California: Department of Health Care Services Announces Stakeholder Groups for Medicaid Waiver Renewal Efforts
The Department of Health Care Services announced the formation of five stakeholder workgroups to support the State's efforts to renew its Medicaid 1115 waiver. Each group will be comprised of subject matter experts in Medicaid and delivery system reform and will focus on discrete topic areas, including: safety net reform; provider/managed care plan incentive programs; the Delivery System Reform Incentive Program; the potential for Medicaid-funded housing; and workforce development. The Department also announced the meeting schedule for the workgroups, and a one-day working session on financing and federal-state shared savings.
Louisiana: Department of Health and Hospitals Recommends Fifth Plan to Administer Bayou Health's Next Phase
The Louisiana Department of Health and Hospitals (DHH) officially announced its recommendation for five statewide health plans to administer the next three-year contract period for the Bayou Health Medicaid and CHIP program beginning February 1, 2015. Following an RFP process, DHH selected one new plan, Aetna Better Health of Louisiana, to add to the four plans currently in operation: Amerigroup, AmeriHealth Caritas, Louisiana Healthcare Connections, and UnitedHealthcare Community Plan. Bayou Health currently operate under two models, but beginning next February all plans must operate under one risk-bearing managed care organization model.
Massachusetts: Office of Health and Human Services Announces Medicaid Waiver Agreement with CMS
The Massachusetts Executive Office of Health and Human Services announced a $41.4 billion, five-year 1115 Waiver agreement with CMS, the first five-year agreement between the Commonwealth and CMS, to reform the State’s Medicaid program. The 1115 Waiver includes $230 million annually for delivery system transformation initiatives and $771 million for Medicaid-eligible state health programs that provide community-based health services. The Waiver also includes a 50% federal match for the temporary Medicaid coverage provided during 2014 to 300,000 individuals whose eligibility could not be determined by the Massachusetts Health Connector website.