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- August 25, 2014
Jackson Health System’s Failure to Comply with Requirements of 26 U.S.C. § 501, Internal Revenue Service
Litigation Team and dfitzgerald CasesRead moreGround-breaking IRS complaint filed against the Jackson Health System, Miami-Dade County’s publicly funded health care system, alleging that the Jackson Health System is violating requirements governing billing and collection policies of non-profit health providers for low-income patients. Partners: Florida Legal Services, Inc.
- August 21, 2014
Recommendations for the Modernization of the Federal Medicaid Regulations
Read moreMedicaid managed care has changed significantly over the past decade and includes more vulnerable people who have disabilities, are older, or have limited English proficiency than ever before. Service delivery methods have evolved and technology advanced. Yet the managed care regulations have not been updated since 2002. These modernized…
- August 20, 2014
NHeLP and Maine Equal Justice Partners Amicus Brief: Mayhew v. Burwell; First Circuit
Read moreMaine submitted a state plan amendment to CMS to eliminate Medicaid coverage of 19-20 year olds. CMS denied the SPA on grounds that it would violate the maintenance of effort requirement contained in the ACA. Maine appealed to the First Circuit. NHeLP and Maine Equal Justice Partners, representing a…
- August 20, 2014
Webinar: Older Adults and Medicaid
Read moreThis webinar focused on older adults covering medicaid basics, medicaid categories, long-term services & supplies, medicaid services & costs, affordable care act, and delivery system reform.
- August 19, 2014
Due Process in California’s Early Medicaid Expansion
Read moreThis brief describes the notice and appeals rules in the LIHPs, and their implementation around the state. It also describes some lessons learned from the LIHPs' due process experience to prepare for California's implementation of the Affordable Care Act in 2014.
- August 19, 2014
Network Adequacy Laws in Medi-Cal Managed Care Plans
Read moreMedi-Cal managed care plans are capitated, meaning they receive a set payment per enrollee per month in exchange for providing services.The plans contract on a "comprehensive risk" basis, which means they accept the risk of incurring a loss if they spend more on services than they receives through the…