Weekly Roundup

April 1, 2015

In Focus:

Massachusetts Duals Demonstration Update

Roundup:

California Submits Section 1115 Waiver Application to CMS Georgia FY 2016 Budget Update SCOTUS Rules Providers Cannot Sue State To Raise Medicaid Reimbursement Rates Illinois FY 2015 Budget Fix Passes Senate, Signed by Governor Medicaid Expansion Bill Wins Approval in Montana Senate Tennessee Medicaid Expansion Bill Fails in Senate New York Behavioral Health Managed Care Transition to Begin July 1, 2015 OMB Reviewing Medicaid Managed Care Rule

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March 25, 2015

In Focus:

Florida Low-Income Pool (LIP) Update

Roundup:

Illinois House Passes 2.25 Percent Provider Cut in Budget Fix
Medicaid Expansion Lowers Hospital Uninsured Costs by $7.4B
Florida Proposes 1115 Waiver Amendment
Blue Shield of California Tax-Exempt Status Revoked
New York DSRIP Implementation Plan Deadline Extended
Baylor Scott & White and Tenet to Partner on Five North Texas Hospitals
Florida Senate Committee Approval of Medicaid Expansion Proposal sets up Senate Floor Vote
Tennessee Governor’s Medicaid Expansion Proposal Recommended by Senate Committee

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March 18, 2015

In Focus:

Texas Health Plans Cite Savings, Quality Improvements under Managed Care

Roundup:

16.4 Million Insured Since ACA Implementation California Medicaid Draft Waiver Renewal Proposal Released Alaska Governor Proposes New Medicaid Expansion Bill HIP 2.0 Medicaid Expansion Increases Number of Providers Details Emerge Related to Value Based Medicaid Payments in New York Ohio Governor Proposes Premiums for Medicaid Recipients

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March 11, 2015

In Focus:

Reviewing ICRC Findings, Guidance to States on D-SNP Contracting Options

Roundup:

Florida Senate Approves Medicaid Expansion Bill New Hampshire Medicaid Expansion Waiver Approved by Feds Texas Launches Duals Demonstration, Begins STAR+PLUS Nursing Home Carve-In Federal Judge Outlines California Prison Health Care Transition Out of Receivership Pennsylvania DHS Outlines Details of Medicaid Expansion Transition Timing Nationwide Exchange Enrollment Nears 11.7 Million

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March 4, 2015

In Focus:

Responding to King v. Burwell: What Policy Levers can States “Pull” to Maintain Coverage if the Supreme Court Sides with King?

Roundup:

Missouri Announces MCO RFP Awards
Georgia Announces Wiant as New Chief of Medicaid
New York, Massachusetts Health Plans Report Losses
Massachusetts Governor Seeks Budget Savings From MassHealth
Telemedicine Advances in Minnesota, Mississippi and Missouri
New York Delays Implementation of Duals Demonstration
Pennsylvania Pivots to Traditional Medicaid Expansion

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February 25, 2015

In Focus:

Update on Duals Demonstration Enrollment

Roundup:

State budget discussions heat up in Connecticut, Illinois, Massachusetts Utah Senate Approves Medicaid Expansion Plan New York State of Health Enrollment exceeds 2.1 million Medicaid Expansion in North Carolina Hinges on Subsidy Court Ruling Medicaid and CHIP Enrollment Up 19 Percent Since Expansion MACPAC to Hold Public Meeting February 26-27

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February 18, 2015

In Focus:

Iowa Releases Statewide Managed Care RFP

Roundup:

Alaska Governor Walker Proposes Medicaid Expansion
Florida Legislature Near Compromise on Telemedicine Bill
Illinois Governor’s Budget Proposes $1.5 Billion in Medicaid Savings
New York Nursing Home Benefit Carve-in Underway
Ohio Governor’s Budget Proposes Medicaid Premiums for Certain Adults
Virginia MMIS RFI Released
Marketplace Enrollment Hits 11.4 Million in 2015
U.S. State Tax Revenues See Growth in Third Quarter

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February 11, 2015

In Focus:

Georgia Issues Medicaid Managed Care RFP

Roundup:

Arkansas Medicaid Expansion Reauthorized by Legislature Florida Low Income Pool Renewal Denied by CMS; However, Negotiations Continue Washington Confirms Cancellation of Capitated Duals Demo Nebraska Appoints Calder Lynch as Medicaid Director Ohio Reports on Duals Demonstration Implementation Pennsylvania Governor Moves to Withdraw Healthy PA Waiver, Implement Traditional Medicaid Expansion Connecticut Hospitals Propose Phasing Out of Hospital Tax Michigan Governor Issues Executive Order to Consolidate Health Agencies L.A. Care (CA) Names New CEO

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February 4, 2015

In Focus:

Enrollment Update - November 2014 Medicaid and Preliminary 2015 Exchange

Roundup:

Tennessee Medicaid Expansion Proposal Voted Down Michigan Duals Demonstration Begins Enrollment Partners HealthCare (MA) Denied Deal to Acquire Hospitals New York Nursing Home Benefit Transitions to Managed Care Ohio Governor Releases Executive Budget Texas Selects Viekira Pak for PDL Mississippi Issues CHIP Managed Care Rebid

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January 28, 2015

In Focus:

Reviewing Oregon’s Medicaid Managed Care Program

Roundup:

Indiana Receives CMS Approval for Medicaid Expansion Waiver
Jennifer Kent Appointed Director of California DHCS
Florida, Maryland, New York Governors release 2015/2016 Budget Proposals
CoOportunity (Iowa) Seeks Liquidation
Daniel Tsai Appointed Director of MassHealth
Massachusetts AG Healey Opposes Partners HealthCare Deal
Oregon Reports Medicaid Enrollment Backlog of 43,000
CBO Report Estimates ACA will Cost 7 Percent Less than Projected

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