Weekly Roundup

October 17, 2012

In Focus:

Medicaid Managed Care Enrollment Update - Q3 2012

Roundup:

Texas releases draft RFP for STAR+PLUS program in rural areas
Ohio health homes program for SMI launched
Medicaid MCO acquisition in New York
Illinois announces CCE/MCCN awardees

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October 10, 2012

In Focus:

New Jersey Medicaid Waiver Receives CMS Approval

Roundup:

Arizona releases Maricopa Behavioral RFP
Oregon issues qualified health plan RFA for the Exchange
Wisconsin reviews dual eligible demonstration applications
Texas names new Medicaid / CHIP Director

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October 3, 2012

In Focus:

Arkansas Begins Targeted Medicaid Payment Reform Initiative

Roundup:

Ohio duals MOU to be finalized, posted later this month
New York selects Oxford EPO as essential health benefits plan
In Pennsylvania: New West MCO rollout begins, consolidation of Financial Management Services programs delayed
Illinois duals RFP awards deadline pushed back another week

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September 26, 2012

In Focus:

CMS Report Highlights Growth of Managed LTSS

Roundup:

California publishes draft RFP for Qualified Health Plans in exchange
Florida draft MCO rates released
Indiana awards MMIS contract to incumbent HP
New York Medicaid MCO expansion plans detailed

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September 19, 2012

In Focus:

State Progress Toward Exchange Essential Health Benefit Decisions

Roundup:

Ohio Health Homes Program receives CMS approval
Florida draft Medicaid MCO Rates to be released this week
Pennsylvania New West expansion delayed 1 month
New East protest resolved
Illinois Exchange development RFP bidders released
Massachusetts Duals awards due Friday

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September 12, 2012

In Focus:

Nevada Medicaid MCO Rebid Requires Exchange Plan Offering

Roundup:

Pennsylvania releases Behavioral Health RFP
Florida announces Long Term Care ITN bidders by region
Colorado to launch all payers claims database
Texas awards RAC contracts
Michigan Governor proposes new organizational structure for BCBS MI

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September 5, 2012

In Focus:

New Mexico’s Centennial Care RFP Released

Roundup:

Colorado to rebid MMIS and Behavioral Health contracts
New York MLTC waiver gets CMS approval
Massachusetts COOP awarded $88.5 million federal loan

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August 29, 2012

In Focus:

CMS / Massachusetts Dual Eligible Demonstration Memorandum of Understanding (MOU) Details

Roundup:

Ohio finalizes Dual RFP awards
Louisiana carves pharmacy benefits into MCO contracts
Georgia DCH Commissioner pledges no reduction in provider rates
Illinois awards Client Enrollment Broker contract to Maximus

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August 22, 2012

In Focus:

Updates and Timeline from HHS on Exchange Development

Roundup:

Ohio finalizes Dual Eligible RFA scoring
Florida releases list of health plans submitting LOIs for Managed Medical Assistance Program
Michigan Department of Community Health Director resigns
Indiana HIP program receives one-year extension
Eligibility system redesigns vendors selected in Texas, Indiana

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August 15, 2012

In Focus:

Wisconsin’s Virtual PACE Program to Serve Duals

Roundup:

New York details $10B in health care reinvestments under waiver
Illinois Exchange procuring IT vendor, releases Navigator report
Colorado approves additional Exchange grant request
Texas meeting on Medicaid Waiver implementation draws hundreds

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