Weekly Roundup

April 9, 2014

In Focus:

Michigan Finalizes Duals Demonstration MOU with CMS

Roundup:

California duals demonstration begins
Indiana contemplates Medicaid expansion
Texas announces NEMT awards
Virginia passes mental health law
New Hampshire delays managed care for DD
3M Medicaid beneficiaries added through February according to CMS enrollment report

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April 2, 2014

In Focus:

Texas Provides Updates on Managed Care Initiatives

Roundup:

Insurance Exchange Enrollment Surged as deadline approached
New York state legislature approves FY 2015 budget
Florida budget moves through appropriations Committees
Illinois duals demonstration launches
Maryland considers Connecticut’s Exchange system
Michigan Medicaid expansion opens for enrollment
Healthy Pennsylvania Waiver Update
Cook County (IL) awards CountyCare contract to Centene

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March 26, 2014

In Focus:

CMS Proposed Insurance Exchange Rules for 2015 Reviewed

Roundup:

California waiver amendment approved, updates CCI timing
Texas HHSC provides update on Duals Demonstration
Georgia Assembly finalizes FY 2015 budget
Illinois Governor releases FY 2015 budget recommendations
New York Medicaid behavioral health carve-in RFQ released
New Hampshire House approves Medicaid expansion

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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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