Weekly Roundup

May 9, 2012

In Focus:

New Mexico's Medicaid Redesign Waiver

Roundup:

Health Net wins Central California RFP
California "May Revise" to be released May 14
New York scales back, refines dual eligible demonstration proposal
Georgia announces, but Texas cancels, RAC awards
Pennsylvania Medicaid MCO awards protested
CMS refines dual eligible application requirements, announces first wave of innovation awards, and releases proposed rule on Medicaid primary care rate increases

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May 2, 2012

In Focus:

MCO Enrollment Update Q1 2012

Roundup:

New York revises dual integration proposal
Illinois dual integration RFP delayed until May 4
Incumbent ValueOptions wins Massachusetts Medicaid behavioral health RFP

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April 25, 2012

In Focus:

Ohio Dual Eligible Integration RFP

Roundup:

Pennsylvania announces Medicaid MCO expansion awards
Florida managed LTC attracts LOIs
Illinois Governor proposes Medicaid budget reductions

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April 18, 2012

In Focus:

Arizona, South Carolina, Tennessee, Texas, and Virginia Dual Eligible Integration Proposals

Roundup:

Ohio protests filed by five of six unsuccessful MCO bidders
CareSource to sell Michigan plan
New York Governor Cuomo signs executive order for health insurance exchange
Georgia Medicaid MCO RFP timeline under evaluation
Colorado update on ACC program
Illinois Governor to unveil budget proposal tomorrow
MACPAC meeting tomorrow

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April 11, 2012

In Focus:

MACPAC Report on Medicaid Program Integrity

Roundup:

Ohio Medicaid MCO awards announced
Updated timeline for Illinois delivery system reforms
Georgia expects to release a draft RFP for eligibility system redesign
New York releases successful health home applicants

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April 4, 2012

In Focus:

CMS Updates Dual Eligible Integration Guidance & Timeline

Roundup:

California Demonstration Sites Announced, Dual Integration Proposal Released
Illinois Releases MMIS, Enrollment Broker Procurements
Pennsylvania New East and New West Managed Care Awards Still Pending
Florida to Evaluate Shifting to DRG-Based Reimbursement System for Hospitals
Colorado Launches Telehealth Initiative

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March 28, 2012

In Focus:

New York Dual Eligible Integration Proposal

Roundup:

Site Selection for California Dual Eligible Demonstration Delayed
Florida Long-Term Care Rate Book Released
Georgia, New York Budgets Finalized

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March 21, 2012

In Focus:

CMS Releases Final Medicaid Eligibility Rule

Roundup:

Florida Extends Implementation Timeline for Acute and Long-Term Care ITNS
Indiana Selects Medicaid PBM
Medicaid Spending Cuts Debated in Illinois
CMS Comment Period for Massachusetts Dual Eligible Proposal Ends

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March 14, 2012

In Focus:

Washington Dual Eligible Integration Proposal

Roundup:

Dual Eligible Integration Developments In New York, Colorado
Georgia Medicaid Redesign Decisions Expected Late April
Pennsylvania Contract Awards Still Pending

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March 7, 2012

In Focus:

Michigan Dual Eligible Integration Proposal

Roundup:

New York to Release Dual Integration Proposal March 22
Florida Hospital Rate Cuts Finalized
California Dual Integration Applications Released
Texas Pharmacy Carve-In Implemented
HMA Records GLG Webcast on State Budgets, MCO Expansion, and California Duals RFS

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