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- July 23, 2013
The 1999 Health Care Access Bill, AB 525: Testimony before the California Assem
Read moreTestimony Presented by: Lourdes A. Rivera, Staff Attorney National Health Law Program Hearing before the California Assembly Committee on Judiciary Tuesday, April 6, 1999 Good morning. I am Lourdes Rivera, Staff Attorney at…
- July 23, 2013
Model Medicaid Managed Care Contract Provisions — Complaint and Grievance Proc
Read moreThis model complaint procedure supercedes earlier versions from August 1998, October 1997 and March 1997. This process is intended for use in state-based managed care programs, particularly Medicaid and child health insurance programs. But, it can be adapted to other managed care situations as well. Many of the provisions…
- July 23, 2013
HCFA Letter Regarding Due Process Notices In Medicaid/CHIP Programs
Read moreOn June 28, 1999, the Health Care Financing Administration sent a letter to the Missouri Department of Social Services which discusses requirements for due process notices following eligibility determinations. Because the facts described in the letter occur in other states, a complete copy of it is attached. The letter…
- July 23, 2013
Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You Whe
Read moreMedicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You When They Deny Reproductive Health Services?July 1999By Lourdes Rivera *A. Medicaid is Important to Women of Childbearing AgeMedicaid is a major source of health coverage for women. In 1996, for example, Medicaid covered 7.8 million women…
- July 23, 2013
Factsheet: Prescription Drug Coverage Under Medicaid (1999)
Read morePrepared by: Claudia Schlosberg, Staff Attorney Sareena Jerath, Law Clerk July 1999 In 1997, the Medicaid program paid nearly $12 billion for prescription drugs. Next to physician services, it is the most frequently used benefit in the Medicaid…