- September 17, 2014
Medicaid Managed Care Model Provisions, Issue 2
Read moreOur new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides…
- September 16, 2014
Medicaid Managed Care Model Provisions, Issue 1
Read moreOur new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue breaks…
- September 10, 2014
Letter to CMS re: Modernization of Medicaid Managed Care Regulations
Read moreNHeLP has created a set of moderized Medicaid managed care federal regulations. These revised regulations were shared with the…
- August 29, 2014
Managed Care & Older Adults Series, Issue 1
Read moreElderly African Americans and Hispanics are more likely to have lower incomes and poor health status and to live…
- August 21, 2014
Recommendations for the Modernization of the Federal Medicaid Regulations
Read moreMedicaid managed care has changed significantly over the past decade and includes more vulnerable people who have disabilities, are…
- August 19, 2014
Due Process in California’s Early Medicaid Expansion
Read moreThis brief describes the notice and appeals rules in the LIHPs, and their implementation around the state. It also…
- August 19, 2014
Managed Care in CA Series, Issue 1: Network Adequacy Laws (Revised May 7, 2018)
Read moreManaged Care and California Series Issue 1: Medi-Cal managed care plans are capitated, meaning. they receive a set payment…
- August 19, 2014
Managed Care in California Series, Issue 2: Network Adequacy Laws in Covered California Plans
Read moreManaged Care and California Series Issue 2: Covered California QHPs receive a set premium payment ("capitation") per enrollee in…
- July 14, 2014
Health Advocate: ACA Litigation Continues: A Primer of Major Cases
Read moreThe ACA has been under continuous attack in the courts since its enactment. These challenges could significantly roll back…
- June 16, 2014
External Quality Review: An Overview
Read morePart of the overall quality strategy mandated by the Medicaid Act and regulations requires states to include annual independent…
