Weekly Roundup

February 3, 2016

In Focus:

West Virginia Issues Medicaid Managed Care RFQ

Roundup:

Alaska Considers Case Management Proposal
Florida Budget Proposals Contemplate Additional HCBS Waiver Slots
Indiana Hospitals See Drop in Uncompensated Care
Massachusetts Governor Proposes 5 Percent Increase in Medicaid Spending
Oklahoma Delays Medicaid ABD Managed Care RFP

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January 27, 2016

In Focus:

CMS Issues Medicaid Drug Rebate, Reimbursement Rule

Roundup:

Medicaid Expansion Updates in Georgia, Kansas, Louisiana, New Hampshire, Tennessee, Utah, and Wyoming Iowa On Track for March 1 Managed Care Transition New York HARP Enrollment Update Pennsylvania MLTSS RFP Scheduled for February Release CBO Lowers Exchange Enrollment Projections HHS Report Finds Most Medicaid Children Not Receiving All Required Dental Care CMS To Help Co-ops Find Investors

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January 20, 2016

In Focus:

Medicaid MCO Enrollment Update – Q4 2015

Roundup:

Nebraska considers Medicaid expansion Georgia requests extension of Medicaid MCO contracts New York Governor's budget calls for minimum MLR, drug price caps New Jersey MLTSS update White House proposes extension of 3-year federal subsidy for new expansion states

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January 13, 2016

In Focus:

Key Medicaid and Legislative Issues to Watch in 2016

Roundup:

Louisiana Governor Expands Medicaid
Missouri Formalizes Plans for Statewide Managed Care
North Carolina on Track for Managed Care in 2018/19
Virginia Governor Renews Push for Medicaid Expansion
Idaho Governor Proposes Covering 78,000 in “Coverage Gap”
Kentucky Governor Moves to End State Exchange
Medicaid Directors, Providers Respond to CMS Access Rule

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January 6, 2016

In Focus:

Medicaid Managed Care Spending in 2015

Roundup:

Alabama Considers Coverage Expansion
Arkansas Rejects Medicaid Managed Care
CMS Approves California’s $6 Billion Waiver
Idaho Medicaid Provider Cuts Delayed
CMS Delays Iowa Managed Care Program Implementation
Kentucky to Develop Medicaid Expansion Waiver
Nebraska Announces Medicaid MCO RFP Bidders
Pennsylvania Stopgap Budget Releases Back Payments

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December 16, 2015

In Focus:

Virginia to Submit 1115 Waiver for MLTSS/DSRIP

Roundup:

New York Announces FIDA Reforms Michigan Legislature to Vote on Health Insurer Tax Florida Posts MLTC Waiver Amendment for Public Comment Oklahoma Medicaid Approves 3 Percent Rate Reduction Oregon Appoints Coyner as New Medicaid Director Utah Medicaid Director to Step Down North Carolina Health Systems to Form Managed Care Entity Federal Budget Deal Suspends Health Insurer Fee for 2017

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December 9, 2015

In Focus:

NCQA’s Medicaid MCO Ratings for 2015/2016

Roundup:

EmblemHealth Leaving New York’s MLTC Market
Update on Coordinated Care Organizations in Oregon
California AG Approves Daughters of Charity Deal
FTC Rejects Hershey-Pinnacle Merger in Pennsylvania
South Dakota Governor Proposes Medicaid Expansion
Non-profit Hospital Financials Improved following ACA

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December 2, 2015

In Focus:

Oklahoma Decides on ABD Managed Care Model

Roundup:

Valence Health Awarded CountyCare Medicaid Contract
Corizon Cancels Florida Prison Health Contract
Iowa Judge Recommends WellCare’s Contract Award be Rescinded
Kentucky Governor Plans to Close Kynect, Shift Consumers to Federal Exchange
Empire Announces Exit from New York FIDA Program
Eleven Companies Respond to Pennsylvania Medicaid MCO RFP
Washington Announces Apple Health Contract Awards

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November 18, 2015

In Focus:

Pennsylvania Issues Draft MLTSS RFP

Roundup:

Michigan Medicaid MCO Award Recommendations Approved Updates from Georgia DCH Board Meeting California to Begin Paying Overtime for Home Care Workers Connecticut Nursing Home Wages Agreement Reached New York Co-Op to Cease Operations at End of Month

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November 11, 2015

In Focus:

Dual Eligible Demonstration Enrollment Update

Roundup:

New York, CMS agree on plan to Develop I/DD Duals Demo South Dakota, Nebraska, Virginia Considering Expanding Medicaid Colorado to Vote on Universal Healthcare Proposal CMS Warns States on Hepatitis C Treatment Restrictions

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