Virginia Releases Cardinal Care Medicaid Managed Care RFPCalifornia 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 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
In Focus: HMA Annual Conference on Innovations in Publicly Sponsored HealthcareCalifornia Proposes Increasing Medicaid Reimbursement Rates for Providers Florida Disenrolls 250,000 Medicaid Beneficiaries Since Redeterminations Began Iowa Releases Dental RFP for Iowa Dental Wellness Plan, Hawki Iowa Expects 3,000 Individuals to Lose Medicaid Coverage by June 1 Massachusetts Considers Increasing Medicaid Reimbursement Rates for Substance Use Disorder Treatment Providers Minnesota Legislature Passes Bill to Set Minimum Wages, Benefits for Nursing Home Staff Nebraska Passes Certified Community Behavioral Health Clinic Act Nevada to Transition to Medicaid Managed Care in Rural Areas Nevada Senate Considers Bill to Reimburse Rural Hospitals at Cost for Outpatient Services New Hampshire House Committee Subdivision Votes to Hold Medicaid Reauthorization Bill for a Year Texas Senate Passes Bill to Extend Postpartum Medicaid Coverage Vermont Lawmakers Approve 50 Percent Increase in Fiscal 2024 Medicaid Reimbursement Rates for Dental Services Washington Legislature to Increase Medicaid Reimbursement Rates for Nursing Homes by 14 Percent for Two Years CMS Releases Regulatory Requirements for State MES Modules HCA Healthcare Acquires TX Urgent Care Centers from FastMed
In Focus: How Will CMS’s Proposed Rule Shift Standards for Medicaid Enrollee Access to Services? Arizona Legislature Approves $3.4 Billion for Fiscal 2023 Medicaid Managed Care Payments Arkansas Disenrolls Almost 73,000 Medicaid Beneficiaries During April Redeterminations Georgia Community Health Commissioner to Step Down Summer 2023 Idaho Finds 29,000 Ineligible Medicaid Beneficiaries During Redeterminations Healthy Blue Kansas Hires President Ahead of Bid on Medicaid Contract HAP, CareSource Form Partnership to Serve Michigan Medicaid Beneficiaries Rhode Island Senate Passes Bill to Use Medicaid Funds to Help Homeless Beneficiaries Find Housing Virginia Plan to Cut Medicaid Payments for Preventable ER Visits Is Vacated by Federal Judge 1.7 Million Medicaid Beneficiaries Could Lose Coverage if Work Requirements are Implemented, KFF Projects Option Health Care To Acquire Amedisys Cano Health Looks to Sell Non-core Assets, Focus on Medicare Advantage
In Focus: Lee Fleisher of CMS to Deliver Keynote Address at HMA National Quality ConferenceArkansas Legislature Faces Potential Hurdles for Funding Medicaid Expansion Arizona Governor Proposes $2.7 Million to Modernize Medicaid Enterprise System Georgia House Speaker Does Not Plan to Take Up Medicaid Expansion Massachusetts Governor Appoints Kate Walsh as Secretary of Health, Human Services Michigan Provides Pregnancy App for Eligible Medicaid Beneficiaries New Mexico Medicaid Director to Step Down New Mexico Has Yet to Announce Medicaid Managed Care Awards Oklahoma Awards Medicaid Dental Contracts to 2 Plans Rhode Island Legislators Introduce Medicaid Housing Supports Pilot Proposal Wisconsin Adds Medicaid Work Requirement Advisory Referendum to April Ballot Wyoming Appoints Lee Grossman as State Medicaid Agent, Senior Administrator Exchange Plan Enrollment Rises Nearly 13 Percent to 16.3 Million in 2023 FCC Clears Medicaid Plans to Text, Robocall Beneficiaries for Eligibility Redeterminations Elevance Health to Acquire BCBS of LA
In Focus: An HMA Toolkit and Webinar to Advance Health Equity & Access for Rural Dually Eligible IndividualsArkansas Releases RFI for Medicaid Managed Care Module of MMIS Replacement Florida Governor Announces Proposal to Regulate PBMs Medicaid Expansion News: Georgia, Kansas, Mississippi, North Carolina, South Dakota Georgia Releases RFI to Audit PBMs Contracted Through Medicaid Plans Louisiana Releases RFP for Permanent Supportive Housing Services Funded in Part by Medicaid Michigan Doulas Push for Higher Medicaid Reimbursement Rates Mississippi Seeks Bids for Medicaid FFS Non-emergency Transportation Services South Carolina to Continue Several Flexibilities After COVID-19 PHE Ends CMS Announces Medicare Accountable Care Partnerships Will Cover 13.2 Million Enrollees in 2023 Health Network One Acquires Premier Eye Care
In Focus: HMA Identifies Key Trends for Emerging Medicaid Section 1115 Demonstration ProposalsCalifornia 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 RFPMississippi 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
