In Focus:
North Carolina Medicaid Reform Proposal Submitted to Legislature
Roundup:
Medi-Cal statewide formulary proposal reviewed Medicaid expansion debate continues in Maine, New Hampshire, Nebraska, Utah, Virginia Michigan update on HIPF adjustment Texas delays STAR+PLUS nursing home transition to 2015 Iowa to help newly released inmates apply for Medicaid
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State Budgetary Adjustments for HIPF Reviewed
Roundup:
CMS Issues Basic Health Program Rules Exchange Enrollments Reach 4.2 Million, According to HHS Indiana Expected to Issue Medicaid ABD RFP in May New Hampshire Senate Approves Medicaid Expansion New Jersey MLTSS to Carve-Out Existing Nursing Facility Residents Pennsylvania Governor Offers Modification to Healthy PA Job Search Requirements
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Colorado Completes Duals Demonstration MOU with CMS
Roundup:
Arkansas House approves funding for private option
Idaho withdraws from dual eligible demonstration
Maine Medicaid expansion contemplates managed care requirement
Illinois Chicago-area ACE RFP awards publicized
North Carolina Medicaid reform plan utilizes ACOs
Oregon, Oracle reach deal to complete exchange website work
Healthy PA waiver posted for 30-day public comment
White House policy changes address exchange complications
President’s budget proposes one-year extension of primary care reimbursement increase
In Focus:
CMS State Medicaid Directors Letter Provides Estate Recovery Guidance
Roundup:
Exchange Enrollments Reach 4 Million Medicaid expansion efforts fail in South Dakota, Wyoming Nevada Exchange Director Resigns Maryland terminates contract with Exchange contractor Adult Dental reinstated in California, Massachusetts; Considered in Maine
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CCIIO Issues Draft Guidance Letter for Federal Marketplace Insurers
Roundup:
New York Reaches Waiver Agreement with CMS Pennsylvania Submits Medicaid Waiver Application to CMS Arkansas Private Option Reauthorization Attempt Fails Maryland Medicaid Director to Step Down Georgia House Bill Would Deny Governor the Authority to Expand Medicaid New Hampshire Medicaid Expansion Details Revealed Centene, Trilogy added to SE Wisconsin Medicaid Market Highmark and Blue Cross of Northeastern PA Plan Merger
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Texas Issues Draft RFP for STAR Health Program
Roundup:
HHS Reports National Exchange Enrollment Tops 3.3 Million Illinois Posts 1115 Waiver Proposal Arkansas Alternative Medicaid Expansion At Risk New York Update on DSRIP Proposal Budget Updates in Connecticut, Georgia, Michigan New Hampshire Medicaid Expansion Deal Announced Healthy PA Waiver to Be Submitted by March 2014
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Delaware Issues Medicaid Managed Care RFP
Roundup:
Three MCOs added to Duals Demo in Los Angeles
Puerto Rico Issues MI Salud RFP
Florida to Launch State-Run Florida Health Choices Exchange
Kansas launches managed care for developmentally disabled
Maryland Medicaid enrollments surpass projections
Pennsylvania Governor’s budget proposal boosts home and community-based services
Prestige Health Choice to keep Florida Medicaid contract
CBO publishes revised projections of Medicaid, Exchange enrollments
In Focus:
CMS Clarifies Hospital Medicaid Presumptive Eligibility Policies
Roundup:
HHS Says 6.3 Million Determined Eligible for Medicaid Since Oct. 1 Orange County duals demo suspended as CalOptima fails audit Texas Duals Demo Project Details Nearly Complete Utah considers Medicaid expansion Hawaii Health Connector Bills Seek State Control
DownloadIn Focus:
Medicaid Managed Care Enrollment Update – Q4 2013
Roundup:
Exchange Plan Sign-Ups Accelerate
New York Delays Duals Demo Implementation
Michigan, Washington Contemplate Mental Health Program Changes
KanCare DD Expansion Scheduled for February 1
Cook County Hospital CEO Stepping Down
Georgia Budget Proposal Includes Funding For HIPF
In Focus:
Ohio’s Multi-Payer Payment and Delivery System Redesign Vision Reviewed
Roundup:
State Legislatures Resume Push for Medicaid Expansion
California Governor’s Budget Leaves Medi-Cal Rate Cut Intact
Georgia Medicaid Reform Committee Report Issued
Illinois Announces Duals Demonstration MCO County Participation
Illinois Accountable Care Entity RFP Bidders List Revealed
New York Updates on Duals Demonstration, Senate Exchange Hearing
Pennsylvania Tobacco Settlement Dispute May Impact Medicaid Funds