Old Weekly Roundup

May 26, 2021

In Focus:

Which Medicare Changes Should Continue Beyond the COVID-19 Pandemic? Four Questions for Policymakers

Roundup:

Florida Medicaid Providers Lag in EHR ‘Meaningful Use’
Georgia Is Likely to Extend Existing Medicaid Managed Care Contracts, Eyes Potential Clawbacks
Medicaid Expansion News; Mississippi, Missouri, North Dakota, Wisconsin
Oklahoma Legislature Approves Bill to Place Guardrails on Medicaid Managed Care Transition
Washington Medicaid Director MaryAnne Lindeblad to Step Down Effective July 31
ACA Exchange Premiums Decline for the Third Straight Year
CMS to End Next Generation ACO Model

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May 19, 2021

In Focus:

California Proposed May Revision Budget Adds Medi-Cal Expansions

Roundup:

Connecticut Releases RFP for Behavioral Health ASO
Delaware to Implement Medicaid ACO Contracts in January
Minnesota Reaches Decision on Likely Medicaid MCO Winners
Missouri Lawmakers Fail to Renew Medicaid Provider Tax
Missouri Courts Likely to Decide Fate of Medicaid Expansion
Nevada Budget Panel Approves Roll Back of Provider Cut
New Jersey Releases RFA for Burlington County PACE
North Carolina Extends Medicaid Plan Open Enrollment
Texas to Resubmit 1115 Medicaid Waiver Extension Application
SAMHSA to Offer State Block Grants for Behavioral Health

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May 12, 2021

In Focus:

CMS Inpatient Hospital Proposed Rule to Repeal Market-based MS-DRG Weight Methodology

Roundup:

Arkansas Releases MMIS Fiscal Agent RFP
California DHCS Announces Counties That Intend to Transition to Local Medi-Cal Managed Care Plan Model
Hawaii Awards MMIS Contract to Conduent
Medicaid Expansion News: Missouri, Montana, South Dakota, Wisconsin, Wyoming
Ohio Health Plan Files Lawsuit to Access Medicaid Procurement Documents
Texas House Passes Bill to Contract with Baylor Scott & White Health in Central RSA
PBM Pricing Practices Under Scrutiny by Attorneys General in Eight States
U.S. Senate Confirms Andrea Palm as HHS Deputy Secretary

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May 5, 2021

In Focus:

HMA Analysis Finds Provider Sponsored MA Plans Generally Have Lower Churn Rates

Roundup:

Indiana Medicaid NEMT Company Faces Criticism
Iowa Medicaid Director to Focus on Social Determinants
Kentucky to Rebid Medicaid Managed Care Contracts Again
Mississippi Is Likely to Extend Centene Medicaid Contract
Medicaid Expansion News: Mississippi, Missouri, National
New Jersey Budget Proposal Includes Wage Increases for Critical Care Workers
GAO Names Melanie Bella Chair of MACPAC

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April 28, 2021

In Focus:

Dual Eligible Financial Alignment Demonstration Enrollment Update

Roundup:

Georgia Wins Approval to Extend Medicaid Postpartum Coverage to Six Months
Iowa Governor Appoints Matney as Medicaid Director
Medicaid Expansion News: Missouri, Texas
Nevada Medicaid Home Care Bill Addresses Quality, Working Conditions
Ohio Health Plans Protest Medicaid Managed Care Awards
Molina to Acquire Cigna’s Texas Medicaid, MMP Contracts
CMS to Ease Medicare Price Transparency Requirements for Hospitals, Raise Payment Rates Under Proposed Rule

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April 21, 2021

In Focus:

Modest Skilled Nursing Facility Payment Update and Policy Updates in 2022 Proposed Rule

Roundup:

Arkansas House Approves Medicaid Budget
Florida Senate Budget Bill Rolls Back Medicaid Cuts
Georgia Releases NEMT RFP
Missouri Accepts Resignations of Two Top Health Officials
Missouri House Passes Budget Without Medicaid Expansion
Oklahoma House Moves to Halt Medicaid MCO Transition
Texas Medicaid Waiver Extension Is Rescinded
CMMI Director Discusses Alternate Payment Models
CMS Issues Guidance on Pricing Transparency Rule

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April 14, 2021

In Focus:

Federal Funding for Home and Community-Based Services (HCBS): Enacted and Proposed Investments

Roundup:

Medicaid Expansion News: Arkansas, Mississippi, Montana
Arkansas PASSE Program Is Eyed By CareSource
Medicaid Postpartum Coverage: Florida, Illinois
North Carolina Falls Short in Medicaid Oversight Audit
Ohio Awards Medicaid Managed Care Contracts
Oklahoma House Committee Advances Bill Challenging State’s Planned Medicaid Managed Care Transition
South Carolina Nominates Robert Kerr as Medicaid Director
Biden Is Expected to Sign Bill Extending Moratorium on Medicare Provider Cuts
CMMI Names New Model Winners

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April 7, 2021

In Focus:

Nursing Home HMA Report Highlights Benefits of Single Resident Rooms

Roundup:

Leavitt Partners Becomes Part of HMA
Arkansas Names Elizabeth Pitman Medicaid Director
Medicaid Expansion News: Indiana, North Carolina, Georgia, Missouri, Wyoming
Iowa Senate Approves Medicaid Primary Care Capitation Pilot
Michigan Medicaid Work Requirements Waiver Is Rescinded
Missouri Taps Kirk Mathews as Interim Medicaid Director
New York to Delay Medicaid Pharmacy Carve-Out Until 2023
Ohio Awards OhioRISE Managed Behavioral Plan Contract
South Carolina Awards Medicaid RAC Contract to HMS

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March 31, 2021

In Focus:

HMA Analysis of Medicare Advantage Star Rating Challenges

Roundup:

Arkansas Medicaid Work Incentive Bill Heads to Governor
California Panel Advances Inmate Medicaid Eligibility Bill
Florida Medicaid Plan Simply Healthcare Purchases Medicaid Business of Miami Children’s Health Plan
Florida House Budget Plan Includes Nursing Home Pay Cut
Expansion News: Georgia, Missouri, Wyoming
Illinois Looks to Cover CHIP Under Medicaid Expansion
Iowa Seeks Waiver on Medicaid Dental Benefits for Children
Mississippi Fails to Extend Medicaid Postpartum Coverage
Rhode Island State-Run Hospital to Restart Billing Medicaid

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March 24, 2021

In Focus:

Nevada Releases Medicaid Managed Care RFP

Roundup:

Medicaid Expansion News: Alabama, Florida, South Dakota, Tennessee, Wyoming
Arkansas House Panel Clears Medicaid Work Incentive Bill
Florida Lawmaker Introduces Legislation to Extend Medicaid Postpartum Coverage to Full Year
Hawaii Awards Medicaid Managed Care Contracts
Michigan Medicaid Expansion Impacts Dental Health
Mississippi Medicaid Plan, Others Face Investigation Over Pharmacy Benefits
Ohio Medicaid Plan to Invest $18 Million to Foster Telehealth
Utah Names Emma Chacon Interim State Medicaid Director
Pierce County, WA, Council to Vote on Medicaid Overhaul
Medicaid HCBS Would Be Mandatory Under Proposed Bill

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