Weekly Roundup

March 19, 2014

In Focus:

North Carolina Medicaid Reform Proposal Submitted to Legislature

Roundup:

Medi-Cal statewide formulary proposal reviewed
Medicaid expansion debate continues in Maine, New Hampshire, Nebraska, Utah, Virginia
Michigan update on HIPF adjustment
Texas delays STAR+PLUS nursing home transition to 2015
Iowa to help newly released inmates apply for Medicaid

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March 12, 2014

In Focus:

State Budgetary Adjustments for HIPF Reviewed

Roundup:

CMS Issues Basic Health Program Rules
Exchange Enrollments Reach 4.2 Million, According to HHS
Indiana Expected to Issue Medicaid ABD RFP in May
New Hampshire Senate Approves Medicaid Expansion
New Jersey MLTSS to Carve-Out Existing Nursing Facility Residents
Pennsylvania Governor Offers Modification to Healthy PA Job Search Requirements

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March 3, 2014

In Focus:

Colorado Completes Duals Demonstration MOU with CMS

Roundup:

Arkansas House approves funding for private option
Idaho withdraws from dual eligible demonstration
Maine Medicaid expansion contemplates managed care requirement
Illinois Chicago-area ACE RFP awards publicized
North Carolina Medicaid reform plan utilizes ACOs
Oregon, Oracle reach deal to complete exchange website work
Healthy PA waiver posted for 30-day public comment
White House policy changes address exchange complications
President’s budget proposes one-year extension of primary care reimbursement increase

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February 26, 2014

In Focus:

CMS State Medicaid Directors Letter Provides Estate Recovery Guidance

Roundup:

Exchange Enrollments Reach 4 Million
Medicaid expansion efforts fail in South Dakota, Wyoming
Nevada Exchange Director Resigns
Maryland terminates contract with Exchange contractor
Adult Dental reinstated in California, Massachusetts; Considered in Maine

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February 19, 2014

In Focus:

CCIIO Issues Draft Guidance Letter for Federal Marketplace Insurers

Roundup:

New York Reaches Waiver Agreement with CMS
Pennsylvania Submits Medicaid Waiver Application to CMS
Arkansas Private Option Reauthorization Attempt Fails
Maryland Medicaid Director to Step Down
Georgia House Bill Would Deny Governor the Authority to Expand Medicaid
New Hampshire Medicaid Expansion Details Revealed
Centene, Trilogy added to SE Wisconsin Medicaid Market
Highmark and Blue Cross of Northeastern PA Plan Merger

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February 12, 2014

In Focus:

Texas Issues Draft RFP for STAR Health Program

Roundup:

HHS Reports National Exchange Enrollment Tops 3.3 Million
Illinois Posts 1115 Waiver Proposal
Arkansas Alternative Medicaid Expansion At Risk
New York Update on DSRIP Proposal
Budget Updates in Connecticut, Georgia, Michigan
New Hampshire Medicaid Expansion Deal Announced
Healthy PA Waiver to Be Submitted by March 2014

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February 5, 2014

In Focus:

Delaware Issues Medicaid Managed Care RFP

Roundup:

Three MCOs added to Duals Demo in Los Angeles
Puerto Rico Issues MI Salud RFP
Florida to Launch State-Run Florida Health Choices Exchange
Kansas launches managed care for developmentally disabled
Maryland Medicaid enrollments surpass projections
Pennsylvania Governor’s budget proposal boosts home and community-based services
Prestige Health Choice to keep Florida Medicaid contract
CBO publishes revised projections of Medicaid, Exchange enrollments

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January 29, 2014

In Focus:

CMS Clarifies Hospital Medicaid Presumptive Eligibility Policies

Roundup:

HHS Says 6.3 Million Determined Eligible for Medicaid Since Oct. 1
Orange County duals demo suspended as CalOptima fails audit
Texas Duals Demo Project Details Nearly Complete
Utah considers Medicaid expansion
Hawaii Health Connector Bills Seek State Control

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January 22, 2014

In Focus:

Medicaid Managed Care Enrollment Update – Q4 2013

Roundup:

Exchange Plan Sign-Ups Accelerate
New York Delays Duals Demo Implementation
Michigan, Washington Contemplate Mental Health Program Changes
KanCare DD Expansion Scheduled for February 1
Cook County Hospital CEO Stepping Down
Georgia Budget Proposal Includes Funding For HIPF

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January 15, 2014

In Focus:

Ohio’s Multi-Payer Payment and Delivery System Redesign Vision Reviewed

Roundup:

State Legislatures Resume Push for Medicaid Expansion
California Governor’s Budget Leaves Medi-Cal Rate Cut Intact
Georgia Medicaid Reform Committee Report Issued
Illinois Announces Duals Demonstration MCO County Participation
Illinois Accountable Care Entity RFP Bidders List Revealed
New York Updates on Duals Demonstration, Senate Exchange Hearing
Pennsylvania Tobacco Settlement Dispute May Impact Medicaid Funds

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