Weekly Roundup

July 17, 2013

In Focus:

CMS Issues Final Rule on Medicaid and Exchanges

Roundup:

New York, Illinois announce Marketplace QHPs Massachusetts signs dual eligible demonstration contracts Florida begins MMA negotiations Illinois dual eligible demonstration start date pushed back New York Medicaid director provides update on program redesign New Mexico Waiver receives federal approval

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July 10, 2013

In Focus:

Coverage Expansion Implications for Parolees and Ex-Offenders

Roundup:

Obama Administration announces one-year delay of employer mandate Virginia awards dual eligible demonstration MCOs Exchange plans revealed in Iowa, Vermont Massachusetts Medicaid Director moving to OMB Mississippi reauthorizes Medicaid program New Hampshire hospitals agree to participate in Medicaid managed care networks Upgraded MMIS system launches in North Carolina Washington Health Homes program launched

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June 26, 2013

In Focus:

Arkansas Reveals “Private Option” Draft Waiver

Roundup:

Iowa Governor signs limited Medicaid expansion bill, awaits HHS approval
New Jersey, Rhode Island pass expansion bills
Special session on Medicaid to kick off in Mississippi, no special session for Michigan
Florida begins mailing Medicaid MLTC enrollment packets
Indiana official believes CMS will approve Health Indiana Plan extension
Massachusetts announces contract progress in duals demonstration
Federally Facilitated Exchange rates due in September
HHS calls for 7 million in Exchange by March 2014

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June 19, 2013

In Focus:

Highlights from NASBO Spring 2013 Fiscal Survey of States

Roundup:

Medicaid Expansion Update: Arizona, California, New Jersey are in Crunch time for Maine, New Hampshire, Ohio, Michigan, Virginia, Montana, and Pennsylvania Florida Medicaid Waiver approved Idaho, Illinois Dual Eligible Demonstration timelines updated New York MLTC expansion continues

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June 12, 2013

In Focus:

Congressional Budget Office Reports on Dual Eligibles

Roundup:

Washington announces Duals Demo awards
Arizona, Michigan Medicaid expansion bills gain traction
California budget deal finalized
Indiana issues CareSelect RFP
Massachusetts issues CarePlus RFR for Medicaid expansion
Wisconsin issues Medicaid MLTC RFP
Colorado, DC Exchange rates not showing “rate shock”
Michigan reveals fourteen Exchange plans
Oklahoma to consider Medicaid managed care transition

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June 5, 2013

In Focus:

A Look at Exchange Enrollment Assistance Programs

Roundup:

Arizona House set to vote on Medicaid expansion Exchange applicants revealed in Arkansas, Florida, Washington DC, North Carolina, and Montana Georgia names Department of Community Health Commissioner Wisconsin rejects Medicaid expansion

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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

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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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