Weekly Roundup

May 29, 2013

In Focus:

CMS Issues Guidance on MLTSS Waivers

Roundup:

California, Colorado, Georgia, Maryland Exchange plans revealed
Arkansas to submit Medicaid expansion waiver request by August
California Medi-Cal provider rate cuts upheld
Delaware issues MMIS RFP
Massachusetts revises timeline in dual eligible demo
Illinois, Iowa to expand Medicaid, while Maine Governor vetoes
Michigan, Mississippi Governors exploring expansion options
Ohio bill introduced to expand Medicaid, Texas lawmakers pass bill blocking expansion
Other Medicaid expansion developments in Arizona, Florida, Tennessee
Magellan protest continues in Arizona Behavioral RFP award

Download

May 22, 2013

In Focus:

Update on Health Plan Participation in State Insurance Exchanges

Roundup:

Covered California health plans to be announced tomorrow (May 23)
Exchange plans revealed in Washington, DC, Washington state, and Rhode Island
Virginia finalizes dual eligible MOU with CMS
Massachusetts and CMS increase dual eligible demonstration rates to MCOs
New York City contemplates behavioral health delivery system reforms
Iowa Governor opens door to possible Medicaid expansion
South Carolina and Louisiana legislatures shut door on Medicaid Expansion

Download

May 15, 2013

In Focus:

Massachusetts Primary Care Payment Reform Initiative

Roundup:

California Governor unveils revised budget
New York, Michigan Dual Eligible Demos delayed
Missouri Medicaid Director departs
HHS approves Utah’s hybrid exchange
CMS releases proposed Medicaid DSH rule
New York Medicaid MCO merger
Kentucky opts for Medicaid expansion
CBO reduces its prior 10-year estimates of federal healthcare spending
MACPAC meeting slated for May 16-17
Oregon, Washington disclose insurance exchange plan premiums

Download

May 8, 2013

In Focus:

Universal PDL Trends - Potential Impact on Medicaid Drug Rebates

Roundup:

California Duals Demo implementation delayed until January 2014
Alabama Legislature approves Medicaid managed care transition
Oregon Medicaid study ignites debate
Colorado sees Medicaid ACO progress
West Virginia Governor announces support for Medicaid expansion
Medicaid expansion debates continue across the U.S.

Download

May 1, 2012

In Focus:

Washington Releases Dual Eligible Demostration RFA

Roundup:

Florida legislature finalizes budget, fails to agree on Medicaid expansion
Indiana contemplates shifting ABD Medicaid beneficiaries into managed care
New York freezes enrollment in largest MLTC plan
Pennsylvania Department of Insurance approves Highmark/WPA merger
Washington provider tax replacement legislation moves forward
Alabama Medicaid reform bill nears passage
Louisana to rebid Medicaid eligibilithy contract
CMS releases simplified eligibility application

Download

April 24, 2013

In Focus:

Medicaid MCOs and Community Partnerships

Roundup:

Arkansas Governor Signs Medicaid Expansion into law
Medicaid expansion negotiations remain unresolved in Florida, Texas, Pennsylvania, Ohio, Montanta, and others
New Jersey delays MLTC carve-in, behavioral health FRP
New York Duals Demostration timeline slips
MassHealth CarePlus RFR to be Released May 2013
Texas releases RFI for SSI Children

Download

April 17,2013

In Focus:

Medicaid Managed Care Enrollment Update - Q1 2013

Roundup:

Nevada announces Medicaid MCO RFP Awards
Washington releases dual eligible RFA
New York delays dual eligible demostration start date
Medicaid expansion deliberations continue in Florida

Download

April 10, 2013

In Focus:

State Initiatives on All-Payer Claims Databases

Roundup:

Virginia dual eligible demostration RFP released
South Carolina duals demo timeline updated
Florida House to offer alternative Medicaid expansion proposal
North Carolina Governor proposes Medicaid managed care
Texas HHSC proposes mid-cycle managed care rate increase
MACPAC to meet April 11-12 in Washington, D.C.

Download

April 3, 2013

In Focus:

Maryland Proposes Modernized Hospital Rate-Setting

Roundup:

Florida publishes statewide Medicaid managed care bidders
Florida, Indiana, Pennsylvania continue to pursue Medicaid expansion alternatives
New York finalizes budget
Lousiana DHH secretary resigns

Download

March 27, 2013

In Focus:

Arizona Announces Acute Care, Behavioral RFP Awards

Roundup:

California, CMS complete Dual Demo MOU
Texas Developmental Disabilities Legislation Passes Senate
Flordia considers alternatives to Medicaid expansion
Pennsylvania Gov. to meet with CMS on Medicaid expansion next week

Download

Get the free
HMA Weekly
Roundup

Subscribe