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In this issue
 
  • California Healthcare Foundation highlights important work done by MostlyMedicaid to integrate care for a Medicaid managed care plan
  • Latest 5BF is out! (and all 5 bullets are about fraud)
  • Medicaid News Curator updates
  • HHS Job Hunter updates
  • This Week's Medicaid Wrong Answers Only Game - we have a winner for "PHE"!
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Our work to integrate care in CA gets noticed

A new report showcases a project where we led efforts to integrate key workstreams shared by a Medicaid managed care plan and their county partners. Special thanks and recognition also goes to our friends at Sellers Dorsey and Cruz partners.

Read the report to learn more. Reach out to kris@mostlymedicaid.com to learn how we can help your Medicaid health plan do great things.
 
Read the report
Latest 5 Bullet Fridays
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Latest Medicaid News in HHS Curator
 
  1. A big obstacle remains for NC Medicaid expansion [MM Curator Summary]: Journos celebrating the Senate passing expansion may be missing the main point that the house is still waiting on an important impact study before it plans on discussing the plan.
 
  1. Feds Push Forward With New Medicaid Waiver Rule [MM Curator Summary]: There will now be criteria on what is considered community-based applied to state HCBS waivers.
 
  1. Biden Administration Announces $1.5 Billion Funding Opportunity for State Opioid Response Grant Program [MM Curator Summary]: SAMHSA will dole out the cash to states looking to increase access to MAT, prevention efforts, harm reduction and treatment for Opioid Use Disorder (OUD).
 
  1. Machine Learning May Help Predict Opioid Overdoses in Medicaid Patients [MM Curator Summary]: A new study suggests that we can predict OD using 284 variables used in a new ML algo.
 
  1. State again delays announcing winners of two Medicaid-related IT contracts [MM Curator Summary]:  A Fl journo thinks something smells fishy about to open FL tech procurements that add up to more than $170M.
 
  1. Pro-unionization language dropped from Pennsylvania multi-billion dollar Medicaid contracts [MM Curator Summary]: After a lot of negative press (including from us) on the plan to force hospitals to unionize or be blocked from Medicaid participation, union bosses figured out a way to back out, save face and give officials talking points about "misinformation."
 
  1. Montana hires a medicaid director with a managed-care past [MM Curator Summary]: Congrats to the new MT Medicaid Director Mike Randol!
 
  1. Oklahoma adopts new system for Medicaid management [MM Curator Summary]: The provider-led entity plan begins July 1.
 
  1. Enrollment ticking up in Missouri’s expanded Medicaid program, but rollout still rocky [MM Curator Summary]: About 65% of the projected enrollment for expansion is in, but long application delays are still challenging.
  
  1. Governor signs bill that gives nursing homes $700 million funding boost [MM Curator Summary]: More details on the plan to increase nursing home facility pay and continue the underlying provider "tax" mechanism used to pay for it all. Punchline- meet 70% of CMS staffing guidelines and get bonuses.
 
  1. MA- Clinical Laboratory and Owner Charged in Medicaid Kickback and False Billing Scheme [MM Curator Summary]: A MA fraudster stole $4.6M from Medicaid by billing for inappropriate urine tests in a kickback scheme.
 
  1. LA- Text messages for Medicaid members [MM Curator Summary]:  LA Medicaid is trying to prepare for the PHE end using text messages to members.
 
 
  1. Mostly Medicaid Announces Medicaid Solution Provider Innovations Awards Submissions  [MM Curator Summary]: We are highlighting innovative solution providers in the Medicaid space- nominate someone today!
 
 
 
 
Read latest Curator items
HHS JobHunter
  1. Medicaid Senior Manager | Deloitte
 
  1. Manager State and Local MMIS Data Analytics | KPMG US
 
  1. Medicaid Project Manager-Remote in US job in Atlanta
 
  1. Medicaid Financial Policy Analyst – Location Open
 
  1. HYBRID – Hospital Policy Program Manager – Two Positions (Medicaid Health Systems Administrator 1) | Ohio Department of Medicaid
 
  1. Job Medicaid Quality Management Health Plan Dir – Anthem
 
  1. Medicaid Data Advisory Services Analyst | Mathematica
 
  1. Medicaid Enterprise Systems Project Manager | State of Colorado
 
  1. Provider Network Account Executive I – Medicare/Medicaid experience – Amerihealth
 
  1. Louisiana Medicaid Health Plan COO job in Baton Rouge at CVS Health
Check out latest HHS jobs
Weekly Medicaid Wrong Answers Only Acronym Game
Our acronym last week was: 

PHE
Congrats to Wendy Morriarty for her winning entry of "Perpetual Health Expense"

Wanna play the next round? Our new acronym is: 

HEDIS


Send me your best wrong answer. Win a $5 Starbucks card. 
 
Send me your best WRONG answer
Coffee Talk
We put on a series of ongoing virtual meet and greets for different segments of our audience. Sign up for the next one below. 
Sign me up for the next HHS Coffee Talk
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