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- This week, our In Focus section reviews the Covered Outpatient Drugs final rule published by the Centers for Medicare & Medicaid Services (CMS) on January 21, 2016, addressing Medicaid drug reimbursement and changes to the Medicaid Drug Rebate Program. The Read MoreRoundup:
Medicaid Expansion Updates in Georgia, Kansas, Louisiana, New Hampshire, Tennessee, Utah, and Wyoming
Iowa On Track for March 1 Managed Care Transition
New York HARP Enrollment Update
Pennsylvania MLTSS RFP Scheduled for February Release
CBO Lowers Exchange Enrollment Projections
HHS Report Finds Most Medicaid Children Not Receiving All Required Dental Care
CMS To Help Co-ops Find Investors
- 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:
Nebraska considers Medicaid expansion
Georgia requests extension of Medicaid MCO contracts
New York Governor's budget calls for minimum MLR, drug price caps
New Jersey MLTSS update
White House proposes extension of 3-year federal subsidy for new expansion states
- This week our In Focus section highlights key issues that are likely to dominate the Medicaid and health policy landscape in 2016 in states in which HMA has offices. The HMA team identified issues and milestones that will feature prominently Read MoreRoundup:
Louisiana Governor Expands Medicaid
Missouri Formalizes Plans for Statewide Managed Care
North Carolina on Track for Managed Care in 2018/19
Virginia Governor Renews Push for Medicaid Expansion
Idaho Governor Proposes Covering 78,000 in “Coverage Gap”
Kentucky Governor Moves to End State Exchange
Medicaid Directors, Providers Respond to CMS Access Rule
- This week, our In Focus section reviews Medicaid spending data collected in the annual CMS-64 report. Specifically, we provide some analysis around the sharp acceleration in Medicaid managed care spending in federal fiscal year (FFY) 2015. This increase reflects the Read MoreRoundup:
Alabama Considers Coverage Expansion
Arkansas Rejects Medicaid Managed Care
CMS Approves California’s $6 Billion Waiver
Idaho Medicaid Provider Cuts Delayed
CMS Delays Iowa Managed Care Program Implementation
Kentucky to Develop Medicaid Expansion Waiver
Nebraska Announces Medicaid MCO RFP Bidders
Pennsylvania Stopgap Budget Releases Back Payments
- This week, our In Focus section reviews Virginia’s Section 1115 demonstration waiver, which is currently posted for stakeholder review and a public comment period. The 1115 waiver seeks approval from the Centers for Medicare & Medicaid Services (CMS) to implement Read MoreRoundup:
New York Announces FIDA Reforms
Michigan Legislature to Vote on Health Insurer Tax
Florida Posts MLTC Waiver Amendment for Public Comment
Oklahoma Medicaid Approves 3 Percent Rate Reduction
Oregon Appoints Coyner as New Medicaid Director
Utah Medicaid Director to Step Down
North Carolina Health Systems to Form Managed Care Entity
Federal Budget Deal Suspends Health Insurer Fee for 2017
- This week, our In Focus section reviews the annual Medicaid health plan ratings released in September by the National Committee for Quality Assurance (NCQA). NCQA has previously provided annual rankings and quality scores of private commercial health plans serving employers Read MoreRoundup:
EmblemHealth Leaving New York’s MLTC Market
Update on Coordinated Care Organizations in Oregon
California AG Approves Daughters of Charity Deal
FTC Rejects Hershey-Pinnacle Merger in Pennsylvania
South Dakota Governor Proposes Medicaid Expansion
Non-profit Hospital Financials Improved following ACA
- This week, our In Focus section reviews the decision announced this week by the Oklahoma Health Care Authority (OHCA) on the care coordination model selected to serve the aged, blind, and disabled (ABD) Medicaid population. OHCA has selected a fully Read MoreRoundup:
Valence Health Awarded CountyCare Medicaid Contract
Corizon Cancels Florida Prison Health Contract
Iowa Judge Recommends WellCare’s Contract Award be Rescinded
Kentucky Governor Plans to Close Kynect, Shift Consumers to Federal Exchange
Empire Announces Exit from New York FIDA Program
Eleven Companies Respond to Pennsylvania Medicaid MCO RFP
Washington Announces Apple Health Contract Awards
- This week, our In Focus section reviews the draft request for proposals (RFP) for the Pennsylvania Community HealthChoices (CHC) program, which will coordinate physical health services and long term services and supports (LTSS) under a new statewide managed care program. Read MoreIn Focus:Roundup:
Michigan Medicaid MCO Award Recommendations Approved
Updates from Georgia DCH Board Meeting
California to Begin Paying Overtime for Home Care Workers
Connecticut Nursing Home Wages Agreement Reached
New York Co-Op to Cease Operations at End of Month
- 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 nine states: California, Illinois, Massachusetts, Michigan, New York, Ohio, Read MoreRoundup:
New York, CMS agree on plan to Develop I/DD Duals Demo
South Dakota, Nebraska, Virginia Considering Expanding Medicaid
Colorado to Vote on Universal Healthcare Proposal
CMS Warns States on Hepatitis C Treatment Restrictions
- This week, our In Focus section reviews the request for proposal (RFP) issued by the State of Nebraska on October 21, 2015, for the statewide rebid of their Medicaid managed care programs, integrating physical and behavioral health for nearly all Read MoreRoundup:
California, CMS Agree on Conceptual Framework for 1115 Waiver Renewal
Maryland Healthy Smiles Contract Awarded to Scion Dental
CMS Approves Montana Medicaid Expansion Proposal
Six MCOs Protest Michigan Contract Awards
Pennsylvania Pushes Back MLTSS Procurement
Jessee Named Texas Medicaid Director
Wallack Named Rhode Island Medicaid Director
