HMA Weekly Roundup

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  • This week, our In Focus section reviews the Medicaid managed care expansion RFP re-leased by the Commonwealth of Pennsylvania on November 16. The Department of Public Welfare previously released a public Discussion Paper on the statewide expansion of the HealthChoices Read More

    Georgia Selects Non-Emergency Transportation Vendors

    New York Health System Redesign Proposals Released

    Pennsylvania DOI Announces Intention to Operate Insurance Exchange

    Indiana RBM RFI Released

  • This week, our In Focus section reviews the Kansas Medicaid managed care RFP, released last week. On the heels of Missouri’s announcement to rebid its Medicaid managed care population, Kansas announced a rebid of the roughly 210, 000 current Medicaid Read More

    California ADHC Settlement Negotiations Continue

    Imposition of Provider Rate Cuts in California Delayed

    Pennsylvania Behavioral Health RFP Released

    Illinois Legislative Session Ends Without Movement on Exchange Legislation or Provider Tax

  • To say this has been a big year for Medicaid MCO RFPs is an obvious understatement. So far this year, there have been four Medicaid MCO RFPs completed (Texas, Louisiana, Kentucky, Arizona LTC) and three contract extensions that didn’t involve Read More

    California Releases Preliminary Two-Plan Capitation Rates

    Georgia Gov. Cautiously Optimistic on Tax Revenue

    Georgia Amendment Allows Amerigroup, Centene to go Statewide

    Illinois Hospital Association Pushes Revamped Hospital Tax

  • This week, our In Focus section highlights key takeaways from the 50-state Medicaid budget survey report released last Thursday, October 27, by the Kaiser Commission on Medicaid and the Uninsured (KCMU) and Health Management Associates. The report, titled Moving Ahead Read More

    Providers Respond to CMS’ Approval of California Rate Cuts

    Voluntary Enrollment of Dual Eligibles in Michigan Effective November 1

    Pennsylvania Explains Caseload Drop

  • We thank Jaimie Bern in HMA’s Boston office for this week’s review of the New Hamp-shire Medicaid managed care Request for Proposals (RFP). New Hampshire will be im-plementing a Medicaid managed care program for the first time beginning July 1, Read More

    Opposition Mounts to Proposed California Rate Cuts

    Florida Prepares for Budget Shortfall

    Michigan Revenue Collections Improve

  • 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 More

    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 More

    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 More

    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 More

    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 More

    Florida Draft Rates Down Slightly

    Georgia Receives Funding for Eligibility System Replacement

    Illinois Continues to Work Toward Care Coordination Model

    Indiana Cuts Dispensing Fee