In Focus:
Roundup:
Florida Medicaid Secretary Jason Weida Leaving Position
Georgia Governor’s Proposed Budget Includes Continuous Enrollment for Children
Idaho IMPlus Contract With United to Begin June 1
Illinois to Announce D-SNP Procurement Awardees Soon
Federal Judge Rules Trump Administration Failed to Comply with Mandate to Lift Funding Freeze
Health Insurers Seek Changes to CY 2026 Medicare Advantage, Part D Proposed Rule
In Focus:
Roundup:
Arizona Will Not Reprocure EVV Vendor; To Transition In-House October 2025
Florida Receives Federal Approval for MMA Section 1115 Demonstration Behavioral Health, Housing Pilot Amendment
Idaho Releases Medicaid EQRO RFP
Minnesota Submits New Section 1115 Demonstration Request to Provide Reentry Services
Rhode Island Cancels New $15.5 Billion Medicaid Contract Awards
Wisconsin Releases Medicaid Managed LTC RFP for GSR 2, 7
Senate Finance Committee Approves Robert F. Kennedy Jr. to Lead HHS
Molina Acquires ConnectiCare
In Focus:
Roundup:
Arkansas to Submit Section 1115 Demonstration Medicaid Work Requirement Amendment
Florida New Statewide Medicaid Managed Care Contracts to Go into Effect February
Minnesota Releases Report Outlining Medicaid Opportunities to Improve Care for American Indian Communities
New York Launches Medicaid Health Equity Regional Organization Initiative Under Section 1115 Demonstration
Vermont Governor, Regulators Approve AHEAD Model Adoption
Trump Administration Rescinds Federal Funding Freeze
HHS Pauses CDC Reports, Health Communications Due to Pending Review
CMS Drops Appeal Over Federal Ruling to Recalculate UnitedHealthcare Medicare Advantage Star Rating
In Focus:
Roundup:
Arkansas Governor Seeking to Reinstate Medicaid Work Requirements
Georgia Seeks Five-year Extension of Pathways to Coverage Section 1115 Demonstration
Indiana Governor Orders Halt to Advertising for Medicaid Services
Kansas Governor’s Proposed Fiscal 2026 Budget Includes Medicaid Expansion Funds
Nevada Receives Federal Approval to Offer Public Option Health Plans Beginning 2026
Oregon Awards Grant Funding to Tribes, 34 Organizations to Improve Living Environments
South Carolina Governor Seeks Expedited Approval for Expanding Medicaid Coverage to Working Parents, Work Requirements
South Dakota House Advances Ballot Measure to End Medicaid Expansion if Federal Funding Decreases
President Trump Rescinds Executive Orders to Develop Three Drug Pricing Pilot Programs, Affordable Care Act Expansions
CMS Announces Selection of 15 Additional Drugs for Medicare Drug Price Negotiations
In Focus:
Roundup:
Alaska Awards MMIS Contract to Conduent
Hawaii Receives Federal Approval for Section 1115 QUEST Integration Demonstration Extension for HRSN, Reentry Services, Foster Youth
Iowa to Seek Medicaid Work Requirements Demonstration
Maryland Receives Approval for Section 1115 Demonstration Reentry Services Amendment
Michigan Issues Competitive Grant Funding Opportunity for Statewide Crisis Intervention Services
New York Governor to Prioritize Mental Health, Prescription Drug Costs
Oregon Extends Medicaid Coverage for Young Adults with Special Health Care Needs
Utah Receives Federal Approval for Section 1115 Medicaid Demonstration Amendment for HRSN, Expanded Dental
CMS Issues CY 2026 Marketplace Benefit, Payment Parameters Final Rule
CMS Awards Planning Grants to Address Care Continuity for Justice-involved Individuals
United, Amedisys Request Judge Throw Out Antitrust Lawsuit, End Divestment Deal with VitalCaring Group
In Focus:
Roundup:
California Receives Federal Approval for Section 1115 CalAIM, BH CONNECT Demonstrations
