Weekly Roundup

January 9, 2013

In Focus:

Florida Releases Statewide Medicaid Managed Care ITN

Roundup:

Illinois selects MCOs for non-dual ABD managed care expansion California Gov`s budget proposal set for release tomorrow Florida updates timeline for LTC expansion Georgia hospitals agree to provider fee structure Tennessee withdraws from duals demo program Colorado to expand Medicaid

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January 2, 2013

In Focus:

Upcoming 2013 State Legislative Issues

Roundup:

Enrollees file suit against California Medicaid over mandatory MCO enrollment Colorado Gov. likely to expand Medicaid, Illinois expansion supported by hospitals, health plans Network concerns as Kansas MCOs go live HHS grants additional approvals to state exchanges DC Chartered audit result, sale to AmeriHealth Mercy delayed

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December 19, 2012

In Focus:

Texas Issues Rural STAR+PLUS RFP

Roundup:

California court upholds provider rate cut Washington to expand Medicaid New York Exchange approved Colorado receives CHIPRA bonus Florida MMA ITN expected soon Georgia plans for physician fee increase

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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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