Weekly Roundup

November 13, 2013

In Focus:

Dual Eligible Demonstrations and the Health Insurance Providers Fee (HIPF)

Roundup:

Administration releases Federal Exchange enrollment figures
New York, Kentucky pleased with ACA enrollment pace
Timeline for Georgia ABD RFP released
Florida, D.C. hospitals report job cuts
Managed Medicaid report available from CRG
New York’s Excellus BCBS reaches agreement to continue serving Medicaid managed care population
North Carolina Medicaid reform proposal due Spring 2014
Tennessee Governor still considering Medicaid expansion

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November 6, 2013

In Focus:

Reviewing the Basic Health Plan Proposed Rule

Roundup:

Florida’s proposed MMA implementation schedule submitted to CMS
Michigan Duals Awards Announced
South Carolina Names Five Plans for Duals Demonstration.
NH Medicaid Expansion House Vote Slated for November 21.
2015 Duals Demonstration Medicare application posted by CMS for Idaho, Rhode Island.
Federal marketplace enrollment data to be released next week

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October 30, 2013

In Focus:

South Carolina Finalizes Duals MOU with CMS

Roundup:

State Marketplaces reporting on enrollment as problems persist Florida announces additional Medicaid managed care awards to Molina, Prestige Health Choice Mississippi Medicaid Director wants Medicaid MCO expansion Pennsylvania announces Medicaid reforms under Healthy PA Georgia stakeholders respond to managed ABD state plan amendment North Carolina Governor rejects special legislative session for Medicaid expansion Illinois publishes Accountable Care Entities RFP LOIs

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October 23, 2013

In Focus:

Medicaid MCO Enrollment Update Q3 2013

Roundup:

Ohio controlling board approves Medicaid expansion Enrollment in State-Based Exchanges expands Systems challenges with Federal Exchange continue Aetna/Coventry awarded Florida MMA contract in Region 11 Maine Governor signals openness to Medicaid expansion Virginia considering private option Medicaid expansion vehicle New Hampshire to hold Medicaid expansion special session New York State report evaluates and ranks MLTC plans

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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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