California: State Reduces Size of Medicaid Waiver Request by $10 Billion

The California Department of Health and Human Services reduced the size of its section 1115 Medicaid waiver request from $17 billion to $7.25 billion, according to the Legislative Analyst's Office, the State Legislature’s nonpartisan policy and fiscal advisor. The State is negotiating with CMS over the scope and scale of the waiver request, and while details regarding the reduction in proposed funding are not yet available, the key components of the waiver request that remain include funding for: a public hospital incentive program, a “whole-person care pilot,” improvements to dental health programs, and caring for the remaining uninsured. CMS is expected to make a final decision on the waiver request by October 31, when the State's current 1115 "Bridge to Reform" Medicaid waiver expires.

Michigan & Illinois: States Partner to Launch Nation’s First Cloud-Based Medicaid Management Information System

The Michigan Department of Health and Human Services (DHHS) announced the rollout of the country’s first automated, real-time, cloud-enabled Medicaid Management Information System (MMIS), a pioneer program developed with Illinois and designed to improve healthcare delivery and reduce costs. The new system is the result of a two-year, multi-agency collaboration between Michigan, Illinois and their vendor to build a platform that allows for the exchange of real-time secure claims data across state lines and accommodates evolving state and federal regulations. Allowing multiple states access to a single MMIS reduces costs for individual states by enabling resource pooling. Additionally, cloud-based technologies are known for reducing costs compared to traditional software systems by eliminating licensing, storage, development and ongoing maintenance costs.