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- This week, our In Focus section reviews the draft Section 1115 Research and Demonstration waiver, released on August 26, 2016, by the Illinois Department of Healthcare and Family Services (DHFS). The 1115 waiver is proposed as part of the state’s Read MoreRoundup:
Pennsylvania Announces Preliminary Community HealthChoices Contract Awards
Kentucky Revises Medicaid Expansion Waiver Application
Michigan Issues RFP for Health Innovation Grants
Oklahoma Health Care Authority CEO to Resign
HHS Report: Medicaid Expansion Leads to Lower Premiums
Analysis Finds That a Third of U.S. Counties to Have One Exchange Insurer
- This week, our In Focus section reviews Medicaid historical and projected expenditure and enrollment data from the Centers for Medicare & Medicaid Services (CMS) Office of the Actuary. The Office of the Actuary provides annual updates to historical and projected Read MoreRoundup:
Kansas Signs MMIS Contract with HP
Ohio Medicaid Managed Care Report Card Published
Tennessee Insurance Commissioner Approves Rate Increases to Preserve Exchange Options
- This week, our In Focus section highlights some of the important sessions to be featured at HMA’s inaugural conference, The Future of Publicly Sponsored Healthcare: Building Integrated Delivery Systems for Vulnerable Populations, October 10-12, 2016, in Chicago. This premier three-day Read MoreIn Focus:Roundup:
Florida Hospitals to Challenge State on Medicaid Rates
Kansas Medicaid Reimbursement Rate Issues Persist
Louisiana Medicaid Expansion Enrollment Continues
New Jersey Amends Medicaid MCO Contracts
Ohio Advocates Call for Rejection of “Healthy Ohio” Waiver
CMS Encourages Medicaid Home Care for Individuals with Disabilities
Studies Find Medicaid Expansion Increases Access, Does Not Drive ER Utilization
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 24 states. Many state Medicaid agencies elect to post to their websites monthly enrollment figures by health plan for their Medicaid managed Read MoreRoundup:
Georgia Rejects Appeals of Medicaid Managed Care Awards
Indiana Medicaid Lockout Waiver Request Denied by CMS
New Hampshire Medicaid Director to Step Down
Alabama Governor Proposes Lottery to Raise Medicaid Funds
- This week, our In Focus section reviews the Medicaid managed care procurement issued by the Rhode Island Executive Office of Health & Human Services (EOHHS) on July 14, 2016. EOHHS is requesting responses from interested health plans to serve the Read MoreRoundup:
Pennsylvania Reissues HealthChoices RFP
Ohio To Expand Medicaid Managed Care
CHIP Enrollment Re-Opens in Arizona
United, Aetna Prepare to Enter Medi-Cal Market in 2017
New York Medicaid Director Addresses Social Transformation
- This week, our In Focus section comes from HMA Principal Anne Winter and Consultant Nicole McMahon, who provide an overview of HMA’s new impact analysis and implementation tool for the Medicaid manage care rules finalized earlier this year. On April Read MoreRoundup:
Rhode Island Issues Medicaid Managed Care Procurement
Maryland Requests 3 Year Extension on Medicaid 1115 Waiver
Covered California Rates Increase 13 percent
Montana Medicaid Expansion Enrollment Ahead of Projections
- 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 (duals) in 10 states: California, Illinois, Massachusetts, Michigan, New York, Ohio, Read MoreRoundup:
MassHealth Accepting LOIs for Interested Duals Demo Plans
Connecticut Hears Proposal to Form CCOs
Health Alliance to Exit Illinois Medicaid MCO Market
Kentucky 1115 Waiver Proposal Met with Strong Opposition
New York Seeks Comments on Section 1115 Waiver
Texas Supreme Court Delays Medicaid Therapy Provider Cuts
- This week, our In Focus section reviews the request for proposals (RFP) issued by Nevada’s Division of Health Care Financing and Policy (DHCFP) on July 1, 2016, to rebid contracts for the state’s Medicaid managed care program. The RFP solicits Read MoreRoundup:
Massachusetts Issues RFR for Long Term Services and Supports TPA
Ohio Submits Healthy Ohio 1115 Waiver to CMS
WellCare Withdraws from South Carolina Duals Demo
Alabama Medicaid Considers Provider Cuts
Idaho Selects Veyo for Medicaid Transportation Contract
Massachusetts Removes Restrictions to Hepatitis C Drugs
SUD Benefit Updates in Maryland, New Jersey, New Hampshire
- This week, our In Focus section reviews the Section 1115 demonstration waiver proposal, Helping to Engage and Achieve Long Term Health, known as Kentucky HEALTH, unveiled on June 22, 2016, by Governor Matt Bevin’s administration and the Cabinet for Health Read MoreRoundup:
DC to Release Medicaid Managed Care RFP by September
Indiana to Forgo Planned Medicaid Home Health Rate Cuts
New York Expands HIV Services
South Dakota Governor Will Not Call Special Session on Medicaid Expansion
- This week, our In Focus section reviews the Massachusetts Executive Office of Health and Human Services (EOHHS) announcement and call for public comments on a proposal to renew and amend the state’s existing Section 1115 Demonstration waiver. Massachusetts’ current Delivery Read MoreRoundup:
Kentucky Medicaid Reform Plan, Waiver Application Posted for Public Comment
Alaska Gov. Signs Medicaid Reform Bill
Kansas Eligibility Determination Backlog Larger Than Previously Estimated
Maryland to Offer Savings Accounts for Individuals with Disabilities
New Jersey Presents 1115 Waiver Renewal Details
Wisconsin Health Secretary Passes Away
ASPE Finds Medicaid Expansion Increases Access to Care
House Republicans Propose Plan to Replace ACA
