HMA Weekly Roundup

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  • This week, our In Focus section reviews the Request for Proposals (RFP) issued by the Commonwealth of Kentucky’s Cabinet for Health and Family Services (CHFS) to rebid the existing Medicaid managed care contracts set to expire on June 30, 2015. Read More
    Roundup:

    CMS, Florida Officials Spar Over LIP, Medicaid Expansion

    Montana Legislature Backs Medicaid Expansion

    Nebraska Legislature Rejects Medicaid Expansion

    New York Behavioral Health Carve-In Delayed Again

    New Jersey MAAC Meeting Highlights Key Program Updates

    North Carolina Claims Payment System Receives Preliminary Certification

    Texas Medical Board Votes to Restrict Telemedicine

    CMS Announces Navigator Grant Opportunity

    New Medicaid Enrollees Significantly Increased Prescription Drug Use in 2014

  • This week, our In Focus section reviews the request for application (RFA) issued by the New Hampshire Department of Health and Human Services on April 1, 2015, which seeks to add at least one Medicaid managed care organization (MCO) to Read More
    Roundup:

    Alaska Legislature Considers Medicaid Expansion

    Florida LIP Negotiations Stalled, But CMS Pledges to Continue

    Feds Propose Rule to Protect Medicaid/CHIP Members under Mental Health Parity Law

    Missouri Senate Budget Would Expand Medicaid Managed Care

  • This week, our In Focus section reviews a presentation from MassHealth, the Massachusetts’ Medicaid program, which provides an update, and solicits input, on One Care, the state’s dual eligible financial alignment demonstration, which launched in October 2013. The update includes Read More
    Roundup:

    California Submits Section 1115 Waiver Application to CMS

    Georgia FY 2016 Budget Update

    SCOTUS Rules Providers Cannot Sue State To Raise Medicaid Reimbursement Rates

    Illinois FY 2015 Budget Fix Passes Senate, Signed by Governor

    Medicaid Expansion Bill Wins Approval in Montana Senate

    Tennessee Medicaid Expansion Bill Fails in Senate

    New York Behavioral Health Managed Care Transition to Begin July 1, 2015

    OMB Reviewing Medicaid Managed Care Rule

  • This week, our In Focus section reviews the background and current status of Florida’s Low-Income Pool (LIP), a more than $2.1 billion funding mechanism to provide additional funding to the state’s hospitals. Federal approval for the LIP program expires on Read More
    Roundup:

    Illinois House Passes 2.25 Percent Provider Cut in Budget Fix

    Medicaid Expansion Lowers Hospital Uninsured Costs by $7.4B

    Florida Proposes 1115 Waiver Amendment

    Blue Shield of California Tax-Exempt Status Revoked

    New York DSRIP Implementation Plan Deadline Extended

    New Jersey Medicaid Transportation RFP Release Imminent

    Baylor Scott & White and Tenet to Partner on Five North Texas Hospitals

    Florida Senate Committee Approval of Medicaid Expansion Proposal sets up Senate Floor Vote

    Tennessee Governor’s Medicaid Expansion Proposal Recommended by Senate Committee

  • This week, our In Focus section reviews two reports made available by the Texas Association of Health Plans (TAHP) that found improvements to access and quality of care as well as cost savings under the state’s Medicaid managed care programs. Read More
    Roundup:

    16.4 Million Insured Since ACA Implementation

    California Medicaid Draft Waiver Renewal Proposal Released

    Alaska Governor Proposes New Medicaid Expansion Bill

    HIP 2.0 Medicaid Expansion Increases Number of Providers

    Details Emerge Related to Value Based Medicaid Payments in New York

    Ohio Governor Proposes Premiums for Medicaid Recipients

  • This week, our In Focus section reviews the recent technical assistance tool from the Integrated Care Resource Center (ICRC), detailing findings and guidance to states on dual eligible special needs plans (D-SNP) contracting options and strategies. The document, titled “State Read More
    Roundup:

    Florida Senate Approves Medicaid Expansion Bill

    New Hampshire Medicaid Expansion Waiver Approved by Feds

    Texas Launches Duals Demonstration, Begins STAR+PLUS Nursing Home Carve-In

    Federal Judge Outlines California Prison Health Care Transition Out of Receivership

    Pennsylvania DHS Outlines Details of Medicaid Expansion Transition Timing

    Nationwide Exchange Enrollment Nears 11.7 Million

  • This week, our In Focus section reviews approaches states could consider in the event the Supreme Court eliminates federal marketplace subsidies for certain states. It was prepared by Claudine Swartz and Angelique Hrycko of Day Health Strategies (DHS) and Tom Read More
    Roundup:

    Missouri Announces MCO RFP Awards

    Georgia Announces Wiant as New Chief of Medicaid

    New York, Massachusetts Health Plans Report Losses

    Massachusetts Governor Seeks Budget Savings From MassHealth

    Telemedicine Advances in Minnesota, Mississippi and Missouri

    New York Delays Implementation of Duals Demonstration

    Pennsylvania Pivots to Traditional Medicaid Expansion

  • This week, our In Focus section reviews publicly available data on enrollment in financial and administrative alignment demonstrations for dually eligible beneficiaries (duals) in seven states currently serving duals in a capitated financial alignment model. These seven states – California, Read More
    Roundup:

    State budget discussions heat up in Connecticut, Illinois, Massachusetts

    Utah Senate Approves Medicaid Expansion Plan

    New York State of Health Enrollment exceeds 2.1 million

    Medicaid Expansion in North Carolina Hinges on Subsidy Court Ruling

    Medicaid and CHIP Enrollment Up 19 Percent Since Expansion

    MACPAC to Hold Public Meeting February 26-27

  • This week, our In Focus section reviews the Iowa High Quality Healthcare Initiative Request for Proposals (RFP), which seeks to award two to four statewide Medicaid managed care contracts to begin serving nearly all of Iowa’s 570, 000 Medicaid beneficiaries Read More
    Roundup:

    Alaska Governor Walker Proposes Medicaid Expansion

    Florida Legislature Near Compromise on Telemedicine Bill

    Illinois Governor’s Budget Proposes $1.5 Billion in Medicaid Savings

    New York Nursing Home Benefit Carve-in Underway

    Ohio Governor’s Budget Proposes Medicaid Premiums for Certain Adults

    Virginia MMIS RFI Released

    Marketplace Enrollment Hits 11.4 Million in 2015

    U.S. State Tax Revenues See Growth in Third Quarter

  • This week, our In Focus section reviews the Request for Proposals (RFP) for care management organizations (CMOs) to serve the Georgia Families and Georgia Families 360° populations under the Georgia Medicaid program. The Georgia Department of Community Health (DCH) intends Read More
    Roundup:

    Arkansas Medicaid Expansion Reauthorized by Legislature

    Florida Low Income Pool Renewal Denied by CMS; However, Negotiations Continue

    Washington Confirms Cancellation of Capitated Duals Demo

    Nebraska Appoints Calder Lynch as Medicaid Director

    Ohio Reports on Duals Demonstration Implementation

    Pennsylvania Governor Moves to Withdraw Healthy PA Waiver, Implement Traditional Medicaid Expansion

    Connecticut Hospitals Propose Phasing Out of Hospital Tax

    Michigan Governor Issues Executive Order to Consolidate Health Agencies

    L.A. Care (CA) Names New CEO