HMA Weekly Roundup

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  • This week, our In Focus section reviews key takeaways from the Centers for Medicare & Medicaid Services (CMS) report published recently on Medicaid long term supports and services (LTSS) expenditures in fiscal year 2013. The report, Medicaid Expenditures for Long-Term Read More
    Roundup:

    Number of Uninsured Drops by 15.8 Million Since 2013

    Alabama legislature debates Medicaid cuts

    Arkansas ending In Home Services Program

    Florida Healthy Kids (FHK) Dental Benefits Rebid Planned

    Cook County (IL) to Re-bid Managed Medicaid Contract

    Iowa Seeks Expansion Waiver for Traditional Medicaid

    UCare Loses Minnesota managed care contract

    North Carolina Legislatures Spars over Medicaid reform

    North Carolina Medicaid Director Wos Resigns

    Washington Releases Apple Health RFP for SW Region

  • This week, our In Focus section reviews the completed memorandum of understanding (MOU) between Rhode Island and the Centers for Medicare & Medicaid Services (CMS) for the state’s capitated dual eligible financial alignment demonstration, known as the Integrated Care Initiative Read More
    Roundup:

    Florida Governor Examines Medicaid Managed Care Hospital Contracts

    Iowa DHS Posts Medicaid Redesign Waiver Documents for Public Comment

    CMS Approves Behavioral Health Transition to Managed Care in New York

    Pennsylvania Hospitals Resist Proposed Tax Increase

    States Look to 1332 Waivers to Modify Healthcare Law

    States Asked to Scale Back Rate Increases Requested by Marketplace Insurers for 2016

    GAO Report Finds Medicaid Expansion States Better Able to Treat Mental Illness and Addiction

  • 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 More
    Roundup:

  • This week, our In Focus section reviews Montana’s proposed Medicaid expansion waiver and third-party administrator request for proposals (RFP). In late April, 2015, Montana Governor Steve Bullock signed into law Senate Bill 405, establishing the Montana Health and Economic Livelihood Read More
    Roundup:

    Alaska Governor to Announce Plans for Medicaid Expansion

    Arkansas to Increase Resources for Eligibility Checks

    California Delays Orange County Duals Demo Passive Enrollment

    Florida Issues RFI for Health Information Exchange Vendor

    Louisiana Releases RFI for Specialized Behavioral Health Services

    Uninsured Rate Drops to 11.4 Percent

    Cost of Covering People Newly Eligible for Medicaid Significantly Higher Than Expected

  • 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 More
    Roundup:

    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 More
    Roundup:

    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 More
    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 More
    Roundup:

    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 More
    Roundup:

    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 More
    Roundup:

    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