Weekly Roundup

December 12, 2012

In Focus:

HHS Issues FAQ for States on Exchange, Medicaid Issues

Roundup:

Ohio and CMS finalize dual eligible MOU Pennsylvania provides guidance on enhanced primary care rates Idaho updates stakeholders on dual eligible demonstration, health home model

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December 5, 2012

In Focus:

Massachusetts Duals Plan Readiness Review Checklist

Roundup:

California releases dual eligible data reports Illinois releases draft managed care roll-out plan Florida Senate ACA Implementation committee met this week Georgia provides additional details on Medicaid ABD care coordination Louisiana issues LTC Care Coordination RFI

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November 28, 2012

In Focus:

California Rural Medicaid Managed Care Expansion RFA

Roundup:

Florida finalizes Medicaid MCO rates for FY13 Dual eligible demo MOU timing updates in California, Illinois Updated timeline for non-risk ABD program in Georgia Ohio, Indiana Governors announce they do not intend to build state-based Exchanges

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November 14, 2012

In Focus:

CMS Medicaid Managed Care Enrollment Report

Roundup:

Illinois Announces dual eligible demonstration awards Health policy implications of Puerto Rico elections Deadlines for dual eligible MCOS to file with CMS for 2014 Deadline for states to submit insurance exchange plans pushed back

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November 7, 2012

In Focus:

Arizona Acute Care Medicaid MCO RFP

Roundup:

Washington D.C. releases Medicaid managed care RFP California releases Medicaid managed care RFP for rural service areas California agrees to rate settlement structure with Health Net Oregon withdraws dual eligible demonstration proposal Georgia considers ASO model for ABD

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October 31, 2012

In Focus:

Highlights from Kaiser/HMA 50 State Medicaid Survey

Roundup:

Illinois receives CMS approval for Cook County early expansion waiver Washington state receives CMS approval for MFFS duals demonstration Washington D.C. to release Medicaid managed care RFP soon Nebraska releases risk-based behavioral health RFP Wisconsin announces MLTC contract awards

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October 24, 2012

In Focus:

Private Health Insurance Exchanges

Roundup:

Sacramento County approved for Medicaid coverage expansion initiative
Vanguard’s Medicaid MCO acquisition in Michigan receives approval
Illinois delays dual eligible awards another week
Florida state agencies submit budget requests

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October 17, 2012

In Focus:

Medicaid Managed Care Enrollment Update - Q3 2012

Roundup:

Texas releases draft RFP for STAR+PLUS program in rural areas Ohio health homes program for SMI launched Medicaid MCO acquisition in New York Illinois announces CCE/MCCN awardees

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October 10, 2012

In Focus:

New Jersey Medicaid Waiver Receives CMS Approval

Roundup:

Arizona releases Maricopa Behavioral RFP Oregon issues qualified health plan RFA for the Exchange Wisconsin reviews dual eligible demonstration applications Texas names new Medicaid / CHIP Director

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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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