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March 6, 2024

In Focus: Medicaid Managed Care Spending in 2023Colorado Receives Feedback on Behavioral Health Administrative Service Organizations; RFP Expected Spring 2024Idaho House Committee Advances Bill to Expand Postpartum Medicaid Coverage to 12 MonthsIowa Releases Health Link Medicaid Managed Care RFP to Reprocure One Contract Maryland Faces $236 Million Medicaid Budget ShortfallMinnesota Requests Additional Five-year Extension of Substance Use Disorder Reform DemonstrationMississippi Legislature Passes Bill that Would Grant Early Medicaid Coverage for Pregnant WomenNebraska Waiver Expands HCBS to 850 Children on Developmental Disabilities RegistryNevada Holds Workshop on Medicaid Managed Care ProcurementNew York Receives Federal Approval for Section 1332 State Innovation Waiver to Expand Essential Plan EligibilityOregon CCOs to Offer Grant Funding to Support Community Organizations in HRSN DeliveryPennsylvania Releases Electronic Visit Verification Module RFPTennessee to Release Pharmacy Benefits Administrator RFP in Fourth Quarter of 2024Virginia Announces Awards for Statewide Medicaid Managed Care ProcurementBiden Administration Takes Steps to Prevent Corporate Overcharging of Consumers, Government Programs Federal Regulators Launch Investigation into Private Equity Healthcare DealsUnited Health Group Provides Temporary Funding, Pharmacy System During Cyber AttacksThe Ensign Group Acquires Skilled Nursing Facilities in Colorado, Kansas

August 14, 2024

HMA Conference Keynote Speaker Discusses Innovation in Medicaid, Medicare, and Marketplaces (Video)Arizona Pauses ALTCS-EPD Procurement Following Judge’s DecisionConnecticut Lowers Income Eligibility Threshold For Husky A Beneficiaries Beginning in OctoberFlorida Children’s Medical Services Procurement Expected to Drop Any DayIdaho Awards MMIS System Integrator Advisor Contract to NTT DataKentucky Submits Amendment Requests for All 1915(c) HCBS DemonstrationsNew Mexico Seeks Public Input on Proposed Medicaid Forward Expansion ProgramNew York Faces Lawsuit Over CDPAP Fiscal Intermediary Services ProcurementOregon Announces First Round of CCBF Awards Totaling $31 MillionHighmark Begins Offering Medicaid Managed Care Coverage in West VirginiaMACPAC Releases Issue Brief Assessing Health Needs and Access to Care for CYSHCNRural Healthcare Group to Acquire Steward Medical Group, Health Care NetworkMTM to Acquire Access2CareMore News Here

August 23, 2023

In Focus: CMS Continues to Rollout New Initiatives, What to Watch for in the FallFlorida Residents File Federal Lawsuit Challenging Their Disenrollment from MedicaidGeorgia Medicaid Expansion Program Sees Slow Enrollment Hawaii Halts Medicaid Eligibility Redeterminations on Maui For Remainder of 2023 Amerigroup Iowa Names Teresa Hursey President Louisiana Lawmakers Push to Delay Sale of BCBS Louisiana to Elevance Health Michigan New Medicaid Managed Care Contracts Will Take Effect October 2024 CareSource, HAP Receive Approval to Form Medicaid Joint Venture New Mexico Releases $80 Million Rural Health Care Delivery Fund RFA Ohio Renews Contract with Medicaid EVV Company Oregon to Implement Mandatory Annual Audits of Medicaid PBMs Texas to Restore Medicaid Coverage of 90,000 Disenrolled Individuals Virginia Delays Release of Medicaid Managed Care RFP to September 1 Washington Allocates Over $100 Million to Apple Health, Homes Program CMS Warns States That Call Center Wait Times, Dropped Calls Are Impeding Medicaid Coverage RenewalsCentene to Challenge Tricare Contract Loss in Federal Claims Court

