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- 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 benefits (duals) in nine states. California, Illinois, Massachusetts, Michigan, New York, Read MoreRoundup:
California Issues New Policy Guidelines On Treating Hep C
Kentucky Awards Five Medicaid Managed Care Contracts
Montana Medicaid Expansion Waiver Released
New York Releases Behavioral Health RFQ
Pennsylvania AG Sues Operator of 14 Nursing Homes
CMS to Ease Physician Transition to ICD-10 Codes
- This week, our In Focus section reviews the request for information (RFI) issued by the Oklahoma Health Care Authority (OHCA), soliciting input on a care coordination model, or combination of models, to serve the SoonerCare (Medicaid) aged, blind, and disabled Read MoreRoundup:
California Budget Funds Services for Immigrant Children
California Specialty Mental Health Waiver Approved
Florida Budget Funds HCBS Waiver Slots, Rate Increases
New Jersey Approves Three out of Six Medicaid ACO Applicants
New York FIDA, HARP, DSRIP, MLTC Updates
Following Supreme Court Decision, Pennsylvania Withdraws Plan to Create Exchange
CMS Publishes Reinsurance Payment Report
States Consider Regional Networks or Switch to Federal Marketplace After Supreme Court Ruling
- This week, our In Focus section comes from HMA Senior Consultant Matt McGeorge, 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 industry that Read MoreIn Focus:Roundup:
Florida and CMS Reach Tentative Deal on LIP Funding
North Carolina House Passes Medicaid Managed Care Bill
CMS Releases Medicaid Managed-Care Rate Guidelines
Affordable Care Act Drives Sharpest Decline in Uninsured Ever Recorded
- 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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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
