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- August 28, 2015
Motion to Reconsider Denied: Korean Community Center of the East Bay v. Kent
Read morePlaintiffs, who are organizations representing the interests of and assist Medi-Cal beneficiaries, including many with limited-English proficiency, sought a peremptory writ of mandate and/or declaratory and provisional and permanent injunctive relief to enjoin the State of California from proceeding with the 2014 redetermination process for Medi-Cal beneficiaries until the…
- August 28, 2015
Verified Petition for Writ of Mandate: Korean Community Center of the East Bay v. Douglas
Read morePlaintiffs, who are organizations representing the interests of and assist Medi-Cal beneficiaries, including many with limited-English proficiency, seek a peremptory writ of mandate and/or declaratory and provisional and permanent injunctive relief to enjoin the State of California from proceeding with the 2014 redetermination process for Medi-Cal beneficiaries until the…
- August 14, 2015
Managed Care in California Series, Issue 4: Internal Grievances and External Review
Read moreFederal and state law and the state and federal constitutions require that beneficiaries in Medi-Cal managed care plans receive notice, and grievance and appeal rights when they are denied access to medically necessary services. Frequently, however, enrollees fail to receive the required notice, get an inadequate notice, or do…
- August 14, 2015
Managed Care in California Series, Issue 5: Internal Grievances and External Review for Service Denials in Covered California Plans
Read moreFederal and state law and the Constitution ensure that enrollees in publicly-funded health care plans receive notice, grievance and appeal rights when they are denied access to medical services. Enrollees in Covered California plans have the right to a notice when their plan denies access to a service, and…
- August 12, 2015
Health Advocate: Essential Health Benefits Overview
Read moreIntroduced by the Affordable Care Act, Essential Health Benefits (EHB) are a set of ten health care service categories that certain health plans must cover. In February 2015, HHS issued a Final Rule, which finalized changes to the EHB standard. This month's Health Advocate offers an EHB overview in…
- August 12, 2015
Medicaid Expansion State Waiver Chart
Read moreThis chart shows the major waivers requested and approved in section 1115 demonstrations to implement Medicaid expansion in the six states that have been approved for such demonstrations. (This chart was updated in August 2017.)
