Weekly Roundup

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

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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

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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

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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

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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

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September 3, 2014

In Focus:

Update on New York DSRIP Program

Roundup:

HealthyPA Medicaid Expansion Waiver Approved
Colorado Launches MFFS Duals Demo
Indiana HIP 2.0 Waiver Posted for Public Comment
Tennessee, Wyoming Governors Consider Medicaid Expansion Options
Georgia Announces Intent to Award Behavioral ASO Contract to ValueOptions
Georgia Budgets for Elevated Hep C Treatment Expenses
New Jersey Releases Details on ACO Demonstration Applicants
Hospital Merger Activity Continues in New York
Counihan Named CMS Marketplace CEO
Stehle Named Arkansas Medicaid Director
Michigan DCH Director Haveman Steps Down

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August 20, 2014

In Focus:

Washington Issues Foster Care Managed Care RFP

Roundup:

Louisiana Releases Behavioral Health RFP
Massachusetts Medicaid Insurers Cite Sovaldi in Call for Higher Payments from State
Ohio, Virginia Release Latest Duals Enrollment Figures
Kansas Mental Health System under Increasing Stress

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August 13, 2014

In Focus:

Indiana Releases Medicaid ABD RFP

Roundup:

Medicaid Enrollment Increases 7 Million under ACA
Study Estimates Health Insurance Exchange premiums to rise by an average of 7.5 percent
New York DSRIP Design Grants Awarded
California to Add Autism Therapy as Medi-Cal Benefit
Two Massachusetts Medicaid MCOs Appeal to State on Sovaldi Pressures

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August 6, 2014

In Focus:

Louisiana Issues Bayou Health RFP

Roundup:

Indiana issues Medicaid ABD managed care RFP
Washington issues foster care RFP
2015 Exchange rate submission updates in California, Connecticut, Florida, Oregon
Colorado MFFS Duals Demonstration set to launch
Florida MMA Waiver renewal approved by CMS
West Virginia Family Health to enter Medicaid MCO market
Maryland DHMH Secretary to step down

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July 23, 2014

In Focus:

Texas HHSC Issues STAR Kids RFP

Roundup:

Florida Releases MMA Managed Care Enrollment for Standard and Specialty Plans
Louisiana Medicaid MCO RFP scheduled for release next week
New York Medicaid Director Provides Program Update
HealthNow Announces Medicaid Withdrawal in Western NY
HHS Exempts U.S. Territories from Several ACA Provisions
Courts Announce Conflicting Rulings on Subsidies for Federal Exchange Consumers

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