Weekly Roundup

May 9, 2012

In Focus:

New Mexico's Medicaid Redesign Waiver

Roundup:

Health Net wins Central California RFP California "May Revise" to be released May 14 New York scales back, refines dual eligible demonstration proposal Georgia announces, but Texas cancels, RAC awards Pennsylvania Medicaid MCO awards protested CMS refines dual eligible application requirements, announces first wave of innovation awards, and releases proposed rule on Medicaid primary care rate increases

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May 2, 2012

In Focus:

MCO Enrollment Update Q1 2012

Roundup:

New York revises dual integration proposal Illinois dual integration RFP delayed until May 4 Incumbent ValueOptions wins Massachusetts Medicaid behavioral health RFP

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April 25, 2012

In Focus:

Ohio Dual Eligible Integration RFP

Roundup:

Pennsylvania announces Medicaid MCO expansion awards Florida managed LTC attracts LOIs Illinois Governor proposes Medicaid budget reductions

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April 18, 2012

In Focus:

Arizona, South Carolina, Tennessee, Texas, and Virginia Dual Eligible Integration Proposals

Roundup:

Ohio protests filed by five of six unsuccessful MCO bidders CareSource to sell Michigan plan New York Governor Cuomo signs executive order for health insurance exchange Georgia Medicaid MCO RFP timeline under evaluation Colorado update on ACC program Illinois Governor to unveil budget proposal tomorrow MACPAC meeting tomorrow

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April 11, 2012

In Focus:

MACPAC Report on Medicaid Program Integrity

Roundup:

Ohio Medicaid MCO awards announced Updated timeline for Illinois delivery system reforms Georgia expects to release a draft RFP for eligibility system redesign New York releases successful health home applicants

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April 4, 2012

In Focus:

CMS Updates Dual Eligible Integration Guidance & Timeline

Roundup:

California Demonstration Sites Announced, Dual Integration Proposal Released Illinois Releases MMIS, Enrollment Broker Procurements Pennsylvania New East and New West Managed Care Awards Still Pending Florida to Evaluate Shifting to DRG-Based Reimbursement System for Hospitals Colorado Launches Telehealth Initiative

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March 28, 2012

In Focus:

New York Dual Eligible Integration Proposal

Roundup:

Site Selection for California Dual Eligible Demonstration Delayed Florida Long-Term Care Rate Book Released Georgia, New York Budgets Finalized

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March 21, 2012

In Focus:

CMS Releases Final Medicaid Eligibility Rule

Roundup:

Florida Extends Implementation Timeline for Acute and Long-Term Care ITNS Indiana Selects Medicaid PBM Medicaid Spending Cuts Debated in Illinois CMS Comment Period for Massachusetts Dual Eligible Proposal Ends

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March 14, 2012

In Focus:

Washington Dual Eligible Integration Proposal

Roundup:

Dual Eligible Integration Developments In New York, Colorado Georgia Medicaid Redesign Decisions Expected Late April Pennsylvania Contract Awards Still Pending

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March 7, 2012

In Focus:

Michigan Dual Eligible Integration Proposal

Roundup:

New York to Release Dual Integration Proposal March 22 Florida Hospital Rate Cuts Finalized California Dual Integration Applications Released Texas Pharmacy Carve-In Implemented HMA Records GLG Webcast on State Budgets, MCO Expansion, and California Duals RFS

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