HMA Weekly Roundup

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  • This week, our In Focus section reviews the state-submitted letters of intent (LOIs) in response to CMS guidance on financial models for integration of care for dual eligible individuals enrolled in both Medicaid and Medicare. In a letter to state Read More

    Illinois Seeks Waiver to Expand Medicaid Eligibility

    California Judge Strikes Down Provider Rate Cuts

    Indiana to Issue MMIS RFP

    New York Delays Health Home Implementation

    California Governor’s Proposed Budget to be Released Next Week

  • This week, our In Focus section reviews the Center for Medicare and Medicaid Innova-tion (CMMI) Health Care Innovation Challenge. The CMMI Innovation Challenge initia-tive will award a total of $1 billion in funding through contracts of $1 million to $30 Read More

    Waivers Approved In Florida, Massachusetts

    California Judge Issues Draft Order Halting Cuts

  • This week, our In Focus section highlights a key component of Governor Rick Scott’s budget proposal – the implementation of a new Medicaid hospital payment methodology. The Governor’s budget aims to provide major funding increases to Florida’s public schools, offset Read More

    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

  • This week, our In Focus section highlights some of the key findings of the Fall 2011 Fiscal Survey of the States, released November 28, 2011 by the National Governors Association (NGA) and National Association of State Budget Officers (NASBO). Surveys Read More

    Pennsylvania to Implement Pharmacy Limits

    Florida Waiver Approval Delayed

    Massachusetts Behavioral Health RFP Awards Expected by Year End

    Georgia Exchange Recommendations Expected this Month

  • This week, our In Focus section reviews the Medicaid managed care expansion RFP re-leased by the Commonwealth of Pennsylvania on November 16. The Department of Public Welfare previously released a public Discussion Paper on the statewide expansion of the HealthChoices Read More

    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

  • This week, our In Focus section reviews the Kansas Medicaid managed care RFP, released last week. On the heels of Missouri’s announcement to rebid its Medicaid managed care population, Kansas announced a rebid of the roughly 210, 000 current Medicaid Read More

    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

  • To say this has been a big year for Medicaid MCO RFPs is an obvious understatement. So far this year, there have been four Medicaid MCO RFPs completed (Texas, Louisiana, Kentucky, Arizona LTC) and three contract extensions that didn’t involve Read More

    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

  • This week, our In Focus section highlights key takeaways from the 50-state Medicaid budget survey report released last Thursday, October 27, by the Kaiser Commission on Medicaid and the Uninsured (KCMU) and Health Management Associates. The report, titled Moving Ahead Read More

    Providers Respond to CMS’ Approval of California Rate Cuts

    Voluntary Enrollment of Dual Eligibles in Michigan Effective November 1

    Pennsylvania Explains Caseload Drop

  • We thank Jaimie Bern in HMA’s Boston office for this week’s review of the New Hamp-shire Medicaid managed care Request for Proposals (RFP). New Hampshire will be im-plementing a Medicaid managed care program for the first time beginning July 1, Read More

    Opposition Mounts to Proposed California Rate Cuts

    Florida Prepares for Budget Shortfall

    Michigan Revenue Collections Improve

  • This week, our In Focus section reviews recent Medicaid MCO enrollment trends in thirteen states. Many state Medicaid agencies elect to post to their website monthly enrollment figures by health plan for their Medicaid managed care population. Read More

    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