Weekly Roundup

October 16, 2013

In Focus:

Tennessee’s TennCare Managed Care RFP

Roundup:

Ohio Governor pursues Medicaid expansion decision
Exchange experiences vary by state
Maine issues Accountable Care RFA
Illinois releases Medicaid PCCM RFP
Indiana names new Medicaid Director
Maryland submits plan to overhaul hospital reimbursement
Nebraska considers MLTC program
Virginia names Kaiser Permanente as one of three MCOs in Northern Virginia

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October 9, 2013

In Focus:

Highlights from Kaiser/HMA 50-State Medicaid Directors Survey

Roundup:

Tennessee Medicaid managed care RFP released Georgia Medicaid ABD RFP release delayed Michigan Duals RFP bidders revealed Illinois Medicaid ABD managed care roll-out underway Texas released draft RFP for non-emergency medical transportation New York updates Medicaid behavioral health redesign Vermont Medicaid Waiver extension approved Washington Marketplace enrollment shows Medicaid woodwork impact

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October 2, 2013

In Focus:

New York Health Insurance Marketplace: Plans and Premiums

Roundup:

Technical Glitches Mark Exchange Launches, Largely Due to High Volumes
CMS Approves Arkansas’ “Private Option” Waiver
Florida Releases MMA Notices of Intent to Protest
Idaho Behavioral Health Plan Transitions to Optum
Excellus Considers Withdrawal from Medicaid Managed Care in New York
North Carolina Names New Medicaid Director
Pennsylvania Engages Stakeholders on Health PA Proposal
Puerto Rico Health Care Reform Update
HHS Contingency Plan Could Furlough More than Half of Its Employees

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September 25, 2013

In Focus:

NCQA Releases Annual Medicaid MCO Rankings

Roundup:

Florida announces Medicaid managed care awards Idaho reevaluates participation in duals demo Indiana awards Care Select contracts Illinois announces recommended Exchange plans New York MLTC expansion continues North Carolina Medicaid Director resigns Pennsylvania to consider MLTC CMS issues Basic Health Plan proposed rule Federally facilitated exchange premium information released

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September 18, 2013

In Focus:

Pennsylvania Announces Plan for Expanding Health Insurance Coverage

Roundup:

South Carolina duals plan applications revealed Massachusetts, Arizona, Maine, West Virginia, and Oklahoma announce exchange plans Arkansas issues RFQ to implement shared savings pilot program Florida Medicaid MCO awards expected Monday Kentucky announces Medicaid expansion MCO awards CMS finalizes rule on Medicaid DSH payments Federal rule mandates minimum wage, overtime pay for home care workers

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September 11, 2013

In Focus:

Oklahoma Premium Assistance Program Extended, Dual Eligible RFI Released

Roundup:

Idaho, Kentucky, Washington announce health insurance exchange plans New York approves three MLTC plans Study finds new Medicaid enrollees to be younger, healthier Federal data hub security testing completed

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September 4, 2013

In Focus:

Louisiana Releases Managed LTSS Concept Paper

Roundup:

Michigan Medicaid expansion bill sent to Governor for signature Texas announces contract awards for STAR+PLUS rural service areas Indiana announces one-year extension of Healthy Indiana Plan Maine hospitals to receive $490 million in backlogged Medicaid payments New York provides additional details on FIDA program Washington approves two more plans for exchange participation

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August 28, 2013

In Focus:

New York Finalizes Duals Demonstration MOU with CMS

Roundup:

Michigan Senate passes Medicaid expansion bill Puerto Rico advances health reforms Regence withdraws from Idaho duals demonstration Colorado, Rhode Island, New York, Nebraska announce exchange health plans New Hampshire revises Medicaid managed care implementation date California sends Bridge Plan proposal to CMS Washington officials delay vote on health exchange plans

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August 14, 2013

In Focus:

Hawaii RFP to Consolidate Medicaid Managed Care Contracts

Roundup:

Arkansas files "private option" expansion waiver Florida provides guidance for Medicare Advantage plans covering duals Georgia announces state employees' health plan award Oregon exchange won't accept online applications on October 1 Washington announces Qualified Health Homes Navigator awards anticipated August 15 Wisconsin submits revised duals demo MOU to CMS Growth in state tax revenue continues

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August 7, 2013

In Focus:

CMS Targeting Medicaid "Super-Utilizers"

Roundup:

Individual exchange plans announced in 11 states California announces SHOP plans New York indicates dual eligible demonstration MOU imminent Rhode Island updates dual eligible rollout schedule

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