Weekly Roundup

November 12, 2014

In Focus:

CMS Approves Massachusetts Medicaid 1115 Waiver

Roundup:

California Releases GMC RFA for Comment
Delaware Releases Program Integrity RFP
Georgia Releases Care Management Organization RFQC
Steward Health Care System to Close Quincy Medical Center
New Mexico Human Services Secretary Squier to Step Down
Post-Election Medicaid Expansion Updates in Arkansas, Ohio, Pennsylvania, Tennessee
Oregon Releases Care Coordination RFP
Haley Selects Soura as South Carolina Medicaid Director
Supreme Court to Hear Challenge to ACA Insurance Subsidies
HealthCare.gov Website Opens for Window Shopping Ahead of Open Enrollment

Download

November 5, 2014

In Focus:

Missouri Issues Medicaid Managed Care RFP

Roundup:

Election Results Unlikely to Affect Medicaid Expansion Outlook
CMS Approves Massachusetts Medicaid 1115 Waiver
Colorado ACC Achieves Savings and Improved Outcomes
Kansas Releases MMIS RFP
Michigan Enrollment Update
New Jersey MLTSS Contract Provisions Released

Download

October 29, 2014

In Focus:

HHS OIG Recommendations on Medicaid MCO Access Standards

Roundup:

Louisiana DHH Recommends Five Bayou Health Plan Awards
BCBS of Western NY Reverses Decision to Exit Medicaid
States Ask Congress to Intervene on Drug Prices
CMS Provides Extension of Higher Matching Funds
NAMD to Host Fall Conference in Washington, D.C: Nov. 3-5
MACPAC to Hold Meeting in Washington, D.C: Oct. 30-31

Download

October 22, 2014

In Focus:

August 2014 Medicaid Enrollment Update Reviewed

Roundup:

Puerto Rico Announces Mi Salud RFP Awards to Five Plans
Delaware Reaches Agreement with United, Negotiations Continue with Highmark on Medicaid Managed Care RFP
Massachusetts Awards MMIS Contract Extension to HP
Colorado Issues RFI on Future of Medicaid Accountable Care Collaborative
California Ballot Initiative Would Allow Insurance Commissioner to Deny Rate Increase Requests

Download

October 15, 2014

In Focus:

Highlights from Kaiser/HMA 50-State Medicaid Director Survey

Roundup:

Aetna to end Contract with Delaware Medicaid
Indiana HIP 2.0 Negotiations Continue with CMS
South Carolina DHHS Director to Step Down
Some Healthy PA Bidders Withdrawing Proposals, Reducing Proposed Service Areas

Download

October 8, 2014

In Focus:

Medicaid MCO Enrollment Update – Q3 2014

Roundup:

Arizona Medicaid Limits Coverage of Sovaldi
L.A. Care Approved for Passive Enrollment of Dual Eligibles
Supreme Court to Hear Idaho’s Challenge to Medicaid Reimbursement Lawsuit
Maryland Medicaid Managed Care Rates Set to Decline
Massachusetts Updates Duals Demo Enrollment Numbers
Missouri Releases MMIS and Fiscal Agent Services RFI
New Hampshire Delays Mandatory MLTC Expansion
Updates on NEMT RFP and MLTSS Expansion in New Jersey
Provider Networks Pose Challenge for Healthy PA Plans
West Virginia Selects MTM for NEMT
Sunset Advisory Commission Releases Review of Texas HHSC
CMS Releases FAQ Document Regarding the ACA’s Health Insurance Provider Fee
Minimum Wage and Overtime Protections Delayed for Home-Care Workers

Download

October 1, 2014

In Focus:

CMS Publishes Medicaid MCO Rate Setting Guide

Roundup:

California Governor Signs Healthcare Bills Into Law
Medi-Cal Application Backlog down to 250,000
Over 400,000 Enrolled in Healthy Michigan Plan
New York Draft DSRIP Project Plan Application Posted
Pennsylvania Releases RFI for MMIS Modernization
Puerto Rico Delays Medicaid MCO Contract Awards
HHS Reports Hospitals Will Save $5.7 Billion in Uncompensated Care Costs Due to ACA
OIG Finds that Many New Medicaid Enrollees Face Challenges Finding Care

Download

September 24, 2014

In Focus:

NCQA Annual Medicaid MCO Rankings for 2014/2015 Reviewed

Roundup:

Virginia Legislators Reject Medicaid Expansion
Colorado Division of Insurance Releases 2015 Rates
Uninsured New Jersey Residents Reduced by Close to Half
New York DUR Board Recommends Limited Sovaldi Coverage
New York Delays Transition of Behavioral, Nursing Facility services to Managed Care
Number of Marketplace Insurers to Increase 25 Percent for Next Enrollment Period

Download

September 17, 2014

In Focus:

Medicaid Health Plans of America (MHPA) Letter to CMS Reviewed

Roundup:

Medi-Cal Director Douglas Announces Resignation
Georgia Suspends SNF Rate Change, Updates MCO RFP Schedule
New York MLTC Expansion, SNF Carve-in Likely Delayed
Ohio Medicaid Expansion Lowers Correctional Health Costs
Washington Hospitals Report Drop in Charity Care Spending
Senate Holds Hearing on CHIP Reauthorization

Download

September 10, 2014

In Focus:

Virginia Governor Unveils “Healthy Virginia” Plan

Roundup:

Washington Duals Demo Delayed After Plan Withdrawal
2015 Exchange Rate News in Alaska, New York
Pennsylvania Update on HealthyPA Launch Preparations
New York Medicaid MLTC Expansion Update
Feds Reportedly Agree to Concept of Utah’s Medicaid Expansion Alternative
Kansas Medicaid MCOs Report Losses in KanCare Year Two
Iowa Medicaid to Begin Coverage of Sovaldi

Download

Get the free
HMA Weekly
Roundup

Subscribe