Weekly Roundup

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Iowa Judge Recommends WellCare’s Contract Award be Rescinded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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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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