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- This week, our In Focus sections looks at the Medicaid redesign waiver, submitted by New Mexico to the Centers for Medicare & Medicaid Services (CMS) on April 25, 2012. New Mexico is proposing to consolidate the numerous federal waiver populations, Read MoreRoundup:
Health Net wins Central California RFP
California "May Revise" to be released May 14
New York scales back, refines dual eligible demonstration proposal
Georgia announces, but Texas cancels, RAC awards
Pennsylvania Medicaid MCO awards protested
CMS refines dual eligible application requirements, announces first wave of innovation awards, and releases proposed rule on Medicaid primary care rate increases
- This week, our In Focus section reviews recent Medicaid MCO enrollment trends in 13 states. Many state Medicaid agencies elect to post to their website monthly enrollment figures by health plan for their Medicaid managed care population. Read MoreIn Focus:Roundup:
New York revises dual integration proposal
Illinois dual integration RFP delayed until May 4
Incumbent ValueOptions wins Massachusetts Medicaid behavioral health RFP
- This week, our In Focus section briefly reviews the flurry of dual eligible integration proposals released for public comment in the past week. Arizona, South Carolina, Tennessee, Texas, and Virginia have all unveiled their plans to bring a combined 590, Read MoreIn Focus:Roundup:
Ohio protests filed by five of six unsuccessful MCO bidders
CareSource to sell Michigan plan
New York Governor Cuomo signs executive order for health insurance exchange
Georgia Medicaid MCO RFP timeline under evaluation
Colorado update on ACC program
Illinois Governor to unveil budget proposal tomorrow
MACPAC meeting tomorrow
- This week, our In Focus section addresses Medicaid program integrity, highlighting two recent Federal commission recommendations on the topic. In the March 2012 report from the Medicaid and CHIP Payment and Access Commission (MACPAC), the Commission dedicated a chapter to Read MoreRoundup:
Ohio Medicaid MCO awards announced
Updated timeline for Illinois delivery system reforms
Georgia expects to release a draft RFP for eligibility system redesign
New York releases successful health home applicants
- This week, our In Focus section looks at the updated guidance on dual eligible integra-tion, released March 29, 2012 by the Centers for Medicare & Medicaid Services (CMS). In January 2012, CMS released an initial round of guidance regarding dual Read MoreRoundup:
CALIFORNIA DEMONSTRATION SITES ANNOUNCED, DUAL INTEGRATION PROPOSAL RELEASED; ILLINOIS RELEASES MMIS, ENROLLMENT BROKER PROCUREMENTS; PENNSYLVANIA NEW EAST AND NEW WEST MANAGED CARE AWARDS STILL PENDING; FLORIDA TO EVALUATE SHIFTING TO DRG-BASED REIMBURSEMENT SYSTEM FOR HOSPITALS; COLORADO LAUNCHES TELEHEALTH INITIATIVE
- This week, our In Focus section reviews New York’s dual eligible integration proposal. The New York State Department of Health has proposed a fully-integrated managed care program, which will be known as the Fully-Integrated Duals Advantage (FIDA) pro-gram. Read MoreRoundup:
Site Selection for California Dual Eligible Demonstration Delayed
Florida Long-Term Care Rate Book Released
Georgia, New York Budgets Finalized
- This week, our In Focus section highlights key provisions of the federal final rule on Med-icaid eligibility and enrollment, released last Friday, March 16, by the Centers for Medi-care & Medicaid Services (CMS). The final rule provides the standards for Read MoreRoundup:
Florida Extends Implementation Timeline for Acute and Long-Term Care ITNS
Indiana Selects Medicaid PBM
Medicaid Spending Cuts Debated in Illinois
CMS Comment Period for Massachusetts Dual Eligible Proposal Ends
- This week, our In Focus section reviews the state of Washington’s proposal to integrate care for dual eligible individuals. Washington was one of fifteen states to receive dual el-igible demonstration grant funding from the Centers for Medicare and Medicaid Services Read MoreRoundup:
Dual Eligible Integration Developments In New York, Colorado
Georgia Medicaid Redesign Decisions Expected Late April
Pennsylvania Contract Awards Still Pending
- This week, our In Focus section reviews Michigan’s proposal to integrate care for dual el-igible Medicare-Medicaid beneficiaries. Unlike other state dual eligible integration pro-posals that limit the population included either geographically or by age (including Ohio, Michigan and Illinois), Michigan Read MoreRoundup:
New York to Release Dual Integration Proposal March 22
Florida Hospital Rate Cuts Finalized
California Dual Integration Applications Released
Texas Pharmacy Carve-In Implemented
HMA Records GLG Webcast on State Budgets, MCO Expansion, and California Duals RFS
- This week, our In Focus section highlights the key points in Ohio’s proposal to CMS to in-tegrate care for dual eligible Medicaid-Medicaid enrollees. The demonstration program, known as the Ohio Integrated Care Delivery System (ICDS), will provide dual eligible enrollees Read MoreRoundup:
Florida Budget nears Completion
Dual Eligible Integration Activity in Michigan, Illinois, New York
Pennsylvania Considers MLTC Program
