Old Weekly Roundup

September 30, 2020

In Focus:

HMA Analysis of 2021 Medicare Advantage Landscape and Mandatory Medicare Radiation Oncology and ESRD Treatment Choices Innovation Models

Roundup:

Delaware Medicaid to Add Dental Coverage for Adults
Nebraska Medicaid Expansion Begins October 1
North Carolina PLE Petitions to Reverse Medicaid Managed Care Procurement Ruling
Ohio Releases Medicaid Managed Care RFA
Ohio Announces Creation of Medicaid Managed Care Program for Children with Behavioral Health Needs
Texas Seeks Input On Procuring MCOs for Healthy Texas Women Program
House Democrats Unveil COVID-19 Bill That Includes $50 Billion for Healthcare Providers
Trump Administration Approves Drug Importation Program
CMS Warns of Significant Decrease in Utilization of Health Services Among Children Enrolled in Medicaid, CHIP

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September 23, 2020

In Focus:

CMS Eyes Medicaid Alternative Payment Models (APM) Expansion to Control Growth in Spending

Roundup:

Delaware Approves Four ACOs to Serve Medicaid Population in 2021
New York Finds $700 Million in Improper Medicaid Payments
Vermont ACO Pilot Program Failed to Meet Enrollment, Spending Targets
House Passes Federal Funding Bill to Relax Repayment Terms for COVID-19 Medicare Loans
CMS Announces Additional $165 Million MFP Funding for 33 States
Justice Ginsburg’s Death Could Jeopardize the ACA
CMS Innovation Agency Announces Roll Out of Risk-Based Model for Dual Eligibles

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September 16, 2020

In Focus:

Missouri Pharmacy and Clinical Services Management Solution RFI; Kentucky Pharmacy Benefit Manager RFP

Roundup:

California to Release Medi-Cal Managed Care RFP in Late 2021
Nevada Medicaid Enrollment Increases by 87,000
North Carolina Voters Support Medicaid Expansion, Poll Finds
North Dakota to Release Medicaid Expansion Managed Care RFP in October
CMS Releases Medicaid, CHIP Data Files in Continued Effort to Promote Transparency
CMS Withdraws Medicaid Fiscal Accountability Rule
CMS Issues Guidance on Value-Based Care Arrangements in Medicaid

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September 9, 2020

In Focus:

CMS Finalizes Policy to Use Hospital Negotiated Charge Data to Set Payment Rates

Roundup:

District of Columbia Council Finalizes Medicaid Managed Care Contracts
Florida AHCA Secretary Mary Mayhew to Leave Post October 2
Georgia Submits 1332 Waiver to Abandon ACA Health Insurance Exchanges
Oklahoma to Transition Majority of Insure Oklahoma Members to Medicaid Expansion
Oregon Files Notice of Noncompliance Against Medicaid CCO

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September 2, 2020

In Focus:

California Releases Medi-Cal Managed Care RFI

Roundup:

California Medicaid Drops Proposed LTC At Home Benefit
Medicaid Managed Care RFP News: District of Columbia, Indiana, Louisiana, North Carolina
Medicaid Budget News: Georgia, New Jersey, Wyoming
Illinois to Transition Foster Kids to Medicaid Managed Care
Kentucky Releases RFP for Single PBM
Mississippi Advocates Renew Medicaid Expansion Push
Nevada Releases Medicaid NEMT RFP
Housing Supports News: New York, Utah
Ohio Proposes Rules to Lock In Medicaid Telehealth Changes
States Take Emergency Action on Medicaid Long-Term Care

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August 19, 2020

In Focus:

HMA Summary of Joe Biden's Healthcare Plan

Roundup:

Florida Says It Has Enough Medicaid Funding for Fiscal 2021
Nevada to Move Forward with Proposed Medicaid Rate Cuts
New Mexico Co-Op Plan Health Connections to Cease Operations in 2021
Oklahoma Will Not Move Forward With Block Grant
Oregon Approves Trillium CCO Expansion Into Portland Area
CMS Fines Nursing Homes More Than $15 Million for Infection Control Noncompliance

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August 12, 2020

In Focus:

Summary of Medicare Fee-For-Service Proposed Rules

Roundup:

Florida Medicaid Plans to Get 1.5 Percent Rate Increase
Kansas Governor Urges Lawmakers to Pass Expansion
New Jersey Proposes $155 Million in Additional LTC Funding
Ohio Medicaid Officials to Address PBM Report Omissions
Oklahoma to Transition to Dental Managed Care in 2021
Oregon Reviews CCO Application to Expand Into Portland
Washington Chooses Five Cascade Care Public Option Plans

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August 5, 2020

In Focus:

Regulatory Changes to Medicare in Response to COVID-19

Roundup:

California Medi-Cal to Amend Certain Contracts to Address Racial Disparities
Maine Budget Committee Projects Fiscal 2021 Shortfall
Missouri Voters Approve Medicaid Expansion Ballot Measure
Washington Announces IMC Expanded Access Awards
Trump Administration Moves to Make Certain Medicare Telehealth and Scope of Practice Flexibilities Permanent

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July 29, 2020

In Focus:

Hawaii Releases Quest Integration Reprocurement RFI

Roundup:

California Seeks Section 1115 Medicaid Waiver Extension
Florida Expects ‘Significant’ Fiscal 2020 Medicaid Budget Gap
Georgia Lacks Proper Oversight of Medicaid Plans, Audit Says
Iowa Medicaid Director to Step Down
Medicaid Housing Support: Minnesota, Virginia
New York to Leverage Exchange to Connect Individuals with Home Care Agencies
Ohio Releases Single Pharmacy Benefit Manager RFP
Texas Taps Cecile Young as Executive Commissioner of HHSC
Senate COVID-19 Relief Bill Excludes More Medicaid Funding

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July 22, 2020

In Focus:

Oklahoma Releases Medicaid Managed Care Request for Public Feedback

Roundup:

District of Columbia Announces Medicaid Managed Care Awards
Florida Medicaid Expansion Could Cover Nearly 700,000
Kentucky Medicaid Plans Point to Flaw in Bidding, Awards Process
Montana Announces Behavioral Provider Relief Grants
Nevada Legislature Approves Cuts to Medicaid
Oklahoma Seeks Input for Medicaid Managed Care RFP
South Dakota Medicaid Expansion Advocates Prepare for 2022 Ballot Measures
CMS Issues Medicare Advantage MLR Requirement Guidance

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