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- 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:
Connecticut Governor Proposes 10 Percent Reduction in Pediatric Dental Rates
New Mexico Considers Provider Payment Cuts of Up to 5 Percent
New York AG Files Suit Against MCO Over Access to Hepatitis C Drugs
Pennsylvania to Expand PACE Options
Texas Requests 15-Month Waiver Extension to Fund Uncompensated Care
Alaska Legislature Passes Medicaid Reform Bill
- This week, our In Focus section reviews two updates out of Ohio. The first is a Section 1115 Medicaid waiver, to be known as Healthy Ohio, which would implement a modified health savings account model for adult Medicaid beneficiaries in Read MoreRoundup:
Arkansas Passes Legislation to Continue Medicaid Expansion
California Scraps MMIS Modernization
CMS Approves New York SPA for Children’s Health Homes
Long Named Director of TennCare
Vermont Issues Medicaid ACO RFP
Washington Increases Funding for Mental Health
Rockefeller Institute Projects Flat State Income Tax Revenues
- This week, our In Focus section comes from HMA Principal Mary Hsieh, PharmD, MPH, of our Atlanta, Georgia office. On March 15, 2016, the Centers for Disease Control and Prevention (CDC) issued guidelines to limit opioid pain medication prescriptions as Read MoreRoundup:
Virginia to Rebid Medallion 3.0 Contracts This Year
Arkansas Special Session Will Not Include Managed Care Proposal
New York Budget Agreement Reached
New Hampshire Passes Medicaid Expansion Extension
Oklahoma Coverage Expansion Proposal Unveiled
TennCare Director Announces Departure
Washington Begins Physical-Behavioral Managed Care Integration
- This week, our In Focus section reviews the Wisconsin Department of Health Services (DHS) concept paper on Family Care and IRIS (Include, Respect, I Self-direct) redesign published this month. Under the 2017-2017 State Budget Act, Act 55, DHS is directed Read MoreRoundup:
Florida Governor Signs Dental Carve-Out Bill
Arkansas to Hold Special Session on Medicaid Reform
Oklahoma Medicaid Providers Facing 25 Percent Rate Cuts
Massachusetts Hospital Association Opposes Tax Proposal
Pennsylvania Governor Allows Budget to Lapse into Law
CBO Revises ACA Cost Estimates Upwards
- This week, our In Focus section reviews the March 2016 release of the Cal MediConnect Performance Dashboard, published by the California Department of Health Care Services (DHCS). Cal MediConnect is the state’s dual eligible financial alignment demonstration, which began phasing Read MoreRoundup:
California Fragile Kids Transition to Managed Care on Hold
Arkansas considers managed care for individuals with disabilities, mental illness
Arkansas, Idaho and Louisiana lawmakers consider Medicaid expansion waivers
Medicaid Funding at risk as New Mexico Battles Budget Pressures
Report Indicates Rhode Island Overpaid MCOs for Medicaid Expansion
Vermont to Postpone MMIS Implementation
- This week, our In Focus section reviews a report out of Colorado that describes the economic impact of the state’s Medicaid expansion under the Affordable Care Act (the “Colorado Report”). Commissioned by the Colorado Health Foundation and prepared by the Read MoreRoundup:
Utah Senate Bill Expands Medicaid to 16,000 Residents
States, Federal Government Work to Control Opioid Abuse
New York Governor, Providers Spar Over Proposed Wage Hike
Florida Budget Highlights include expanded waiver slots
Colorado Considers Physician Rate Reductions
- This week, our In Focus section reviews the Community HealthChoices request for proposals (RFP), issued on March 1, 2016 by the Pennsylvania Department of Human Services (DHS). Community HealthChoices is a new statewide managed care program that will provide managed Read MoreRoundup:
New York Begins FIDA-IDD Enrollment Process
Florida Lawmakers to Reevaluate LIP Funding
Nebraska Reissues Medicaid Managed Care Awards
States Push for ACA Health Plan Tax Repeal
North Carolina Provider-Led Organization Taps New Mexico’s Presbyterian Health Plan to Coordinate Care
Oklahoma Bill Could Eliminate Medicaid Eligibility for 110,000
New Mexico Facing $147 Million Medicaid Shortfall
Connecticut Halts $140 Million in Hospital Payments
Vermont Pauses on Medicaid Hospital Rate Changes
- 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: December 2015 Monthly Applications, Eligibility Determinations, and Enrollment Report, ” published on February Read MoreRoundup:
California Governor Approves MCO Tax
Georgia Families MCO Award Protests Denied
Pennsylvania MLTSS RFP Released
Massachusetts to Introduce Medicaid ACOs and Increase LTSS Oversight
New York Home Care Agencies Facing Financial Risk
Medicaid Expansion Stalls in South Dakota
- This week, our In Focus section follows last week’s Centers for Medicare & Medicaid Services (CMS) report on initial findings across the Medicare-Medicaid Financial Alignment Initiatives with a look at the initial findings on the Washington managed fee-for-service (MFFS) demonstration. Read MoreRoundup:
Baton Rouge Area Foundation and HMA Unveil Mental Health Strategy
OMB Receives CMS Final Rule to Overhaul Managed Medicaid
CMS Approves Iowa Managed Care Waiver
Meridian Picks Up Illinois ACE Membership
Medicaid Expansion Updates in Arkansas, Georgia, Maine, Utah, Virginia, Wyoming
New York Issues PACE RFI
Texas HHSC Continues with Agency Transformation
- This week, our In Focus section comes to us from HMA Atlanta’s Danielle Pavliv, who reviews a report published on January 21, 2016, by the Centers for Medicare & Medicaid Services (CMS) entitled “Report on Early Implementation of Demonstrations under Read MoreRoundup:
Florida Healthy Kids dental contract awards
Budget proposals released in Illinois, Michigan, Pennsylvania, New Jersey
Judge rules against WellCare in Iowa protest
New York FIDA rate increase approved by CMS
Utah considers four Medicaid expansion proposals
