Archive for September, 2013

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  • Network Adequacy in Medicaid Managed Care

    As Medicaid managed care expands to include more beneficiaries, and especially those with special health care needs, strong legal protections are needed to ensure that enrollees have access to high quality, medically necessary services. Existing federal law sets a floor of to ensure that Medicaid managed care plans have adequate provider…

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  • NHeLP Comments to Arkansas 1115 Demonstration Application

    Leo Cuello and

    These are comments to Arkansas' section 1115 demonstration application (filed August 8, 2013) to implement a Medicaid Expansion using a premium assistance model. NHeLP's comments identify a number of legal problems which HHS must require Arkansas to correct prior to approving the demonstration.

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