Weekly Roundup

February 12, 2014

In Focus:

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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February 5, 2014

In Focus:

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

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January 29, 2014

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

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January 22, 2014

In 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

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January 15, 2014

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

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January 8, 2014

In Focus:

Key Medicaid and Legislative Issues to Watch For in 2014

Roundup:

Medicaid expansion, health insurance exchange coverage begins Hawaii announces Medicaid MCO contract awards Georgia releases fee based ABD RFP Florida PSN contract award challenged Colorado receives draft MOU for duals demonstration Louisiana releases Dental Benefits RFP

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December 18, 2013

In Focus:

Puerto Rico Issues RFI for Medicaid Managed Care, Targeting Procurement in Early 2014

Roundup:

Tennessee announces Medicaid managed care awards Minnesota exchange director steps down New York waiver amendment close to approval Virginia announces dual eligible managed care contracts Illinois Health Connect contract awarded to incumbent Automated Health Systems HHS reports nearly 365,000 enrolled in qualified health plans through November

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December 11, 2013

In Focus:

Pennsylvania Releases Draft Application for 1115 Demonstration Reforming Medicaid

Roundup:

California Marketplace enrollment by health plan reported Georgia announces delay for foster care managed care transition Iowa alternative Medicaid expansion proposal approved New York provides updates on 1115 Waiver MACPAC meeting scheduled for December 12-13th

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December 4, 2013

In Focus:

Indiana Taskforce Publishes Draft of Medicaid ABD Managed Care Options

Roundup:

Washington signs duals demonstration MOU with CMS Florida submits 3-year Medicaid Waiver extension to CMS Florida finalizes 2014 Medicaid MCO rates Michigan provides updates on duals demonstration Missouri appoints new Medicaid Director New York Medicaid Managed LTC rollout continues Texas issues Medicaid non-emergency medical transport RFP Georgia releases integrated eligibility system RFP

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November 20, 2013

In Focus:

Missouri Senate Committee Draft Medicaid Reform Recommendations Reviewed

Roundup:

New York provides updates on State Health Innovation Plan, Duals Demonstration Georgia board approves plan to move on managed ABD RFP Indiana Governor requests HHS meeting on alternative Medicaid expansion model through Healthy Indiana Plan Virginia releases Medicare base rates for Duals Demonstration

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