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- 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
- This week, our In Focus section reviews key findings and recommendations from a report released this month by Health Management Associates (HMA), with funding from the Robert Wood Johnson Foundation (RWJF). The report, “Making Affordable Care Act Coverage a Reality: Read MoreRoundup:
California Survey Reveals Potential Duals Demo Opt-Out Reasons
Florida Issues ITN for Florida Healthy Kids Dental Services
New Jersey Reports on MLTSS Transition Progress
Pennsylvania Issues Medical Transport RFI, MRT RFP
- This week, our In Focus section reviews highlights and shares key takeaways from the new Kaiser Commission on Medicaid and the Uninsured (KCMU) report, Medicaid Reforms to Expand Coverage, Control Costs and Improve Care: Results from a 50-State Medicaid Budget Read MoreRoundup:
Nebraska Releases Medicaid MCO RFP
Louisiana Gubernatorial Candidates Willing To Expand Medicaid
Protests Submitted Over Michigan Medicaid Contract Awards
Ohio Releases Revised HCBS Transition Plan for Public Comment
Pennsylvania Issues Procurement for Enrollment Assistance Broker
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated risk-based managed care in 23 states. Many state Medicaid agencies elect to post to their websites monthly enrollment figures by health plan for their Medicaid managed Read MoreRoundup:
Michigan Medicaid Managed Care Results Announced
Arkansas Consultant’s Report Offers Medicaid Expansion Alternatives
Kentucky Health Cooperative Ending Business Dec. 31
Health Alliance to Withdraw from Illinois Duals Demo
Utah Medicaid Expansion Bill Fails House, Senate
Washington Releases RFP for Behavioral Health-Administrative Services Organization
- This week, our In Focus section reviews the request for proposals (RFP) released this week by the Indiana Family and Social Services Administration (FSSA) to rebid the Hoosier Healthwise and Healthy Indiana Plan (HIP) Medicaid managed care programs. Combined, the Read MoreRoundup:
Florida Granted Fourth Temporary Extension for LIP Program
Kansas Delays Medicaid Waiver Integration
New Jersey Evaluator Releases MLTSS Implementation Report
New York Dual Demonstration Enrollment Dips
Utah Lawmakers Consider Medicaid Expansion Proposal
- This week, our In Focus section comes to us from HMA Managing Principal Donna Strugar-Fritsch and Research Assistant Melissa Sanchez. Donna and Melissa provide a review of the proposed guidance issued by the Health Resources and Services Administration (HRSA) on Read MoreRoundup:
Nebraska, South Dakota Considering Medicaid Expansions
UtahAccess+ Medicaid Expansion Plan Unveiled
Massachusetts Duals Demo to Receive Additional Funding
New York Develops MLTC White Paper
New York Health Cooperative Shutting Down
Univera Community Health (NY) acquired by the Monroe Plan
Rhode Island Medicaid Director Gifford Stepping Down
Healthcare Industry Braces for Expansion of Codes on Oct. 1
- This week, our In Focus section reviews updates from Pennsylvania and Virginia on their plans for implementing managed long-term services and supports (MLTSS) programs. Pennsylvania released an extensive MLTSS concept paper last week, providing updates on covered populations, expectations of Read MoreRoundup:
Blue Cross Blue Shield of Montana Poised to Win Medicaid Expansion Contract
Rate Adjustments Approved for Massachusetts One Care Demonstration
New Hampshire Cancels Medicaid MCO RFP
North Carolina to Privatize $15 Billion Medicaid Program
Texas Releases RFP for Medicaid Management Information System Takeover
- This week, our In Focus section reviews the Pennsylvania Department of Human Services (DHS) request for proposals (RFP) to rebid the HealthChoices Physical Health Medicaid managed care program statewide. The HealthChoices program currently serves just over 1.9 million members across Read MoreRoundup:
Iowa Medicaid Managed Care Contract Awards Protested
Three MCOs to Withdraw from New York FIDA Program in 2016
Pennsylvania Releases MLTSS Plan Concept Paper
MACPAC Public Meeting to be Held September 17