Would Reinstate Medicaid Coverage of Most Dental Services
CMS Releases Final Rule to Increase Payments to ESRD Facilities by 2.1 Percent
Bright Health Group, Friday Health Plans Owe $1.1 Billion in Exchange Risk-Adjustment Payments
October 25, 2023
In Focus:
CMS Releases Medicaid LTSS Expenditures Report for FY 2020
Roundup:
View RoundupOctober 18, 2023
In Focus:
Cut to the Point: A Summary of 2024 Star Rating Cut Point Changes
Roundup:
Arizona to Release Medicaid PBM RFP ‘in the Coming Weeks’
Medicaid Eligibility Redeterminations News: Arizona, Florida, Georgia, Mississippi, North Carolina, Texas, Wyoming
Florida Launches Dental Provider Incentive Program
Minnesota Eliminates Parental Fees for Medicaid Coverage of Children With Disabilities
Nevada Governor Proposes Exchange Reinsurance in ‘Revision’ to Public Option Law
New York Medicaid Spending Exceed Expectations, Report Finds
North Carolina Receives Final Federal Approval for Medicaid Expansion
Oregon Announces 3.4 Percent Increase in 2024 Capitation Rates for Medicaid Coordinated Care Organizations
Oregon Releases RFP to Expand PACE Services
Long-term Services, Supports Spending Falls as Percentage of Total Medicaid Expenditures, CMS Reports
State Medicaid Programs Disenroll 8.8 Million Beneficiaries During First 6 Months of Redeterminations, KFF Finds
Alignment Health, Walgreens to Jointly Market Medicare Advantage Plans in 2024
October 11, 2023
In Focus:
Florida Releases Procurement for Statewide Medicaid Prepaid Dental Program
Roundup:
Medicaid Eligibility Redeterminations News: Alabama, Alaska, Arizona, Arkansas, Florida, Maine, Missouri, New Mexico, Oregon, Texas, Wyoming
Arizona Receives Five Bids for Medicaid Managed Long-term Care Contracts
California Enacts Law Advancing State Toward Universal Healthcare System Such As Single-payer
Idaho Medicaid Value-based Care Organizations Ask State to Stick with Current Model
Kentucky Reports Savings Following Removal of PBMs from Medicaid Program
Nevada Extends Deadline for Medicaid Managed Care RFI
New York to Launch Medicaid Social Care Networks to Address Health-related Social Needs
Dual Demos in New York, Ohio, Washington Show Mixed Results, CMS Reports
Cigna Purchases Digital Health Company Bright.md
October 4, 2023
In Focus:
Kansas Releases KanCare, CHIP Medicaid Managed Care RFP
Roundup:
View RoundupSeptember 20, 2023
In Focus:
CMS AHEAD Model Offers a Flexible Framework for State-Led Total Cost of Care Initiatives
Roundup:
Help at Home to Cease Operations in Alabama
Arkansas Working Group Makes Recommendations Aimed at Improving Foster Care System
Florida Delays Bidding for Medicaid Managed Care Contract
AmeriHealth Caritas Names Melody Bonomo as Florida Market President
Nebraska Launches Program to Enroll Inmates Nearing Release in Medicaid
Nevada Medicaid Plan Aims to Improve Maternal Health-related HEDIS Scores
New Mexico Seeks Public Comments on Section 1115 Waiver Renewal Application Addendum
North Dakota Seeks Public Comments on IDD HCBS Waiver Renewal Application
Medicaid Eligibility Redeterminations News: Florida, Kansas, Louisiana, Mississippi, Nevada, North Carolina, Texas, Virginia
Utah Considers Carve Out of Medicaid ACO Pharmacy Benefits to Fee-for-Service
Vermont Releases HCBS Business Supports RFP
NCQA Includes Equity Measure in 2023 Health Plan Quality Ratings
CVS Health/Aetna Promotes Mark Santos to Head of Medicaid
September 13, 2023
In Focus:
New Hampshire Releases Medicaid Managed Care RFP
Roundup:
Redeterminations News: Arizona, Arkansas, Idaho, West Virginia
California Medicaid Director Jacey Cooper Is Leaving to Join CMS
District of Columbia Receives Approval for Community-Based Mobile Crisis Services SPA
Florida Renews Medicaid Utilization Management Contract with Acentra Health
Hawaii Receives $4 Million Project LAUNCH Federal Grant to Improve Children’s Behavioral Health
Michigan Expects Medicaid Community Health Worker Benefit to Impact 50,000 Residents If Approved
BCBS-NC Names Angela Boykin CEO of Medicaid Plan
Oregon to Seek Federal Approval for Basic Health Plan
Pennsylvania to Review Rates for Providers Serving Individuals with Intellectual Disabilities, Autism
CMS to Lower Cost of 34 Prescription Drugs Beginning October 1
Walmart May Buy Majority Stake in ChenMed
September 6, 2023
In Focus:
Virginia Releases Cardinal Care Medicaid Managed Care RFP
Roundup:
California Medi-Cal Contracts Are Scheduled to Begin January 1
PBMs Face Lawsuit from Los Angeles County Over Opioid Crisis
Georgia Receives Approval of Waivers to Streamline Medicaid Unwinding Process
Montana Medicaid Providers Face Further Delay in Receiving Increased Rates
New York Managed Long-term Care Plan Is Closing Down
Oregon to Step Up PBM Regulation After Audit Finds Lax Oversight
Pennsylvania Senate Passes Bill to Raise Reimbursement Rate for Ambulance Services
Tennessee Awards Findhelp Contract to Connect Medicaid Beneficiaries with Social Services
Virginia Proposed Budget to Renew Individual Market Reinsurance Program
West Virginia Receives CMS Approval for Medicaid Mobile Crisis State Plan Amendment
CMS to Provide Funding to Help States Implement AHEAD Total Cost of Care Delivery System Model
Molina Acquires My Choice Wisconsin
August 30, 2023
In Focus:
CMS Takes Next Major Step in Medicare Drug Price Negotiation Program
Roundup:
North Carolina Medicaid Expansion Will No Longer Launch on October 1
Georgia Looks to Increase Oversight of Medicaid Plans
Idaho Gears Up for Transition to Single Behavioral Health Plan Covering Inpatient, Outpatient Services Medicaid Eligibility Redeterminations News: Alaska, Illinois, Maine, Massachusetts
Indiana Medicaid Beneficiaries Struggle to Access Dental Care
Iowa Increases Medicaid Reimbursements for Substance Abuse, Mental Health Counseling
Michigan Governor to Call for Legislation Locking in ACA Protections
Nevada Awards Magellan Contract for Complex Behavioral Care Management for Youths
North Carolina Medicaid Expansion Will No Longer Launch on October 1
Oklahoma Proposes 12 Months of Continuous Eligibility for Children on Medicaid, CHIP
CMS Takes Additional Action to Halt Wrongful Medicaid Disenrollments
Biden Administration Announces Ten Drugs for Direct Medicare Negotiation with Manufacturers
Centene to Sell Circle Health Group to PureHealth