- 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…
- May 30, 2014
Lessons from CA: Delaying 2014 Renewals for Medi-Cal Enrollees
Read moreIn June, current enrollees of California's Medicaid program, Medi-Cal, will be asked to complete a new renewal process and…
- May 8, 2014
Network Adequacy Laws in Medi-Cal Managed Care Plans
Read moreMedi-Cal managed care plans are capitated, meaning they receive a set payment per enrollee per month in exchange for…
- April 29, 2014
Re: California’s Bridge to Reform Demonstration (No. 11-W-00193/9)
Read moreThere are three major components of the CCI. As drafted, the amendment repeatedly fails to effectively delineate what changes…
- April 28, 2014
Comments on 90-day MLTSS Duals Notice and 45-day MLTSS Notice
Read moreAs a preliminary matter, we urge DHCS to also provide the draft notices directed to seniors and persons with…
