Weekly Roundup

October 5, 2016

In Focus:

Vermont Publicizes Draft All-Payer Model Waiver

Roundup:

Arizona 1115 Waiver Approved For Some, Not All, Changes
Florida Releases All Payer Claims Database ITN
Maryland Co-Op Seeks For-Profit Status to Prevent Closure
New York Releases Medicaid Managed Care Quality Incentive Report
Six MCOs Protest Pennsylvania MLTSS Contract Awards
CMS Issues Rule Barring Arbitration Clauses in Nursing Home Contracts
Clarifications on Virginia, Wisconsin MLTSS RFP Updates

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September 28, 2016

In Focus:

Wisconsin Issues Family Care and Family Care Partnership MLTSS RFP

Roundup:

Virginia Announces Preliminary MLTSS Contract Awards
Texas to Proceed with Medicaid Cuts to Children’s Therapy Services
NCQA Releases 2016 Health Insurance Plan Ratings
New York Medicaid Spending Per Person Declines

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September 21, 2016

In Focus:

TeleHealth Services – Spotlight on Econsults

Roundup:

Pennsylvania Community HealthChoices Bidders File Protest
West Virginia Medicaid MCO Contract Awards Announced
Wisconsin MLTC RFP Released
Alabama Delays RCO Implementation
Florida AHCA Secretary to Retire

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September 14, 2016

In Focus:

HMA Conference on Integrated Delivery Is Just a Month Away, More Than 200 Already Registered to Attend

Roundup:

Arkansas Issues Draft RFP for Managed Dental Services
Missouri Medicaid to Support Telehealth Services in Schools
New Jersey Regulators Take Over Health Republic CO-OP
New York Issues Emergency Regulation on Risk Adjustment
Ohio Medicaid Expansion Waiver Application Denied
Oklahoma Announces 3-Year Phase-in of SoonerHealth+
Oklahoma Health Care Authority Names Paternik-Ikard CEO
U.S. Uninsured Rate Falls to 9.1 Percent
HMA News: HMA Telehealth Advisory Practice Group Supports Clients in Considering Telemedicine Solutions
HMA News: “What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs”

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September 7, 2016

In Focus:

Texas Submits Uncompensated Care Evaluation to CMS

Roundup:

Colorado Expands Coverage of Hepatitis C Treatment
Florida Approves 19 Percent Exchange Plan Rate Increase
Nebraska Releases Dental Health Plan RFP
Texas Fears Budget Cuts as Medicaid Costs Rise
DC to Release Managed Care RFP in October

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August 31, 2016

In Focus:

Illinois Releases Draft 1115 Waiver for Behavioral health Redesign

Roundup:

Pennsylvania Announces Preliminary Community HealthChoices Contract Awards
Kentucky Revises Medicaid Expansion Waiver Application
Michigan Issues RFP for Health Innovation Grants
Oklahoma Health Care Authority CEO to Resign
HHS Report: Medicaid Expansion Leads to Lower Premiums
Analysis Finds That a Third of U.S. Counties to Have One Exchange Insurer

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August 24, 2016

In Focus:

NHE Projections for Medicaid Updated Through 2025

Roundup:

Kansas Signs MMIS Contract with HP
Ohio Medicaid Managed Care Report Card Published
Tennessee Insurance Commissioner Approves Rate Increases to Preserve Exchange Options

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August 17, 2016

In Focus:

HMA Weekly Roundup – August 17, 2016

Roundup:

Alabama Special Session on Medicaid Funding Begins
Idaho Medicaid Expansion to be Discussed by Legislature
Illinois to Release Draft 1115 Waiver for Behavioral Redesign
Nebraska Judge Set to Rule on Medicaid MCO Awards
New Hampshire Submits Revised Medicaid Expansion Waiver
Rhode Island Medicaid Director to Step Down

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August 10, 2016

In Focus:

HMA Conference Early Bird Registration Ends August 15

Roundup:

Florida Hospitals to Challenge State on Medicaid Rates
Kansas Medicaid Reimbursement Rate Issues Persist
Louisiana Medicaid Expansion Enrollment Continues
New Jersey Amends Medicaid MCO Contracts
Ohio Advocates Call for Rejection of “Healthy Ohio” Waiver
CMS Encourages Medicaid Home Care for Individuals with Disabilities
Studies Find Medicaid Expansion Increases Access, Does Not Drive ER Utilization

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August 3, 2016

In Focus:

Medicaid MCO Enrollment Update – Q2 2016

Roundup:

Georgia Rejects Appeals of Medicaid Managed Care Awards
Indiana Medicaid Lockout Waiver Request Denied by CMS
New Hampshire Medicaid Director to Step Down
Alabama Governor Proposes Lottery to Raise Medicaid Funds

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