Archive for 2013

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  • Medi-Cal Eligibility for Former Foster Youth Under the Affordable Care Act

    National Health Law Program (NHeLP)

    NHeLP and Youth Law Center fact sheet on Medi-Cal eligibility for former foster youth under the ACA. Fact sheet provides an overview on eligibility and coverage. 2014 Updated Version.

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  • Continuity of Care in Medi-Cal

    Continuity of Care is critical to the successful transition of Medi-Cal beneficiaries moving from fee-for-service Medi-Cal into a managed care plan for the first time or from one health plan to another. As California prepares to expand Medi-Cal managed care to new geographic locations, and to new populations, advocates,…

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  • Iowa Medicaid Expansion 1115 Comments

    Leo Cuello and

    These are comments to two section 1115 applications submitted by Iowa to implement Medicaid Expansion. Iowa's applications include numerous requests that are serious violations of Medicaid law, and NHeLP's comment highlights these problems and requests that HHS correct them.

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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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  • Webinar: Medicaid Cost-Sharing

    National Health Law Program Legal Director Jane Perkins and Senior Policy Analyst David Machledt discuss cost-sharing, the portions of medical bills that are payed by the enrollee, and premiums in the context of Medicaid. This webinar covers the relative impacts of cost-sharing and premiums on access to care at…

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