Announcements Events / Conferences

Tuesday, June 18, 2013

Announcements:
The State of Rhode Island seeks a highly qualified and motivated Executive/Associate Director (Medicaid Director) to serve as a crucial member of the Executive Office of Health and Human Services (EOHHS) Secretary’s strategic team. Click here for more information

Upcoming Meetings & Events:

  • June 27th & 28th -NESCSO Annual Business and General Meeting
  • September 8th - 12th - The 2013 Medicaid Enterprise Systems Conference - Charleston, South Carolina

Meeting Updates:

Click here for information on past webinars

 

Library Highlights

Links

Healthcare Headlines

06/17/13
Expert warns of flawed price transparency effort
06/17/13
Campaign aims to educate uninsured about ACA coverage options
06/17/13
FDA shifts toward informed consent for fecal tranplants
06/17/13
Arizona Gov. Brewer signs Medicaid expansion
06/17/13
State partnership exchanges running into problems
06/17/13
Reform Update: McClellan sees Pioneer quality measures having wide impact
06/17/13
England readies national cancer registry
06/17/13
Report: Chicago pulmonologist may be 'Physician D' in Medicare fraud case
06/17/13
Berwick enters race for Mass. governor
06/17/13
Q&A: For Lygeia Ricciardi patient engagement is personal
06/17/13
Mostashari asserts no more ICD-10 delays
06/17/13
Generics 'pay-to-delay' ruling may lead to lower Rx costs
06/17/13
Big Data to put immense IT demands on ACOs and HIEs
06/17/13
AMA hands out 11 innovation awards
06/17/13
Michigan Inches Toward Medicaid Expansion
06/17/13
Federal Officials Give Final OK For Florida's Medicaid Managed Care Plan
06/17/13
Report Examines Medicare Spending Issues, Geographic Disparities And Hospital Payments

More Articles

05/10/13 Medicare Provider Charge Data
04/30/13 Obama Administration simplifies, significantly shortens application for health insurance
04/30/13 CMCS Informational Bulletin: Model Eligibility Application and Guidance on State Alternative Applications
04/18/13 Milbank Memorial Fund Announces Its New President
04/ 1/13 National Minority Health Month a time to advance health equity
03/31/13 Using Medicaid Dollars for Private Insurance
03/12/13 President Obama Announces More Key Administration Posts
03/ 1/13 HHS Notice of Benefit and Payment Parameters

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NESCSO Project Highlights

New England States Collaborative Insurance Exchange Systems
As we approach the conclusion of the Early Innovator Grant and as the participating states are well underway with the development and implementation for their states approach to health insurance exchanges, the NESCSO/NESCIES Team is beginning to transition from our regular activities (e.g., bi-monthly conference calls, e-news) to serving as a resource for collaborative efforts between the New England states. We have developed a resource guide for you to be able to contact your colleagues in the other states to discuss questions or issues that may arise during the final months leading to October 2013.

Follow the link to the Health Insurance Exchange - New England Directory of Key Staff: NESCIES Contact Guide February 2013

New England Regional HIE Collaborative
For additional information, please contact Brenda Harvey at brenda.harvey@umassmed.edu.

NESCSO Regional Data Warehouse
The New England States Consortium Systems Organization (NESCSO) is developing a regional data warehouse to provide New England states the ability to conduct timely comparative analyses for the effective and efficient administration of the states’ Medicaid State Plans and to support the regional initiatives of the NESCSO members. Click here for more information.

New England State Links

CMS/HIX Updates

CMS has released the business service definition (BSD) to be used by the Federally-facilitated Exchange for the Determine Medicaid and Tax Households Business Service Definition for posting on CALT.  This BSD defines the individual’s Medicaid and Tax Household when an application for insurance affordability programs is submitted to the Exchange.  This business service includes implementation of rules to achieve the following results:

  • Each tax filer’s Tax Household, using data for the appropriate coverage year(s).
  • Each applicant’s Medicaid Household, based upon Tax Household, tax filing status and other family information for the appropriate coverage year.
  • Guidance and exception messages when a Medicaid or Tax Household cannot be determined for the applicant.

The BSD can be found with other FFE Eligibility/MAGI BSDs in the Exchange Eligibility and Enrollment Guidance folder in CALT.

The intended audience for this BSD includes state business, technical, governance, and project management stakeholders.  Specific users should include software or system developers and testers.

 

Web Resources