Weekly Roundup

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Iowa Judge Recommends WellCare’s Contract Award be Rescinded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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November 18, 2015

In Focus:

Pennsylvania Issues Draft MLTSS RFP

Roundup:

Michigan Medicaid MCO Award Recommendations Approved
Updates from Georgia DCH Board Meeting
California to Begin Paying Overtime for Home Care Workers
Connecticut Nursing Home Wages Agreement Reached
New York Co-Op to Cease Operations at End of Month

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November 11, 2015

In Focus:

Dual Eligible Demonstration Enrollment Update

Roundup:

New York, CMS agree on plan to Develop I/DD Duals Demo
South Dakota, Nebraska, Virginia Considering Expanding Medicaid
Colorado to Vote on Universal Healthcare Proposal
CMS Warns States on Hepatitis C Treatment Restrictions

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November 4, 2015

In Focus:

Nebraska Issues Medicaid Managed Care RFP

Roundup:

California, CMS Agree on Conceptual Framework for 1115 Waiver Renewal
Maryland Healthy Smiles Contract Awarded to Scion Dental
CMS Approves Montana Medicaid Expansion Proposal
Six MCOs Protest Michigan Contract Awards
Pennsylvania Pushes Back MLTSS Procurement
Jessee Named Texas Medicaid Director
Wallack Named Rhode Island Medicaid Director

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October 28, 2015

In Focus:

HMA/RWJF Report on Making ACA Coverage a Reality – Examination of Provider Network Monitoring Practices

Roundup:

California Survey Reveals Potential Duals Demo Opt-Out Reasons
Florida Issues ITN for Florida Healthy Kids Dental Services
New Jersey Reports on MLTSS Transition Progress
Pennsylvania Issues Medical Transport RFI, MRT RFP

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October 21, 2015

In Focus:

Highlights from Kaiser/HMA Medicaid Survey

Roundup:

Nebraska Releases Medicaid MCO RFP
Louisiana Gubernatorial Candidates Willing To Expand Medicaid
Protests Submitted Over Michigan Medicaid Contract Awards
Ohio Releases Revised HCBS Transition Plan for Public Comment
Pennsylvania Issues Procurement for Enrollment Assistance Broker

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October 14, 2015

In Focus:

Medicaid MCO Enrollment Update – Q3 2015

Roundup:

Michigan Medicaid Managed Care Results Announced
Arkansas Consultant’s Report Offers Medicaid Expansion Alternatives
Kentucky Health Cooperative Ending Business Dec. 31
Health Alliance to Withdraw from Illinois Duals Demo
Utah Medicaid Expansion Bill Fails House, Senate
Washington Releases RFP for Behavioral Health-Administrative Services Organization

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October 7, 2015

In Focus:

Indiana Issues Medicaid Managed Care RFP

Roundup:

Florida Granted Fourth Temporary Extension for LIP Program
Kansas Delays Medicaid Waiver Integration
New Jersey Evaluator Releases MLTSS Implementation Report
New York Dual Demonstration Enrollment Dips
Utah Lawmakers Consider Medicaid Expansion Proposal

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September 30, 2015

In Focus:

Roundup:

Nebraska, South Dakota Considering Medicaid Expansions
UtahAccess+ Medicaid Expansion Plan Unveiled
Massachusetts Duals Demo to Receive Additional Funding
New York Develops MLTC White Paper
New York Health Cooperative Shutting Down
Univera Community Health (NY) acquired by the Monroe Plan
Rhode Island Medicaid Director Gifford Stepping Down
Healthcare Industry Braces for Expansion of Codes on Oct. 1

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