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- August 28, 2024
Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement
Read moreAlthough Medical Care Advisory Committees (MCACs) have been federally required for nearly forty years, some states have seriously underutilized this opportunity to monitor and improve their Medicaid programs. In May 2024, the Centers for Medicare & Medicaid Services (CMS) updated regulations implementing MCACs. New requirements for the renamed Medicaid…
- July 11, 2024
NHeLP Letter to CCIIO on DC EHB Procedural Defect
Read moreNHeLP urges the HHS Center for Consumer Information and Insurance Oversight (CCIIO) to reject the District of Columbia's recent EHB benchmark plan update due to procedural defects. Specifically, the DC Department of Insurance, Securities and Banking and DC HealthLink announced a public comment period only days before the submission…
- May 30, 2024
North Carolina Tailored Plan Network Adequacy: Acute Care Hospitals Update
Daniel Young Fact SheetRead moreNorth Carolina is launching Tailored Plans on July 1, 2024 to manage the behavioral health and physical health services for beneficiaries in need of enhanced services for a mental health disorder, substance use disorder, intellectual/developmental disability (I/DD), or traumatic brain injury (TBI). A Tailored Plan’s provider network is critical…
- January 30, 2024
FAQ: Medi-Cal Managed Care Enrollment for Foster Youth
Read moreThis FAQ answers common questions about when children and youth in California's child welfare system about enrolling in Medi-Cal managed care plans.
- January 29, 2024
Medi-Cal Enhanced Care Management for Children and Youth
Read moreThis factsheet provides an overview of a new Medi-Cal managed care benefit called Enhanced Care Management (ECM) for children and youth with complex needs. It summarizes the ECM benefit, who is eligible for it, and how children and youth can access it.
- November 27, 2023
Continuity of Care in Medi-Cal Managed Care (Updated 2023)
Abbi Coursolle Fact SheetRead moreContinuity of Care (“COC”) is critical to Medi-Cal beneficiaries in a variety of circumstances. There are a number of laws and policies that govern COC for Medi-Cal beneficiaries, depending on the situation. Some of these protections are specific to Medi-Cal while others are more broadly applicable to people enrolled…