Weekly Roundup

October 12, 2011

In Focus:

States Submit Dual Eligible Integration Letters of Intent

Roundup:

Florida Managed Care Rates Finalized
Georgia Opens CHIP to State Employees’ Children
New York Achieves Medicaid Savings
New York Managed Care Rates Finalized
Pennsylvania Updates Hospital Readmission Policy

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October 5, 2011

In Focus:

Wisconsin’s Maintenance of Effort Waiver Proposals

Roundup:

California Reconsiders Procurement Strategy for Dual Eligibles
Florida Inpatient Rates Finalized
New York Pharmacy Carve-In Began October 1, as did Migration of New Eligibility Groups into Mandatory Managed Care
New York Managed Behavioral Health Organizations Selected

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September 28, 2011

In Focus:

Illinois Health Insurance Exchange: Needs Assessment Report

Roundup:

Florida MCO Rate Updates
California, Pennsylvania Submit Dual Eligible LOIs
Georgia Health Insurance Exchange Committee Meets
New York Health Homes Program Delayed

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September 21, 2011

In Focus:

Washington Medicaid MCO RFP

Roundup:

Florida Draft Rates Down Slightly
Georgia Receives Funding for Eligibility System Replacement
Illinois Continues to Work Toward Care Coordination Model
Indiana Cuts Dispensing Fee

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September 14, 2011

In Focus:

Key Takeaways From The HMA/Kaiser Family Foundation Medicaid Managed Care Survey

Roundup:

California MMIS Transition to ACS Underway
Georgia Tax Revenues Improve
New Jersey Waiver Application Includes Plan to Integrate Payment for Dual Eligibles
New Medicaid Director Assumes Office in Pennsylvania

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September 7, 2011

In Focus:

Pennsylvania Outlines MCO Expansion Plan

Roundup:

CMS Delays Michigan Dual Eligible Transition Plan
Texas HHSC Announces Changes to STAR Contract Awards in Travis County
Illinois Governor Threatens Cuts to Institutional Facilities

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August 31, 2011

In Focus:

A Review of Republican Governors’ Medicaid Reform Proposals

Roundup:

Illinois Exchange Development Moving Forward
Dual Eligibles in Michigan to be Notified of Health Plan Options

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August 24, 2011

In Focus:

We Review a Recent GAO Report on Investor-Owned Nursing Home Performance

Roundup:

Minimum MLR Back on the Table in Florida
Initial Schedule for Georgia Managed Care RFP Introduced
Michigan Provider Claims Tax Passes House, Awaits Governor’s Signature

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August 17, 2011

In Focus:

Hawaii Medicaid Managed Care RFP

Roundup:

HHS Awards $185M in Exchange Grants to States, Proposes Rules on Medicaid and Exchange Eligibility
Three Illinois Hospitals Lose Property Tax Exemptions, More Determinations Coming
California Legislature Resumes Session
Florida in Discussion with Plans on Draft Rates
Georgia Committee Votes to Move Forward on Exchange

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August 10, 2011

In Focus:

Medicaid Managed Care Expansion Scorecard

Roundup:

Florida Hospital Rate Negotiations Continue
We Expect Georgia to Offset Duplicate Member Recoupment
Illinois Reveals Plans for Hospital Payment Cycle Delay

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