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- 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
- This week, our In Focus section reviews “Health Care Providers and Value-Based Reimbursement, ” a paper released by HMA’s Accountable Care Institute (ACI) this month. Movement of patients into managed care is a significant part of health care transformation currently Read MoreRoundup:
Florida Governor Intends to Call Special Session on Budget
CMS to Florida: LIP Not Dependent on Expansion
Maximus Recommended for Indiana Enrollment Broker Contract
Pennsylvania Plans MCO RFA Release for Late Summer
Minnesota House Proposes to End MinnesotaCare
FTC Weighs In on New York DSRIP
New York Duals Demonstration Off to Slow Start
- 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 monthly enrollment figures by health plan to their websites for their Medicaid managed Read MoreRoundup:
CMS Considers Medicaid Expansion Decision in Evaluating the Renewal of Uncompensated Care Pools
Florida Governor to Sue White House Over LIP Funding
Florida Medicaid MCOs and PSNs Report Losses
Xerox’s New York MMIS System Contract Approved
New York to Pursue Basic Health Program
Expansion States Enroll Newly Eligible Inmates in Medicaid
Proposed Rule to Provide States Additional Time to Seek Medicaid Eligibility System Funds
- This week, our In Focus section reviews the Request for Proposals (RFP) issued by the Commonwealth of Kentucky’s Cabinet for Health and Family Services (CHFS) to rebid the existing Medicaid managed care contracts set to expire on June 30, 2015. Read MoreRoundup:
CMS, Florida Officials Spar Over LIP, Medicaid Expansion
Montana Legislature Backs Medicaid Expansion
Nebraska Legislature Rejects Medicaid Expansion
New York Behavioral Health Carve-In Delayed Again
New Jersey MAAC Meeting Highlights Key Program Updates
North Carolina Claims Payment System Receives Preliminary Certification
Texas Medical Board Votes to Restrict Telemedicine
CMS Announces Navigator Grant Opportunity
New Medicaid Enrollees Significantly Increased Prescription Drug Use in 2014
- This week, our In Focus section reviews the request for application (RFA) issued by the New Hampshire Department of Health and Human Services on April 1, 2015, which seeks to add at least one Medicaid managed care organization (MCO) to Read MoreRoundup:
Alaska Legislature Considers Medicaid Expansion
Florida LIP Negotiations Stalled, But CMS Pledges to Continue
Feds Propose Rule to Protect Medicaid/CHIP Members under Mental Health Parity Law
Missouri Senate Budget Would Expand Medicaid Managed Care
- This week, our In Focus section reviews a presentation from MassHealth, the Massachusetts’ Medicaid program, which provides an update, and solicits input, on One Care, the state’s dual eligible financial alignment demonstration, which launched in October 2013. The update includes Read MoreRoundup:
California Submits Section 1115 Waiver Application to CMS
Georgia FY 2016 Budget Update
SCOTUS Rules Providers Cannot Sue State To Raise Medicaid Reimbursement Rates
Illinois FY 2015 Budget Fix Passes Senate, Signed by Governor
Medicaid Expansion Bill Wins Approval in Montana Senate
Tennessee Medicaid Expansion Bill Fails in Senate
New York Behavioral Health Managed Care Transition to Begin July 1, 2015
OMB Reviewing Medicaid Managed Care Rule
