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- November 20, 2014
Lessons from CA: Marketplace Renewals
Read moreIn this month's Lessons from California, we review the annual renewal process for Covered California's (California's state marketplace) enrollees and where it differs from the renewal process in the federally facilitated marketplace (FFM). As this is the first renewal period for all marketplaces, best practices will become clearer for…
- November 18, 2014
EPSDT – A Guide for States: Coverage in the Medicaid Benefit for Children and Adolescents
External Source and dfitzgerald Manual/ReportRead moreThe Centers for Medicare & Medicaid Services (CMS) go-to resource for anyone interested in improving child health. The Guide was produced by CMS in collaboration with NHeLP under subcontract to the NORC at the University of Chicago. The Guide is intended to help states, health care providers and others to understand…
- November 14, 2014
Health Advocate: Open Enrollment 2 (OE2): What to Expect
Read moreThe second open enrollment period begins Nov. 15, 2014. While we are leaps and bounds from the road bumps experienced during the first enrollment period, we still have work to do. This edition of the Health Advocate walks through many of the challenges and concerns as we head into…
- November 12, 2014
Marketplace MAGI Webinar Part II – Household Composition
Read morePart II in a two-part series on rules for determining a consumer's Modified Adjusted Gross Income (MAGI). MAGI applies when determining eligibility for advance payments of the premium tax credit (APTC) and cost-sharing reductions (CSRs) for health coverage purchased through the Marketplace, as well as eligibility for the Children's…
- November 10, 2014
NHeLP Letter to CMS re: PA State Plan Benefits
Leo Cuello and Jane Perkins LetterRead moreIn this letter to CMS NHeLP recommends that CMS not approve reductions to Pennsylvania's Medicaid state plan benefit pursuant to the approval of Pennsylvania's Medicaid Expansion.
- November 7, 2014
Marketplace MAGI Webinar Part I – Income
Read morePart I of a two-part series on rules for determining a consumer's Modified Adjusted Gross Income (MAGI). MAGI applies when determining eligibility for advance payments of the premium tax credit (APTC) and cost-sharing reductions (CSRs) for health coverage purchased through the Marketplace, as well as eligibility for the Children's…