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  • Medicaid Managed Care Model Provisions, Issue 4

    Our new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts.  In this issue, we address accessibility and language access.

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  • Medicaid Managed Care Model Provisions, Issue 3

    Abbi Coursolle and

    Our new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts.  In this issue, we address network adequacy.

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  • Medicaid Managed Care Model Provisions, Issue 2

    Our new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts.  In this issue, we address enrollment and disenrollment rights.

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  • Medicaid Managed Care Model Provisions, Issue 1

    Our new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue breaks provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts.  In this issue, we address grievances and appeals.

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  • Class Certification Order: Wilson v. Gordon (M.D. Tenn)

    Plaintiffs bring this action pursuant to 42 U.S.C. § 1983 seeking declaratory and injunctive relief against the Defendants, who are State of Tennessee officials, for alleged violations of federal law and the Due Process Clause of the Fourteenth Amendment. Plaintiffs' claims arise from the State's Medicaid program (TennCare) and…

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  • Preliminary Injunction Order: Wilson v. Gordon (M.D. Tenn)

    Preliminary injunction order in Wilson v. Gordon (M.D. Tenn). The eleven named Plaintiffs have brought this action under 42 U.S.C. § 1983 seeking declaratory and injunctive relief against Defendant Darin Gordon, the Deputy Commissioner of the Tennessee Department of Finance and Administration ("DFA") and Director of the Division of Health…

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