HMA Weekly Roundup

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  • This week, our In Focus section reviews updates from Pennsylvania and Virginia on their plans for implementing managed long-term services and supports (MLTSS) programs. Pennsylvania released an extensive MLTSS concept paper last week, providing updates on covered populations, expectations of Read More
    Roundup:

    Blue Cross Blue Shield of Montana Poised to Win Medicaid Expansion Contract

    Rate Adjustments Approved for Massachusetts One Care Demonstration

    New Hampshire Cancels Medicaid MCO RFP

    North Carolina to Privatize $15 Billion Medicaid Program

    Texas Releases RFP for Medicaid Management Information System Takeover

  • This week, our In Focus section reviews the Pennsylvania Department of Human Services (DHS) request for proposals (RFP) to rebid the HealthChoices Physical Health Medicaid managed care program statewide. The HealthChoices program currently serves just over 1.9 million members across Read More
    Roundup:

    Iowa Medicaid Managed Care Contract Awards Protested

    Three MCOs to Withdraw from New York FIDA Program in 2016

    Pennsylvania Releases MLTSS Plan Concept Paper

    MACPAC Public Meeting to be Held September 17

  • This week, our In Focus section comes to us from HMA managing principal Sharon Silow-Carroll, senior consultant Diana Rodin, and consultant Annie Melia, of HMA’s New York office. With support from the Robert Wood Johnson Foundation (RWJF), HMA recently conducted Read More
    Roundup:

    Georgia Families, Georgia Families 360° Awards Announced

    Judge Rules Alaska Medicaid Expansion Can Begin

    Judge Rules Arizona Medicaid Expansion is Constitutional

    CGI Awarded Connect for Health Colorado Contract

    Iowa DHS Rejects Medicaid MCO Award Protests

    Louisiana Co-op Enters Rehabilitation

  • This week, our In Focus section reviews the Centers for Medicare & Medicaid Services (CMS) reports on Medicaid expansion enrollment and spending, published on a quarterly basis. CMS issues two reports on a quarterly basis, the first of which provides Read More
    Roundup:

    Florida Finalizes MCO Rates with Average 7.7 Percent Increase

    Florida Marketplace Rates Set to Increase 9.5 Percent in 2016

    Florida Governor Requests to Audit 98 Additional Hospitals

    North Carolina House, Senate to Pursue Hybrid Medicaid Model

    Texas HHSC to Hold Off on Therapy Cuts to Medicaid

    Federal Appeals Court Reinstates Minimum Wage Protection and Overtime for Home Care Workers

  • This week, our In Focus section reviews the Washington State Health Care Authority’s (HCA’s) request for proposal (RFP) for Apple Health – Fully Integrated Managed Care in the Southwest Washington (SWWA) regional service area, comprised of Clark and Skamania counties. Read More
    Roundup:

    Iowa Medicaid Managed Care Awards Announced

    Michigan Discloses Medicaid Managed Care Bidders, Regions

    Ohio Medicaid Spending $2 Billion Below Estimates

    Audit Finds Most Health Co-ops Losing Money

  • This week, our In Focus section reviews key takeaways from the Centers for Medicare & Medicaid Services (CMS) report published recently on Medicaid long term supports and services (LTSS) expenditures in fiscal year 2013. The report, Medicaid Expenditures for Long-Term Read More
    Roundup:

    Number of Uninsured Drops by 15.8 Million Since 2013

    Alabama legislature debates Medicaid cuts

    Arkansas ending In Home Services Program

    Florida Healthy Kids (FHK) Dental Benefits Rebid Planned

    Cook County (IL) to Re-bid Managed Medicaid Contract

    Iowa Seeks Expansion Waiver for Traditional Medicaid

    UCare Loses Minnesota managed care contract

    North Carolina Legislatures Spars over Medicaid reform

    North Carolina Medicaid Director Wos Resigns

    Washington Releases Apple Health RFP for SW Region

  • This week, our In Focus section reviews the completed memorandum of understanding (MOU) between Rhode Island and the Centers for Medicare & Medicaid Services (CMS) for the state’s capitated dual eligible financial alignment demonstration, known as the Integrated Care Initiative Read More
    Roundup:

    Florida Governor Examines Medicaid Managed Care Hospital Contracts

    Iowa DHS Posts Medicaid Redesign Waiver Documents for Public Comment

    CMS Approves Behavioral Health Transition to Managed Care in New York

    Pennsylvania Hospitals Resist Proposed Tax Increase

    States Look to 1332 Waivers to Modify Healthcare Law

    States Asked to Scale Back Rate Increases Requested by Marketplace Insurers for 2016

    GAO Report Finds Medicaid Expansion States Better Able to Treat Mental Illness and Addiction

  • This week, our In Focus section reviews recent Medicaid enrollment trends in capitated risk-based managed care in 23 states. Many state Medicaid agencies elect to post to their websites monthly enrollment figures by health plan for their Medicaid managed Read More
    Roundup:

  • This week, our In Focus section reviews Montana’s proposed Medicaid expansion waiver and third-party administrator request for proposals (RFP). In late April, 2015, Montana Governor Steve Bullock signed into law Senate Bill 405, establishing the Montana Health and Economic Livelihood Read More
    Roundup:

    Alaska Governor to Announce Plans for Medicaid Expansion

    Arkansas to Increase Resources for Eligibility Checks

    California Delays Orange County Duals Demo Passive Enrollment

    Florida Issues RFI for Health Information Exchange Vendor

    Louisiana Releases RFI for Specialized Behavioral Health Services

    Uninsured Rate Drops to 11.4 Percent

    Cost of Covering People Newly Eligible for Medicaid Significantly Higher Than Expected

  • This week, our In Focus section reviews publicly available data on enrollment in capitated financial and administrative alignment demonstrations (duals demonstrations) for beneficiaries dually eligible for Medicare and Medicaid benefits (duals) in nine states. California, Illinois, Massachusetts, Michigan, New York, Read More
    Roundup:

    California Issues New Policy Guidelines On Treating Hep C

    Kentucky Awards Five Medicaid Managed Care Contracts

    Montana Medicaid Expansion Waiver Released

    New York Releases Behavioral Health RFQ

    Pennsylvania AG Sues Operator of 14 Nursing Homes

    CMS to Ease Physician Transition to ICD-10 Codes