HMA Weekly Roundup

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  • This week, our In Focus section reviews New York’s dual eligible integration proposal. The New York State Department of Health has proposed a fully-integrated managed care program, which will be known as the Fully-Integrated Duals Advantage (FIDA) pro-gram. Read More

    Site Selection for California Dual Eligible Demonstration Delayed

    Florida Long-Term Care Rate Book Released

    Georgia, New York Budgets Finalized

  • This week, our In Focus section highlights key provisions of the federal final rule on Med-icaid eligibility and enrollment, released last Friday, March 16, by the Centers for Medi-care & Medicaid Services (CMS). The final rule provides the standards for Read More

    Florida Extends Implementation Timeline for Acute and Long-Term Care ITNS

    Indiana Selects Medicaid PBM

    Medicaid Spending Cuts Debated in Illinois

    CMS Comment Period for Massachusetts Dual Eligible Proposal Ends

  • This week, our In Focus section reviews the state of Washington’s proposal to integrate care for dual eligible individuals. Washington was one of fifteen states to receive dual el-igible demonstration grant funding from the Centers for Medicare and Medicaid Services Read More

    Dual Eligible Integration Developments In New York, Colorado

    Georgia Medicaid Redesign Decisions Expected Late April

    Pennsylvania Contract Awards Still Pending

  • This week, our In Focus section reviews Michigan’s proposal to integrate care for dual el-igible Medicare-Medicaid beneficiaries. Unlike other state dual eligible integration pro-posals that limit the population included either geographically or by age (including Ohio, Michigan and Illinois), Michigan Read More

    New York to Release Dual Integration Proposal March 22

    Florida Hospital Rate Cuts Finalized

    California Dual Integration Applications Released

    Texas Pharmacy Carve-In Implemented

    HMA Records GLG Webcast on State Budgets, MCO Expansion, and California Duals RFS

  • This week, our In Focus section highlights the key points in Ohio’s proposal to CMS to in-tegrate care for dual eligible Medicaid-Medicaid enrollees. The demonstration program, known as the Ohio Integrated Care Delivery System (ICDS), will provide dual eligible enrollees Read More

    Florida Budget nears Completion

    Dual Eligible Integration Activity in Michigan, Illinois, New York

    Pennsylvania Considers MLTC Program

  • This week, our In Focus section reviews Massachusetts’ State Demonstration to Integrate Care for Dual Eligible Individuals, released February 16, 2012. The state proposes a com-prehensive benefit package and combined Medicaid and Medicare funding stream to cover dual eligible individuals Read More

    Illinois Releases Dual-Eligible Integration Proposal

    Georgia Gov. Proposes Mid-Year Medicaid Cuts

    Illinois Gov. Calls For $2.7B in Medicaid Cuts

    Pennsylvania Proposes Medicaid State Plan Amendments

  • This week, our In Focus section contains excerpts of the key takeaways from A Mid-Year State Medicaid Budget Update for FY 2012 and A Look Forward to FY 2013, published Monday, February 13, 2012, by the Kaiser Commission on Medicaid Read More

    Florida Senate Budget Amendment Incorporates Primary Care Rate Boost

    Georgia Task Forces Reviewing Medicaid Redesign Recommendations

    Indiana Releases Medicaid Dental Benefits Management RFI

    Pennsylvania Proposes Block Grants for Counties

  • This week, our In Focus section reviews the Phase I procurement under the Illinois Care Coordination Innovations Project. The Phase I RFP is the first step in a transition toward more managed care and care coordination in the State’s Medicaid Read More

    Florida Senate Budget Proposal Calls for Further Inpatient Reductions

    California Trailer Bill Outlines Medicaid Managed Care Expansion Plans

    New York Receives CMS Approval for Health Homes

    Texas UPL Hearings Underway

    Pennsylvania Governor’s Budget Released

    Washington Announces County Awards to Selected Managed Care Plans

  • This week, our In Focus section reviews recent Medicaid MCO enrollment trends in 13 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 Releases Dual Eligible RFS

    New York Contemplates EmblemHealth Conversion

    Florida Considers Change to IGT Rate Calculation

    New MLTC Plans Approved in New York

  • This week, our In Focus section reviews the recommendations provided to the Georgia Department of Community Health (DCH) by Navigant Consulting in its Friday, January 20, 2012 report. Navigant was contracted by DCH to review the existing Medicaid pro-gram in Read More

    Illinois Releases Phase 1 Care Coordination RFP

    Florida House Budget Proposes Provider Rate Changes

    New York Governor’s Budget Proposal Calls for Cap on Executive Compensation for State Contractors