January 31, 2024

In Focus: New HMA Report Analyzes the Expanded Landscape of Value-Based Entities and Market Growth OpportunitiesIn Focus: Pennsylvania Releases Community HealthChoices (CHC) Medicaid Managed Care RFAHMA Press Release: Nine States to Participate in Children’s Behavioral Health Policy LabCalifornia Plan Offers Medi-Cal Enrollees GED ServicesColorado Legislative Committee Approves Increase in Medicaid Reimbursement for Pediatric Behavioral CareIndiana Intellectual, Developmental Disabilities Task Force Calls for Pause to Proposed Aged, Disabled Waiver CutsKentucky House Passes Bill Requiring Medicaid to Cover At-home Blood Test KitsMinnesota Releases Medicaid Dental Administrator RFI New Jersey Enacts Law to Expand Hospital at Home Services to Medicaid BeneficiariesNew York Legislature Considers Bill to Transition Home Care Services From Managed Medicaid to Fee-For-Service Federal Government Issues Lawsuit to Block Novant Health’s Acquisition of North Carolina HospitalsSouth Dakota to Include Doula Services in New Medicaid Pregnancy Health HomeVermont Releases MMIS Procurement Assistance Vendor RFPWisconsin Releases IRIS Self-Directed Personal Care Services RFPMedicaid Redetermination Updates: Louisiana, OhioMedicare ACO Shared Savings Program Participation Increases in 2024CMS Cell and Gene Therapy Access Model to Focus on Sickle Cell DiseaseMACPAC Releases Medicaid Payment Policies Report for Home and Community-based ServicesHealth Care Services Corporation to Acquire Cigna Medicare, CareAllies Businesses

May 22, 2024

In Focus: Minnesota’s Initiative to Build a Stronger Substance Use Disorder EcosystemIn Focus: Texas Releases STAR Kids RFP Arizona Awards FFS PBM Contract to OptumRXDelaware Receives Federal Approval for Medicaid 1115 Waiver Extension Florida Centene Subsidiary, CityBlock Partner to Provide Primary Care, Care Coordination ServicesIllinois to Grant $200 Million in Additional Healthcare Transformation GrantsKansas Governor Signs Bill to Invest in Mental Health Pilot Program, New Psychiatric Hospital New Mexico Sets Expectations for MCOs to Invest in Behavioral Health Accessibility Under New ContractsNevada Solicits Public Input for Upcoming Coordination-only D-SNP RFPTennessee Receives Federal Approval for Section 1115 TennCare III Waiver AmendmentWisconsin Medicaid LTC Contract Award Slated to Go to MolinaSenate Finance Committee Releases White Paper on Increasing Medicare Physician ReimbursementBiden Administration Releases National Maternal Mental Health StrategyCMS Discards Stacking Provision Under Medicaid Drug Rebate Proposed RuleCentene Invests $900 Million To Develop Affordable Housing Units in Eight StatesMore News Here

June 26, 2024

HMA Conference: Unlocking Solutions in the Medicaid, Medicare, and Marketplace ProgramsIn Focus: Zeroing in on Medicare Advantage Policies Set to Transform the SNP Landscape Beginning in 2025 Alaska Releases Coordinated Care Demonstration Project RFICalifornia Budget Deal Delays Healthcare Worker Minimum Wage RaiseDistrict of Columbia Submits 1115 Behavioral Health Transformation Demonstration Renewal RequestFlorida Awards Two Incumbents With Statewide Medicaid Prepaid Dental Program ContractsKansas Faces Protests from Aetna, CareSource Over KanCare AwardsNevada Receives Approval for Dental Benefit Demonstration for Adults with DiabetesNew York City Awards $10.3 million in Funding to Expand Supportive HousingOregon Awards Contract to Acentra to Help Implement Medicaid HRSNsPennsylvania to Submit LTC Demonstration Amendment Requests in September 2024Washington Opens Apple Health Expansion Registration for Undocumented AdultsCMS Releases Final Rule on Medicare Part D Electronic Prescribing, Adoption of Health IT StandardsCMS Releases D-SNP Enrollee Advisory Committee Insights BrightSpring Health Services to Acquire FL-based Hospice Care Providers

October 25, 2023

In Focus: CMS Releases Medicaid LTSS Expenditures Report for FY 2020Arizona Releases Fee-For-Service Pharmacy Benefits Management Services RFP Arkansas Releases Medicaid Enterprise Systems Independent Verification, Validation Services RFP Arkansas Releases Medicaid Dental Services RFPCalifornia Enacts Bills to Improve Treatment of Individuals with Mental, Behavioral Health DisordersColorado Individual Plan Rates to Rise 9.7 Percent in 2024Florida Announces List of Bidders for Statewide Medicaid Managed Care ITNFlorida Releases ITNs for 6 Behavioral Health Managing Entity RegionsGeorgia Pathways to Coverage Medicaid Expansion Enrollment is 1,343 Through SeptemberMedicaid Eligibility Redeterminations News: Iowa, Kentucky, Louisiana, Maryland, Michigan, Pennsylvania, South DakotaMaryland Cannot Document Receipt of Federal Funds, Shows $1.1 Billion Deficit in Medicaid Clearing Account, Audit ShowsNew Jersey Enacts Medicaid Rate Increase for Reproductive Health Care ProvidersNew Mexico Releases Closed Loop Referral Service RFQPennsylvania Expands List of Medicaid Providers Eligible to Provide Street Medicine ServicesPrevious Direct Contracting ACO Model Saved Medicare $371.5 Million in 2022UPMC, Washington Health System Sign Merger Agreement

