Weekly Roundup

October 31, 2012

In Focus:

Highlights from Kaiser/HMA 50 State Medicaid Survey

Roundup:

Illinois receives CMS approval for Cook County early expansion waiver Washington state receives CMS approval for MFFS duals demonstration Washington D.C. to release Medicaid managed care RFP soon Nebraska releases risk-based behavioral health RFP Wisconsin announces MLTC contract awards

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October 24, 2012

In Focus:

Private Health Insurance Exchanges

Roundup:

Sacramento County approved for Medicaid coverage expansion initiative
Vanguard’s Medicaid MCO acquisition in Michigan receives approval
Illinois delays dual eligible awards another week
Florida state agencies submit budget requests

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October 17, 2012

In Focus:

Medicaid Managed Care Enrollment Update - Q3 2012

Roundup:

Texas releases draft RFP for STAR+PLUS program in rural areas Ohio health homes program for SMI launched Medicaid MCO acquisition in New York Illinois announces CCE/MCCN awardees

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October 10, 2012

In Focus:

New Jersey Medicaid Waiver Receives CMS Approval

Roundup:

Arizona releases Maricopa Behavioral RFP Oregon issues qualified health plan RFA for the Exchange Wisconsin reviews dual eligible demonstration applications Texas names new Medicaid / CHIP Director

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October 3, 2012

In Focus:

Arkansas Begins Targeted Medicaid Payment Reform Initiative

Roundup:

Ohio duals MOU to be finalized, posted later this month New York selects Oxford EPO as essential health benefits plan In Pennsylvania: New West MCO rollout begins, consolidation of Financial Management Services programs delayed Illinois duals RFP awards deadline pushed back another week

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September 26, 2012

In Focus:

CMS Report Highlights Growth of Managed LTSS

Roundup:

California publishes draft RFP for Qualified Health Plans in exchange Florida draft MCO rates released Indiana awards MMIS contract to incumbent HP New York Medicaid MCO expansion plans detailed

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September 19, 2012

In Focus:

State Progress Toward Exchange Essential Health Benefit Decisions

Roundup:

Ohio Health Homes Program receives CMS approval Florida draft Medicaid MCO Rates to be released this week Pennsylvania New West expansion delayed 1 month New East protest resolved Illinois Exchange development RFP bidders released Massachusetts Duals awards due Friday

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September 12, 2012

In Focus:

Nevada Medicaid MCO Rebid Requires Exchange Plan Offering

Roundup:

Pennsylvania releases Behavioral Health RFP Florida announces Long Term Care ITN bidders by region Colorado to launch all payers claims database Texas awards RAC contracts Michigan Governor proposes new organizational structure for BCBS MI

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September 5, 2012

In Focus:

New Mexico’s Centennial Care RFP Released

Roundup:

Colorado to rebid MMIS and Behavioral Health contracts
New York MLTC waiver gets CMS approval
Massachusetts COOP awarded $88.5 million federal loan

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August 29, 2012

In Focus:

CMS / Massachusetts Dual Eligible Demonstration Memorandum of Understanding (MOU) Details

Roundup:

Ohio finalizes Dual RFP awards Louisiana carves pharmacy benefits into MCO contracts Georgia DCH Commissioner pledges no reduction in provider rates Illinois awards Client Enrollment Broker contract to Maximus

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