Weekly Roundup

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

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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

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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.

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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

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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

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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

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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.

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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

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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

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March 20, 2013

In Focus:

Arkansas Details Private Option Plan for Medicaid Expansion

Roundup:

Florida Senate proposes alternative to Medicaid expansion Illinois launches Cook County waiver program Michigan Governor signs BCBS conversion law Pennsylvania Governor to resubmit lottery contract for AG approval Developmental disabilities legislation introduced in Texas

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