Ohio Launches Nest Generation Managed Care Plans
The Ohio Department of Medicaid recently launched its Next Generation managed care plans, following an overhauling process that began in 2019.
managed care
New Mexico Human Services Department Cancels Procurement for Medicaid MCOs
The New Mexico Human Services Department announced it will cancel the procurement process for the selection of managed care organizations to deliver services to Medicaid Centennial Care members in the state.
Oklahoma Reissues Medicaid Managed Care RFP After OK Supreme Court Blocked First Attempt
On December 1, 2022, Oklahoma reissued an RFP to implement the Medicaid managed care for a program to be called SoonerSelect and the SoonerSelect Children’s Specialty Program.
Florida Starting Medicaid Managed Care Procurement Process
Florida recently released the Medicaid data book, which must be published at least 90 days before issuing the invitation to negotiate for the statewide Medicaid managed care program.
House Lawmakers Requesting Extension of Value-Based Payment Incentives
More than 40 House lawmakers signed a letter asking congressional leaders to support value-based payment incentives and extend the 5% bonus for Alternative Payment Model (APM) participation.
CalOptima Health Integrating Care Through School District Partnerships
CalOptima says managed care plan partnerships with school districts across Orange County will increase behavioral health care access for children and youth and increase preventative and early intervention behavioral health care.
Pennsylvania Proposing New Profit-Sharing Agreement With Physical Health MCOs
Governor Tom Wolf announced that Pennsylvania is proposing a new profit-sharing agreement
with its Medical Assistance physical health (PH) managed care organizations (MCOs).
Blue Shield of California Launches New VBP Model
Blue Shield of California is launching a new value-based, shared savings payment model for specialty care physician practices
Nebraska Interviewing RFP Respondents for New Managed Care Contracts
The Nebraska Department of Health and Human Services (DHHS) has announced its plan to interview five bidders who responded to the state’s RFP to provide Medicaid managed care services
California DHCS Announces Intent to Award Contracts to 3 Managed Care Plans
Humana finalized a deal to acquire Inclusa, a Wisconsin managed care plan in a bid to bulk up its Medicaid services. Inclusa partners with more than 6,000 service providers across about 40 service categories.