In Focus: CMS Breathes New Life into Medicaid HCBS Investment OpportunitiesDelaware Delays Medicaid Managed Care Contract Awards to JulyFlorida Names Bidders In Modular MMIS ProcurementLouisiana Names Additional Medicaid Managed Care Contract WinnerMaryland Releases Draft Medicaid 1115 Waiver Amendment to Cover Ambulance, Dental North Carolina Senate Committee Considers Carve-Out of Foster Care from Managed CareNorth Carolina Senate Passes Medicaid Expansion Bill Texas Health Plan Did Not Meet Fraud, Abuse Detection Requirements, State Report SaysWest Virginia Submits SUD Continuum of Care 1115 Waiver Renewal for Federal ApprovalMACPAC Recommends New System for Monitoring Medicaid AccessAMA Looks to Block Expansion of Non-Physician Scope of Practice Medicaid Managed Care Enrollment Approaches 68 Million in 2020, CMS Reports Sverica Capital Management Invests in SG Homecare
In Focus: KFF Predicts Medicaid Implications of End of PHEAlabama Medicaid Faces Complaint Against Sobriety Requirement for Hepatitis C Treatment Florida Releases Medicaid Managed Care RFI Ahead of Statewide Procurement Louisiana Begins Statewide Rollout of Crisis Response Services for Medicaid Members Maryland Governor Increases Medicaid Rates to Match Medicare in Fiscal 2023 Budget Medicaid Redeterminations: Massachusetts, Texas Missouri Awards Medicaid Managed Care Contracts New York Governor Hopes to Expand Reach of PACE North Carolina Audit Finds Deficiencies in Medicaid Eligibility Process, Provider Payments Oklahoma Senate Rejects Medicaid Value-Based Contracting Measures Oregon Task Force Meets to Discuss Federal Funding Options for Medicaid Bridge Plan Pennsylvania Faces Lawsuit from Hospital Association Over Medicaid Managed Care Contract Language Federal Lawmakers Introduce Mental Health Legislation Kinderhook Invests in Smoky Mountain Urgent Care as Part of Multi-State, Rural Primary Care PlanMedicaid Directors from AZ, CA, IN, NC to Address Redeterminations, FMAP, TeleHealth, Equity, Other Key Topics at HMA Conference in Chicago, October 10-11
In Focus: Texas Releases STAR+PLUS RFPFlorida Reaches $484 Million Settlement with Pharmacy Chain Over Opioid Claims Georgia Enacts Bill to Implement 85 Percent Minimum MLR Requirement for Medicaid Plans BCBS-Illinois Appoints Stephen Harris as President Kansas Senate Approves Bill to Extend KanCare Contracts Through 2024Minnesota DHS Recommends Actions to Improve Racial Equity, Health Outcomes in Medicaid New Mexico HCBS Providers to Receive Temporary 15 Percent Reimbursement Rate Increase Oklahoma Names Traylor Rains State Medicaid Director Rhode Island Medicaid Managed Care Bid Is Rejected After Missing Submission Deadline Biden Proposes Fix to Exchange ‘Family Glitch’ Impacting 5 Million Individuals CMS Finalizes 8.5 Percent Rate Increase for Medicare Advantage, Part D PlansIntermountain Healthcare, SCL Health Complete MergerUnitedHealth/Optum to Acquire Majority Stake in Kelsey-Seybold Clinic Federal Judge Dismisses Anthem’s Claims in PBM Lawsuit Against Cigna
In Focus: Massachusetts Releases RFR for One Care and Senior Care OptionsWakely, an HMA Company Releases New White Paper Summarizing HHS’ Proposed 2025 Notice of Benefit and Payment ParametersArizona Medicaid Awards Long Term Care Contracts to Centene, United Florida Governor’s FY 2005 Budget Proposes More Funding for Florida KidCare, HCBS Waivers Florida Legislative Research Office Projects Shortage of 18,000 Physicians by 2035 Georgia Lawmakers Exploring ‘Private Option’ Model for Medicaid ExpansionIdaho Medicaid Task Force Fails to Agree on Medicaid Managed Care RestructuringIndiana Medicaid Officials Brief Lawmakers on MLTSS Roll-out, Maternal Mortality InitiativesLouisiana Medicaid Plan Partners with State Medical Society to Extend Value-based Payment to Independent PractitionersNew Mexico Medicaid Increases Provider Reimbursements by $409 MillionNorth Dakota Seeks Public Comments on Medicaid Quality Strategy PlanPennsylvania Announces Public Comment Period for Section 1115 Waiver Application Addressing Health-related Social NeedsMedicaid Eligibility Redetermination News: Illinois, Louisiana, Michigan, New York, Ohio, UtahIntegrated Eligibility System Updates: Florida, West VirginiaCMS Issues Medicaid Redetermination Reporting Rule With Penalties to Stop Erroneous DisenrollmentsInnovAge Finalizes Acquisition of Two ConcertoCare PACE Programs
