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- February 27, 2015
Letter to California Health Care Services: Improper Terminations and Application
Read moreLetter from the Health Consumer Alliance requesting DHCS to halt the improper application of the MAGI income rules to the non-MAGI beneficiaries at annual renewal of their ongoing eligibility for Medi-Cal, and to direct the counties not to terminate coverage for any of these individuals until the counties review…
- February 23, 2015
MAGI, Streamlined Applications, and Medicaid Family Planning Expansions
Read moreThe Affordable Care Act (ACA) requires states implement a uniform methodology for determining income - modified adjusted gross income (MAGI) - in their eligibility determinations for Medicaid and for premium subsidies in the health insurance marketplaces. The ACA also requires states to move to a single, streamlined application (SSA),…
- July 28, 2014
NHeLP’s Comments on NPRM for Exchange Annual Renewals
Read moreNHeLP submitted comments in regards to the proposed 2015 renewal process, as outlined in the NPRM at 79 Fed. Reg. 37262 (July 1, 2014) and CMS' "Guidance on Annual Redeterminations for Coverage for 2015," (June 26, 2014). NHeLP's comments included recommendations for renewals for 2015 as well as for…
- July 18, 2014
NHeLP’s Revisions to Draft Issuer Notices for Marketplace Renewals
Read moreNHeLP provided general comments to the CMS "Insurance Standards Bulletin Series" (June 26, 2014) as well as revised versions of two of the draft renewal notices (Attachments 2 and 4 of the June 26 bulletin) to enrollees from QHPs for the upcoming Exchange renewals and redeterminations. NHeLP submitted comments…
- April 29, 2014
Lessons from CA: Exchange Eligibility Appeals under the Affordable Care
Read moreSection 1411(f) of the Affordable Care Act requires the HHS Secretary to establish an appeals process related to eligibility determinations made by Exchanges, including among other things, eligibility for enrollment in a QHP and eligibility for premium tax credits and cost-sharing reductions. The federal Department of Health & Human…
