Weekly Roundup

October 29, 2014

In Focus:

HHS OIG Recommendations on Medicaid MCO Access Standards

Roundup:

Louisiana DHH Recommends Five Bayou Health Plan Awards BCBS of Western NY Reverses Decision to Exit Medicaid States Ask Congress to Intervene on Drug Prices CMS Provides Extension of Higher Matching Funds NAMD to Host Fall Conference in Washington, D.C: Nov. 3-5 MACPAC to Hold Meeting in Washington, D.C: Oct. 30-31

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October 22, 2014

In Focus:

August 2014 Medicaid Enrollment Update Reviewed

Roundup:

Puerto Rico Announces Mi Salud RFP Awards to Five Plans Delaware Reaches Agreement with United, Negotiations Continue with Highmark on Medicaid Managed Care RFP Massachusetts Awards MMIS Contract Extension to HP Colorado Issues RFI on Future of Medicaid Accountable Care Collaborative California Ballot Initiative Would Allow Insurance Commissioner to Deny Rate Increase Requests

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October 15, 2014

In Focus:

Highlights from Kaiser/HMA 50-State Medicaid Director Survey

Roundup:

Aetna to end Contract with Delaware Medicaid Indiana HIP 2.0 Negotiations Continue with CMS South Carolina DHHS Director to Step Down Some Healthy PA Bidders Withdrawing Proposals, Reducing Proposed Service Areas

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October 8, 2014

In Focus:

Medicaid MCO Enrollment Update – Q3 2014

Roundup:

Arizona Medicaid Limits Coverage of Sovaldi
L.A. Care Approved for Passive Enrollment of Dual Eligibles
Supreme Court to Hear Idaho’s Challenge to Medicaid Reimbursement Lawsuit
Maryland Medicaid Managed Care Rates Set to Decline
Massachusetts Updates Duals Demo Enrollment Numbers
Missouri Releases MMIS and Fiscal Agent Services RFI
New Hampshire Delays Mandatory MLTC Expansion
Updates on NEMT RFP and MLTSS Expansion in New Jersey
Provider Networks Pose Challenge for Healthy PA Plans
West Virginia Selects MTM for NEMT
Sunset Advisory Commission Releases Review of Texas HHSC
CMS Releases FAQ Document Regarding the ACA’s Health Insurance Provider Fee
Minimum Wage and Overtime Protections Delayed for Home-Care Workers

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October 1, 2014

In Focus:

CMS Publishes Medicaid MCO Rate Setting Guide

Roundup:

California Governor Signs Healthcare Bills Into Law Medi-Cal Application Backlog down to 250,000 Over 400,000 Enrolled in Healthy Michigan Plan New York Draft DSRIP Project Plan Application Posted Pennsylvania Releases RFI for MMIS Modernization Puerto Rico Delays Medicaid MCO Contract Awards HHS Reports Hospitals Will Save $5.7 Billion in Uncompensated Care Costs Due to ACA OIG Finds that Many New Medicaid Enrollees Face Challenges Finding Care

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September 24, 2014

In Focus:

NCQA Annual Medicaid MCO Rankings for 2014/2015 Reviewed

Roundup:

Virginia Legislators Reject Medicaid Expansion Colorado Division of Insurance Releases 2015 Rates Uninsured New Jersey Residents Reduced by Close to Half New York DUR Board Recommends Limited Sovaldi Coverage New York Delays Transition of Behavioral, Nursing Facility services to Managed Care Number of Marketplace Insurers to Increase 25 Percent for Next Enrollment Period

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September 17, 2014

In Focus:

Medicaid Health Plans of America (MHPA) Letter to CMS Reviewed

Roundup:

Medi-Cal Director Douglas Announces Resignation Georgia Suspends SNF Rate Change, Updates MCO RFP Schedule New York MLTC Expansion, SNF Carve-in Likely Delayed Ohio Medicaid Expansion Lowers Correctional Health Costs Washington Hospitals Report Drop in Charity Care Spending Senate Holds Hearing on CHIP Reauthorization

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September 10, 2014

In Focus:

Virginia Governor Unveils “Healthy Virginia” Plan

Roundup:

Washington Duals Demo Delayed After Plan Withdrawal
2015 Exchange Rate News in Alaska, New York
Pennsylvania Update on HealthyPA Launch Preparations
New York Medicaid MLTC Expansion Update
Feds Reportedly Agree to Concept of Utah’s Medicaid Expansion Alternative
Kansas Medicaid MCOs Report Losses in KanCare Year Two
Iowa Medicaid to Begin Coverage of Sovaldi

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September 3, 2014

In Focus:

Update on New York DSRIP Program

Roundup:

HealthyPA Medicaid Expansion Waiver Approved Colorado Launches MFFS Duals Demo Indiana HIP 2.0 Waiver Posted for Public Comment Tennessee, Wyoming Governors Consider Medicaid Expansion Options Georgia Announces Intent to Award Behavioral ASO Contract to ValueOptions Georgia Budgets for Elevated Hep C Treatment Expenses New Jersey Releases Details on ACO Demonstration Applicants Hospital Merger Activity Continues in New York Counihan Named CMS Marketplace CEO Stehle Named Arkansas Medicaid Director Michigan DCH Director Haveman Steps Down

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August 20, 2014

In Focus:

Washington Issues Foster Care Managed Care RFP

Roundup:

Louisiana Releases Behavioral Health RFP Massachusetts Medicaid Insurers Cite Sovaldi in Call for Higher Payments from State Ohio, Virginia Release Latest Duals Enrollment Figures Kansas Mental Health System under Increasing Stress

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