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- This week, our In Focus section reviews recent Medicaid MCO enrollment trends in thirteen states. Many state Medicaid agencies elect to post to their website monthly enrollment figures by health plan for their Medicaid managed care population. Read MoreRoundup:
California Adult Day Care Transition Stalls
Pennsylvania Caseloads Decline Following Eligibility Review
New York Medicaid Redesign Savings Projections Imperiled
Illinois Medicaid Care Coordination Project Moves Forward
- In December 2010, the Centers for Medicare and Medicaid Services (CMS) announced the State Demonstrations to Integrate Care for Dual Eligible Individuals, a competitive solici-tation for proposals to design person-centered models that coordinate primary, acute, behavioral and long-term supports and Read MoreRoundup:
Florida Managed Care Rates Finalized
Georgia Opens CHIP to State Employees’ Children
New York Achieves Medicaid Savings
New York Managed Care Rates Finalized
Pennsylvania Updates Hospital Readmission Policy
- This week, our In Focus sections reviews a package of Medicaid savings proposals unveiled on September 30, 2011 by Wisconsin’s Department of Health Services (DHS). The proposals are required under Act 32, the state’s FY 2011-2013 biennial budget, which directed Read MoreRoundup:
California Reconsiders Procurement Strategy for Dual Eligibles
Florida Inpatient Rates Finalized
New York Pharmacy Carve-In Began October 1, as did Migration of New Eligibility Groups into Mandatory Managed Care
New York Managed Behavioral Health Organizations Selected
- This week, our In Focus sections reviews the key considerations in the exchange design and development process in Illinois, as presented in a report released earlier in September, Illinois Exchange Strategic and Operational Needs Assessment. This report, which has now Read MoreRoundup:
Florida MCO Rate Updates
California, Pennsylvania Submit Dual Eligible LOIs
Georgia Health Insurance Exchange Committee Meets
New York Health Homes Program Delayed
- This week, our In Focus section reviews the Washington RFP to rebid roughly 740, 000 lives under the state’s Healthy Options Program and Basic Health Plan. Additionally, the RFP expands managed care coverage to non-dual eligible Medicaid individuals who are Read MoreIn Focus:Roundup:
Florida Draft Rates Down Slightly
Georgia Receives Funding for Eligibility System Replacement
Illinois Continues to Work Toward Care Coordination Model
Indiana Cuts Dispensing Fee
- This week, our In Focus section reviews the key findings of the Kaiser Commission on Medicaid and the Uninsured (KCMU) report, A Profile of Medicaid Managed Care Programs in 2010: Findings from a 50-State Survey, released Tuesday, September 13, 2011. Read MoreRoundup:
California MMIS Transition to ACS Underway
Georgia Tax Revenues Improve
New Jersey Waiver Application Includes Plan to Integrate Payment for Dual Eligibles
New Medicaid Director Assumes Office in Pennsylvania
- This week, our In Focus section reviews the planned expansion of Pennsylvania’s HealthChoices program, a capitated managed care program for Medicaid enrollees. The Pennsylvania Department of Public Welfare outlined plans for a statewide expansion of the HealthChoices program in an Read MoreRoundup:
CMS DELAYS MICHIGAN DUAL ELIGIBLE TRANSITION PLAN, TEXAS HHSC ANNOUNCES CHANGES TO STAR CONTRACT AWARDS IN TRAVIS COUNTY; ILLINOIS GOVERNOR THREATENS CUTS TO INSTITUTIONAL FACILITIES
- This week, our In Focus section reviews a letter published by the Republican Governors Public Policy Committee on Tuesday, August 30. The letter outlines more than 30 policy proposals generally intended to grant states greater flexibility in managing their Medicaid Read MoreRoundup:
Illinois Exchange Development Moving Forward
Dual Eligibles in Michigan to be Notified of Health Plan Options
- This week, our In Focus section reviews a report released last month by the U.S. Govern-ment Accountability Office (GAO) on the performance of private investment (PI) nursing homes compared with other for-profit nursing homes and non-profit nursing homes. Given Medicare Read MoreRoundup:
Minimum MLR Back on the Table in Florida
Initial Schedule for Georgia Managed Care RFP Introduced
Michigan Provider Claims Tax Passes House, Awaits Governor’s Signature
- This week, our In Focus section reviews the Hawaii RFP to rebid the QUEST Medicaid managed care program. The QUEST program provides Medicaid services to Temporary Assistance for Needy Families (TANF) and Children’s Health Insurance Program (CHIP) lives under a Read MoreIn Focus:Roundup:
HHS Awards $185M in Exchange Grants to States, Proposes Rules on Medicaid and Exchange Eligibility
Three Illinois Hospitals Lose Property Tax Exemptions, More Determinations Coming
California Legislature Resumes Session
Florida in Discussion with Plans on Draft Rates
Georgia Committee Votes to Move Forward on Exchange
