Weekly Roundup

December 14, 2011

In Focus:

Florida Governor’s Budget Proposes Hospital Payment Restructuring

Roundup:

California Updates Timeframe of Dual Eligible Demonstration Program
Florida Releases Long Term Care RFI
Massachusetts Dual Eligible Draft RFP Released
New York Phase One Health Home Applicants Approved
Texas Waiver Approved by CMS
Pennsylvania Caseloads Continue to Decline
California Exchange Draft RFP Expected Next Week

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December 7, 2011

In Focus:

NASBO 50-State Fiscal Survey Reviewed

Roundup:

Pennsylvania to Implement Pharmacy Limits Florida Waiver Approval Delayed Massachusetts Behavioral Health RFP Awards Expected by Year End Georgia Exchange Recommendations Expected this Month

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November 30, 2011

In Focus:

Pennsylvania Medicaid Managed Care RFP

Roundup:

Georgia Selects Non-Emergency Transportation Vendors New York Health System Redesign Proposals Released Pennsylvania DOI Announces Intention to Operate Insurance Exchange Indiana RBM RFI Released

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November 16, 2011

In Focus:

Kansas Medicaid MCO RFP

Roundup:

California ADHC Settlement Negotiations Continue Imposition of Provider Rate Cuts in California Delayed Pennsylvania Behavioral Health RFP Released Illinois Legislative Session Ends Without Movement on Exchange Legislation or Provider Tax

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November 9, 2011

In Focus:

Missouri Medicaid MCO RFP

Roundup:

California Releases Preliminary Two-Plan Capitation Rates Georgia Gov. Cautiously Optimistic on Tax Revenue Georgia Amendment Allows Amerigroup, Centene to go Statewide Illinois Hospital Association Pushes Revamped Hospital Tax

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November 2, 2011

In Focus:

Key Takeaways from the Kaiser/HMA 50 State Medicaid Budget Survey

Roundup:

Providers Respond to CMS’ Approval of California Rate Cuts
Voluntary Enrollment of Dual Eligibles in Michigan Effective November 1
Pennsylvania Explains Caseload Drop

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October 26, 2011

In Focus:

New Hampshire Medicaid Managed Care RFP

Roundup:

Opposition Mounts to Proposed California Rate Cuts Florida Prepares for Budget Shortfall Michigan Revenue Collections Improve

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October 19, 2011

In Focus:

Third Quarter Medicaid MCO Enrollment Trends

Roundup:

California Adult Day Care Transition Stalls Pennsylvania Caseloads Decline Following Eligibility Review New York Medicaid Redesign Savings Projections Imperiled Illinois Medicaid Care Coordination Project Moves Forward

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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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