Weekly Roundup

October 3, 2012

In Focus:

Arkansas Begins Targeted Medicaid Payment Reform Initiative

Roundup:

Ohio duals MOU to be finalized, posted later this month New York selects Oxford EPO as essential health benefits plan In Pennsylvania: New West MCO rollout begins, consolidation of Financial Management Services programs delayed Illinois duals RFP awards deadline pushed back another week

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September 26, 2012

In Focus:

CMS Report Highlights Growth of Managed LTSS

Roundup:

California publishes draft RFP for Qualified Health Plans in exchange Florida draft MCO rates released Indiana awards MMIS contract to incumbent HP New York Medicaid MCO expansion plans detailed

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September 19, 2012

In Focus:

State Progress Toward Exchange Essential Health Benefit Decisions

Roundup:

Ohio Health Homes Program receives CMS approval Florida draft Medicaid MCO Rates to be released this week Pennsylvania New West expansion delayed 1 month New East protest resolved Illinois Exchange development RFP bidders released Massachusetts Duals awards due Friday

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September 12, 2012

In Focus:

Nevada Medicaid MCO Rebid Requires Exchange Plan Offering

Roundup:

Pennsylvania releases Behavioral Health RFP Florida announces Long Term Care ITN bidders by region Colorado to launch all payers claims database Texas awards RAC contracts Michigan Governor proposes new organizational structure for BCBS MI

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September 5, 2012

In Focus:

New Mexico’s Centennial Care RFP Released

Roundup:

Colorado to rebid MMIS and Behavioral Health contracts
New York MLTC waiver gets CMS approval
Massachusetts COOP awarded $88.5 million federal loan

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August 29, 2012

In Focus:

CMS / Massachusetts Dual Eligible Demonstration Memorandum of Understanding (MOU) Details

Roundup:

Ohio finalizes Dual RFP awards Louisiana carves pharmacy benefits into MCO contracts Georgia DCH Commissioner pledges no reduction in provider rates Illinois awards Client Enrollment Broker contract to Maximus

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August 22, 2012

In Focus:

Updates and Timeline from HHS on Exchange Development

Roundup:

Ohio finalizes Dual Eligible RFA scoring Florida releases list of health plans submitting LOIs for Managed Medical Assistance Program Michigan Department of Community Health Director resigns Indiana HIP program receives one-year extension Eligibility system redesigns vendors selected in Texas, Indiana

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August 15, 2012

In Focus:

Wisconsin’s Virtual PACE Program to Serve Duals

Roundup:

New York details $10B in health care reinvestments under waiver
Illinois Exchange procuring IT vendor, releases Navigator report
Colorado approves additional Exchange grant request
Texas meeting on Medicaid Waiver implementation draws hundreds

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August 8, 2012

In Focus:

The CBO’s ACA Spending and Coverage Projections Following the SCOTUS Ruling

Roundup:

Georgia notifies MCO of planned contract extension
Florida initiates Medical Assistance ITN process
New York submits 1115 Waiver to CMS
Wisconsin releases Virtual Pace duals proposal
California legislature reconvenes

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August 1, 2012

In Focus:

Massachusetts Payment Reform Legislation

Roundup:

Georgia seeks additional spending reductions Colorado receives CO-OP Grant Pennsylvania healthcare budget details revealed South Carolina Duals RFI released

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