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- June 30, 2016
Q&A: Recoupment Following an Adverse Medicaid Appeal
Read moreLegal Director Jane Perkins provides guidance on a question regarding Medicaid managed care plans' abilities to recoup costs of health services following an adverse Medicaid appeal. Medicaid applicants and recipients have rights to notices and administrative hearings when their claims for medical assistance are denied or not acted on…
- June 29, 2016
Lessons from CA: California Limits Medi-Cal Estate Recovery
Read moreBeginning in 2017, California will limit its Medicaid (Medi-Cal in CA) estate recovery to what is federally required. This month's Lessons from California highlights the changes made to the Medi-Cal estate recovery laws in California through the budget signed by the governor this week.
- June 23, 2016
Issue Brief 5: Medicaid Managed Care Final Regulations and Reproductive Health
Read moreIn this issue brief, NHeLP Staff Attorney Catherine McKee reviews the recently finalized Medicaid managed care regulations, and how they impact access to quality reproductive health services. She notes the new rules are "designed to increase access to reproductive health providers and services," but says state health care advocates…
- June 10, 2016
Issue Brief 4: Medicaid Managed Care Final Regulations: Quality and Transparency
Read moreThis issue brief will review selected provisions in the final rule, Medicaid and Children's Health Insurance Program (CHIP) Programs, Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability implementing the requirements concerning quality and transparency. The final rule advances quality assessment, transparency and…
- June 9, 2016
Q&A: Using Assessment Tools to Decide Medicaid Coverage
Read moreThis Q&A provides case developments in efforts to ensure that state Medicaid coverage assessment tools are used in compliance with federal law and constitutional due process.
- June 7, 2016
Issue Brief: What Zubik v. Burwell Means
Read moreGiven that the U.S. Supreme Court failed to reach the merits in Zubik v. Burwell, the battle over the Affordable Care Act's contraceptive coverage requirement continues, with uncertain consequences for women in need of critical health care services. Staff Attorney Catherine McKee on what the high court's Zubik decision…