Weekly Roundup

February 17, 2016

In Focus:

CMS Releases Report on Dual Eligible Financial Alignment Demonstrations

Roundup:

Florida Healthy Kids dental contract awards
Budget proposals released in Illinois, Michigan, Pennsylvania, New Jersey
Judge rules against WellCare in Iowa protest
New York FIDA rate increase approved by CMS
Utah considers four Medicaid expansion proposals

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February 10, 2016

In Focus:

Minnesota Issues Special Needs BasicCare RFP

Roundup:

Alabama Receives CMS Approval For RCO Delivery Model
California Legislature Introduces Health Plan Tax Bill
Florida Considers Dental Carve-out
Nebraska Medicaid Managed Care RFP Contract Awards
Oregon Places Moda Health Plan Under Supervision
Gillespie Named Director of Arkansas DHS
Miller Named Kentucky Medicaid Commissioner
Meyer Named New Hampshire HHS Commissioner

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February 3, 2016

In Focus:

West Virginia Issues Medicaid Managed Care RFQ

Roundup:

Alaska Considers Case Management Proposal
Florida Budget Proposals Contemplate Additional HCBS Waiver Slots
Indiana Hospitals See Drop in Uncompensated Care
Massachusetts Governor Proposes 5 Percent Increase in Medicaid Spending
Oklahoma Delays Medicaid ABD Managed Care RFP

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January 27, 2016

In Focus:

CMS Issues Medicaid Drug Rebate, Reimbursement Rule

Roundup:

Medicaid Expansion Updates in Georgia, Kansas, Louisiana, New Hampshire, Tennessee, Utah, and Wyoming
Iowa On Track for March 1 Managed Care Transition
New York HARP Enrollment Update
Pennsylvania MLTSS RFP Scheduled for February Release
CBO Lowers Exchange Enrollment Projections
HHS Report Finds Most Medicaid Children Not Receiving All Required Dental Care
CMS To Help Co-ops Find Investors

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January 20, 2016

In Focus:

Medicaid MCO Enrollment Update – Q4 2015

Roundup:

Nebraska considers Medicaid expansion
Georgia requests extension of Medicaid MCO contracts
New York Governor's budget calls for minimum MLR, drug price caps
New Jersey MLTSS update
White House proposes extension of 3-year federal subsidy for new expansion states

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January 13, 2016

In Focus:

Key Medicaid and Legislative Issues to Watch in 2016

Roundup:

Louisiana Governor Expands Medicaid
Missouri Formalizes Plans for Statewide Managed Care
North Carolina on Track for Managed Care in 2018/19
Virginia Governor Renews Push for Medicaid Expansion
Idaho Governor Proposes Covering 78,000 in “Coverage Gap”
Kentucky Governor Moves to End State Exchange
Medicaid Directors, Providers Respond to CMS Access Rule

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January 6, 2016

In Focus:

Medicaid Managed Care Spending in 2015

Roundup:

Alabama Considers Coverage Expansion
Arkansas Rejects Medicaid Managed Care
CMS Approves California’s $6 Billion Waiver
Idaho Medicaid Provider Cuts Delayed
CMS Delays Iowa Managed Care Program Implementation
Kentucky to Develop Medicaid Expansion Waiver
Nebraska Announces Medicaid MCO RFP Bidders
Pennsylvania Stopgap Budget Releases Back Payments

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December 16, 2015

In Focus:

Virginia to Submit 1115 Waiver for MLTSS/DSRIP

Roundup:

New York Announces FIDA Reforms
Michigan Legislature to Vote on Health Insurer Tax
Florida Posts MLTC Waiver Amendment for Public Comment
Oklahoma Medicaid Approves 3 Percent Rate Reduction
Oregon Appoints Coyner as New Medicaid Director
Utah Medicaid Director to Step Down
North Carolina Health Systems to Form Managed Care Entity
Federal Budget Deal Suspends Health Insurer Fee for 2017

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December 9, 2015

In Focus:

NCQA’s Medicaid MCO Ratings for 2015/2016

Roundup:

EmblemHealth Leaving New York’s MLTC Market
Update on Coordinated Care Organizations in Oregon
California AG Approves Daughters of Charity Deal
FTC Rejects Hershey-Pinnacle Merger in Pennsylvania
South Dakota Governor Proposes Medicaid Expansion
Non-profit Hospital Financials Improved following ACA

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December 2, 2015

In Focus:

Oklahoma Decides on ABD Managed Care Model

Roundup:

Valence Health Awarded CountyCare Medicaid Contract
Corizon Cancels Florida Prison Health Contract
Iowa Judge Recommends WellCare’s Contract Award be Rescinded
Kentucky Governor Plans to Close Kynect, Shift Consumers to Federal Exchange
Empire Announces Exit from New York FIDA Program
Eleven Companies Respond to Pennsylvania Medicaid MCO RFP
Washington Announces Apple Health Contract Awards

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