Florida to Submit New Health Care Workforce Sustainability Section 1115 Demonstration
Centene Intends to Protest Georgia Medicaid Managed Care Contract Awards
Idaho Provides NOIA to Molina Healthcare for Medicaid Dual, MLTSS Contract
Ohio Releases Medicaid 1115 Demonstration Application with Work Requirements
South Dakota Medicaid to Cover Doula Childbirth, Postpartum Support
Wisconsin to Launch Housing Support Services Initiative for Medicaid Beneficiaries
CMS Announces Five-year Strategy to Improve Health Care Delivery and Care Experience
Senators Introduce Bill Forcing Insurers, PBMs to Sell Pharmacy Businesses
Sanofi Files Lawsuit Over 340B Rebate Model
In Focus:
Roundup:
Florida Receives Federal Approval for KidCare Expansion, Delays Implementation Over Continuous Eligibility Requirements
Georgia Extends Protest Filing Deadline for Medicaid Managed Care Procurement
Massachusetts Receives Federal Approval for 1115 MassHealth Demonstration Amendment for Pre-release Services
Michigan Updates Regional Assignments for HIDE D-SNP Awards
Montana Receives Federal Approval for 1115 Montana HEART Demonstration Amendment
Nevada Submits Treatment of OUD, SUD Transformation Project Demonstration Amendment
North Carolina Receives Federal Approval for Medicaid Reform Demonstration Amendment
Ohio Releases EQRO RFP
Virginia Medicaid NEMT RFP Proposals Due January 2025
CMS Releases 2024 Medicaid, CHIP MAC Scorecard
CMS Releases Updated Informational Bulletin for HRSN Coverage Opportunities
Federal Judge Blocks DACA Recipients from ACA Marketplace Coverage
PACS Group Acquires 11 Skilled Nursing Facilities in Tennessee
In Focus:
Roundup:
Arizona Submits 1115 Amendment Request to Expand Coverage for Former Foster Youth
California Establishes 15 Percent Primary Care Spending Target by 2034
Florida Medicaid Managed Care Contracts Worth $143 Billion Over Six Years
Georgia Awards Medicaid Managed Care Contracts to Four Plans
Maryland Submits Section 1115 Demonstration Amendment for Housing Support Services
Michigan Re-Awards Same Plans for MI Coordinated Health HIDE SNP
New York Faces Lawsuit Over Single Statewide Fiscal Intermediary CDPAP Contract Decision
North Dakota Seeks Public Feedback on 2025-2027 Medicaid Quality Strategy
Oregon Releases MES System Integration RFI
Utah Submits 1115 Medicaid Reform Demonstration Amendment for Traditional Healing Services
Washington Releases TPA for Medicaid Reentry Services RFP
Wakely Releases Analysis of Potential Election Impacts on the Individual Market
CMS Finalizes Model to Increase Kidney Transplant Access For Individuals with ESRD
CMS Revises Centene, UnitedHealth Medicare Advantage Star Ratings
UnitedHealthcare CEO Brian Thompson Fatally Shot Ahead of Investor Meeting
In Focus:
Roundup:
Colorado Proposed Fiscal 2026 Budget Includes Medicaid Provider Rate Cuts
Florida Releases Children’s Medical Services Program ITN
Florida Submits Amendment Request for 1115 Managed Medical Assistance Demonstration
Illinois Releases EVV System Vendor RFP
Nebraska Names Drew Gonshorowski as Medicaid Director
Ohio Receives Protest Over Next Generation MyCare Contract Awards
Texas to Begin Transition from Dual Demonstration to Integrated D-SNP January 2026
CMS Approves Five Medicaid Demonstrations to Provide Continuous Enrollment for Children
CMS Issues Guidance to State Medicaid Directors on Medicaid Coverage of SUD, Managed Care Medical Loss Ratio Provisions
President-elect Donald Trump to Nominate Dr. Oz to Head CMS
Eli Lily Files Lawsuit Over Use of 340B Drug Pricing Program Rebates
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