June 14, 2023

In Focus: To Treat Residents with OUD, Nursing Facilities Must Improve Practices and Reduce StigmaMedicaid Disenrollment News: Arkansas, Georgia, Kansas, Maryland, Nebraska, New Hampshire, South Carolina Florida Raises KidCare Income Eligibility to 300 Percent of Poverty CareSource Files Protest Against Iowa Medicaid MCO Awards CareSource Forms Alliance with Three Organizations to Bid on Upcoming Kansas Procurement  New York to Form Healthcare Commission to Improve Medicaid Quality, Reduce Costs North Carolina Enacts Law Allowing BCBS-NC, Delta Dental to Shift Assets to Holding Companies North Dakota Names Sarah Aker Medicaid Director Oklahoma Awards Medicaid Managed Care Contracts to Three Plans Pennsylvania Receives 67 Responses to Community HealthChoices RFI Texas Awards EVV System Management Services Contract to Accenture, HHAeXchange Health Plans Must Pay for Preventive Care Under Temporary Agreement CMS Announces New Primary Care Payment Model Center for Autism Files for Chapter 11, Assets To Be Acquired by Founder, Former CEO Walgreens Sells Remaining Shares of Option Care Health for $330 Million

April 19, 2023

In Focus: CMS’s 2024 Hospital Inpatient Regulation Proposes to Increase Payments to Hospitals, Support Safety Net Hospitals, and Modify the NTAP ProgramArkansas Legislature May Hold Special Session on Medicaid Spending Florida House Passes Bill to Increase Income Threshold for KidCare Coverage Georgia to Recommend Rate Increase for Providers Caring for Individuals with Disabilities Illinois Receives Federal Approval for Additional Medicaid Funding in Schools Iowa House Passes Bill to Create Medicaid Eligibility Verification System Nevada to Review Medicaid HCBS Rate Setting Methodology Pennsylvania Releases RFP for a Medicaid, CHIP EQROSouth Dakota to Implement Medicaid Expansion on July 1 Wisconsin Releases RFI for Eligibility Determination System HHS Projects 6.8 Million Eligible Medicaid Beneficiaries Will Be Disenrolled During Redeterminations Biden Administration Encourages States to Apply for Medicaid Reentry 1115 Demonstration for Individuals in Carceral SettingsHumana to Invest Another $40 Million in Affordable Housing

December 20, 2023

In Focus: CMS Transforming Maternal Health Model Offers State Medicaid Agencies an Opportunity to Accelerate Improvements in Quality and OutcomesMedicaid Business Transformation DC: Recommendations for Technical AssistanceConnecticut Appropriations, Human Services Committees Authorize New Paid Family Caregiver Waiver RequirementKansas Lawmakers Reject Governor’s Medicaid Expansion ProposalMedicaid 12 Month Postpartum Coverage Extensions: Mississippi, Nebraska Medicaid Redetermination Updates: Georgia, Mississippi, New Hampshire, TexasMississippi Extends Medicaid Postpartum Coverage to 12 MonthsMississippi Receives Federal Approval for Hospital Provider AssessmentMissouri Receives Federal Approval for SUD, SMI Section 1115 DemonstrationNew Hampshire Disputes Federal Reporting of Medicaid Disenrollment Numbers for ChildrenNorth Carolina Auto-enrolls 273,000 Individuals on First Day of Medicaid ExpansionNorth Carolina DHHS Secretary Approves Consolidation of Trillium, Eastpointe, In Effort to Decrease Regional LME-MCO’s From Six to FourPennsylvania House Passes Bill to Expand Medicaid Dental ServicesRhode Island Releases Medicaid Managed Care Program RFPDOJ Files Motion to Transfer or Dismiss Humana’s Lawsuit Over Medicare Advantage Clawback RuleHealth Insurance Marketplace Enrollment Exceeds 15 Million for 2024 HouseWorks Enters Definitive Agreement to Acquire NY-Based Elite Home Health CareElevance Health’s Proposed Acquisition of BCBS-LA Resumes Following Delay