- February 8, 2016
Coordinated Appeals for Dually Eligible Individuals
Read moreThis issue brief examines three existing programs coordinate appeals for dually eligible individuals. The brief explains how PACE, D-SNPs,…
- January 25, 2016
Health Advocate: 2016: Our New Year’s Resolutions
Read moreWe're off to a roaring start in 2016 with over 8.5 million individuals enrolled in health insurance through the…
- January 20, 2016
Managed Care in California Series, Issue 6: Continuity of Care in Medi-Cal Managed Care
Abbi Coursolle, Shyaam Subramanian, and Andy DiAntonio Issue BriefRead moreThere are a number of laws and policies that govern continuity of care for Medi-Cal beneficiaries; some protect access…
- January 20, 2016
Medicaid Access Metrics RFI Response
Abbi Coursolle and Andy DiAntonio CommentsRead moreThis is NHeLP's response to a Request For Information (RFI) released by HHS to identify metrics for access to…
- January 20, 2016
NHeLP Equal Access Regulation Comments
Abbi Coursolle, Leo Cuello, and Jane Perkins CommentsRead moreMedicaid law requires states to make payments to providers that promote quality and equal access to care for Medicaid…
- September 10, 2015
Ensuring that Assessment Tools are Available to Enrollees
Read moreThe amount of Medicaid services for enrollees, particularly home and community based services, is increasingly being determined through prior…
- August 31, 2015
Lessons from CA: Ensuring Due Process in Medi-Cal Renewals & Applications
Read moreThis month's Lessons from California highlights unlawful notices of action in Medicaid and successful advocacy to ensure due process…
- August 14, 2015
Managed Care in California Series, Issue 4: Internal Grievances and External Review
Abbi Coursolle and Andy DiAntonio Issue BriefRead moreFederal and state law and the state and federal constitutions require that beneficiaries in Medi-Cal managed care plans receive…
- August 14, 2015
Managed Care in California Series, Issue 5: Internal Grievances and External Review for Service Denials in Covered California Plans
Abbi Coursolle and Andy DiAntonio Issue BriefRead moreFederal and state law and the Constitution ensure that enrollees in publicly-funded health care plans receive notice, grievance and…