HMA Weekly Roundup

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  • This week, our In Focus section reviews Virginia’s proposed plans for implementing statewide Medicaid managed long-term supports and services (MLTSS) and statewide managed care for dual eligible individuals. Virginia is the third state we have reviewed in as many weeks Read More

    Florida MCOs Struggle to Meet Solvency Requirements

    Fallon Health Plan to Exit Massachusetts Duals Demo

    California to Fund Immigrant Health Program

    Nevada to Allow ABD, LTSS Managed Care Transition

    New Jersey Medicaid Agency cancels plans for a Behavioral Health ASO RFP

    New York Waiver Population Carve-Ins Delayed

    Arkansas, Delaware, Pennsylvania State Exchanges Approved

  • This week, our In Focus section reviews the Commonwealth of Pennsylvania’s Managed Long-Term Supports and Services (MLTSS) Discussion Document, jointly published this month by the Department of Human Services (DHS) and the Pennsylvania Department on Aging (PDA). The discussion document Read More

    Arizona Medicaid Abandons Five Percent Provider Rate Cut

    Florida Legislative Updates on LIP, CON, and FHIX

    Emory, WellStar Break Off Merger Talks

    New York Allocates VAPAP Funds

    Partners Health Plan Selected for New York FIDA-IDD

    Texas HHSC Commissioner Janek to Step Down

    West Virginia Judge Grants Injunction in Medicaid Managed Care Expansion Case

    White House Report Shows Large Savings for Expanding Medicaid

  • This week, our In Focus section reviews two requests for information (RFIs) issued by Arkansas and Pennsylvania to inform upcoming potential or planned procurements. Arkansas is soliciting information on a potential request for proposals (RFP) for Medicaid managed care organizations Read More

    Florida FHIX Expansion Bill Passes Senate

    New York Medicaid Managed Care Contracts Renewed

    Texas Finalizes Budget with $61.2 Billion in Medicaid Funding

    Alabama Legislature Passes Medicaid Reform Bill

    New Jersey Plans to Add MLTSS for Expansion Population

    Pennsylvania Solicits Comments on MLTSS Planning Document

    Texas Telemedicine Rules Put on Hold by Federal Judge

    California Exploring Funding Housing Through Medicaid

  • This week, our In Focus section reviews initial takeaways from the Medicaid managed care proposed rule (Link to PDF), issued on Tuesday, May 26, 2015, by the Centers for Medicare & Medicaid Services (CMS). The proposed rule, which had been Read More

    Florida Healthy Kids ITN Awards Announced

    CMS Tentatively Approves LIP Funding for Florida

    Alabama MLTC Bill Moves Through Legislature

    Texas Budget Proposals Fund Additional Waiver Slots

    North Carolina Medicaid Director to Step Down

    Covered California to Implement Price Caps on High-Cost Specialty Drugs

  • This week, our In Focus section comes from HMA Principal Jean Glossa, MD, of our IT Advisory Services (ITAS) team. HMA’s ITAS team is continuously tracking and assessing the impact of developments in the health care information technology (HCIT) industry Read More

    Alaska House Rejects Medicaid Expansion

    Utah Governor Optimistic on Medicaid Expansion Compromise

    Georgia Considers Medicaid Waiver Alternative to Expansion

    Maryland to Consider ACO Model for Dual Eligibles

    Ohio House Proposes Medicaid HSA Contribution Requirement

    Wisconsin Legislature Rejects Governor’s LTC Redesign Plan

    Former CBO Director Says Subsidies Assumed for All States

  • This week, our In Focus section reviews the Medicaid managed care request for proposals (RFP) issued by the Michigan Department of Health and Human Services (MDHHS) on Friday, May 8, 2015. MDHHS is rebidding its Medicaid managed care contracts across Read More

    Illinois Managed Care Enrollment Tops 2 Million

    Missouri Budget Includes Medicaid Managed Care Expansion

    New Jersey DHS Projects 2016 MLTSS Growth

    New York DOH Working with CMS on FIDA Rate Increase

    Mohr Peterson Appointed Hawaii Medicaid Director

    Iowa Senate Budget Bill Impacts Medicaid Managed Care

    MACPAC to Meet May 14-15

  • This week, our In Focus section reviews updated reports issued by the Department of Health and Human Services (HHS) on Medicaid expansion enrollment from “Medicaid & CHIP: February 2015 Monthly Applications, Eligibility Determinations, and Enrollment Report.” Additionally, we review 2015 Read More

    Arkansas Finalizing RFI on Medicaid Managed Care for ABD, DD, Behavioral Health

    Puerto Rico Update on MCO Rollout, SIM, Fiscal Situation

    Montana Governor Signs Medicaid Expansion Bill

    New York Senate Roundtable on Value-Based Reimbursements

    Iowa Names New Medicaid Director

    Nebraska Awards Contract Extension to Arbor Health Plan

  • This week, our In Focus section reviews “Health Care Providers and Value-Based Reimbursement, ” a paper released by HMA’s Accountable Care Institute (ACI) this month. Movement of patients into managed care is a significant part of health care transformation currently Read More

    Florida Governor Intends to Call Special Session on Budget

    CMS to Florida: LIP Not Dependent on Expansion

    Maximus Recommended for Indiana Enrollment Broker Contract

    Pennsylvania Plans MCO RFA Release for Late Summer

    Minnesota House Proposes to End MinnesotaCare

    FTC Weighs In on New York DSRIP

    New York Duals Demonstration Off to Slow Start

  • 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 monthly enrollment figures by health plan to their websites for their Medicaid managed Read More

    CMS Considers Medicaid Expansion Decision in Evaluating the Renewal of Uncompensated Care Pools

    Florida Governor to Sue White House Over LIP Funding

    Florida Medicaid MCOs and PSNs Report Losses

    Xerox’s New York MMIS System Contract Approved

    New York to Pursue Basic Health Program

    Expansion States Enroll Newly Eligible Inmates in Medicaid

    Proposed Rule to Provide States Additional Time to Seek Medicaid Eligibility System Funds

  • 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

    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