Weekly Roundup

January 8, 2014

In Focus:

Key Medicaid and Legislative Issues to Watch For in 2014

Roundup:

Medicaid expansion, health insurance exchange coverage begins
Hawaii announces Medicaid MCO contract awards
Georgia releases fee based ABD RFP
Florida PSN contract award challenged
Colorado receives draft MOU for duals demonstration
Louisiana releases Dental Benefits RFP

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December 18, 2013

In Focus:

Puerto Rico Issues RFI for Medicaid Managed Care, Targeting Procurement in Early 2014

Roundup:

Tennessee announces Medicaid managed care awards
Minnesota exchange director steps down
New York waiver amendment close to approval
Virginia announces dual eligible managed care contracts
Illinois Health Connect contract awarded to incumbent Automated Health Systems
HHS reports nearly 365,000 enrolled in qualified health plans through November

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December 11, 2013

In Focus:

Pennsylvania Releases Draft Application for 1115 Demonstration Reforming Medicaid

Roundup:

California Marketplace enrollment by health plan reported
Georgia announces delay for foster care managed care transition
Iowa alternative Medicaid expansion proposal approved
New York provides updates on 1115 Waiver
MACPAC meeting scheduled for December 12-13th

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December 4, 2013

In Focus:

Indiana Taskforce Publishes Draft of Medicaid ABD Managed Care Options

Roundup:

Washington signs duals demonstration MOU with CMS
Florida submits 3-year Medicaid Waiver extension to CMS
Florida finalizes 2014 Medicaid MCO rates
Michigan provides updates on duals demonstration
Missouri appoints new Medicaid Director
New York Medicaid Managed LTC rollout continues
Texas issues Medicaid non-emergency medical transport RFP
Georgia releases integrated eligibility system RFP

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November 20, 2013

In Focus:

Missouri Senate Committee Draft Medicaid Reform Recommendations Reviewed

Roundup:

New York provides updates on State Health Innovation Plan, Duals Demonstration
Georgia board approves plan to move on managed ABD RFP
Indiana Governor requests HHS meeting on alternative Medicaid expansion model through Healthy Indiana Plan
Virginia releases Medicare base rates for Duals Demonstration

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November 13, 2013

In Focus:

Dual Eligible Demonstrations and the Health Insurance Providers Fee (HIPF)

Roundup:

Administration releases Federal Exchange enrollment figures
New York, Kentucky pleased with ACA enrollment pace
Timeline for Georgia ABD RFP released
Florida, D.C. hospitals report job cuts
Managed Medicaid report available from CRG
New York’s Excellus BCBS reaches agreement to continue serving Medicaid managed care population
North Carolina Medicaid reform proposal due Spring 2014
Tennessee Governor still considering Medicaid expansion

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November 6, 2013

In Focus:

Reviewing the Basic Health Plan Proposed Rule

Roundup:

Florida’s proposed MMA implementation schedule submitted to CMS
Michigan Duals Awards Announced
South Carolina Names Five Plans for Duals Demonstration.
NH Medicaid Expansion House Vote Slated for November 21.
2015 Duals Demonstration Medicare application posted by CMS for Idaho, Rhode Island.
Federal marketplace enrollment data to be released next week

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October 30, 2013

In Focus:

South Carolina Finalizes Duals MOU with CMS

Roundup:

State Marketplaces reporting on enrollment as problems persist
Florida announces additional Medicaid managed care awards to Molina, Prestige Health Choice
Mississippi Medicaid Director wants Medicaid MCO expansion
Pennsylvania announces Medicaid reforms under Healthy PA
Georgia stakeholders respond to managed ABD state plan amendment
North Carolina Governor rejects special legislative session for Medicaid expansion
Illinois publishes Accountable Care Entities RFP LOIs

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October 23, 2013

In Focus:

Medicaid MCO Enrollment Update Q3 2013

Roundup:

Ohio controlling board approves Medicaid expansion
Enrollment in State-Based Exchanges expands
Systems challenges with Federal Exchange continue
Aetna/Coventry awarded Florida MMA contract in Region 11
Maine Governor signals openness to Medicaid expansion
Virginia considering private option Medicaid expansion vehicle
New Hampshire to hold Medicaid expansion special session
New York State report evaluates and ranks MLTC plans

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October 16, 2013

In Focus:

Tennessee’s TennCare Managed Care RFP

Roundup:

Ohio Governor pursues Medicaid expansion decision
Exchange experiences vary by state
Maine issues Accountable Care RFA
Illinois releases Medicaid PCCM RFP
Indiana names new Medicaid Director
Maryland submits plan to overhaul hospital reimbursement
Nebraska considers MLTC program
Virginia names Kaiser Permanente as one of three MCOs in Northern Virginia

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