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- July 23, 2013
New Mexico Supreme Court Requires Medicaid to Cover All Medically Necessary Abo
External Source Issue BriefRead moreNM Supreme Court Requires Medicaid to Cover All Medically Necessary Abortions January 1999 The New Mexico Supreme Court has ruled that the State must cover all medically necessary abortions in its Medicaid program using State-only funds. While federal Medicaid dollars are available to pay for abortions…
- July 23, 2013
Model Managed Care Complaint Process (revised May ’99)
Read moreThis model complaint procedure supercedes earlier versions. This process is intended for use in state-based managed care programs, particularly Medicaid and child health insurance programs. But, it can be adapted to other managed care situations as well. Many of the provisions are taken from existing state managed care rules…
- July 23, 2013
HCFA Letter Regarding Due Process Notices In Medicaid/CHIP Programs
Read moreOn June 28, 1999, the Health Care Financing Administration sent a letter to the Missouri Department of Social Services which discusses requirements for due process notices following eligibility determinations. Because the facts described in the letter occur in other states, a complete copy of it is attached. The letter…
- July 23, 2013
HCFA Dear State Medicaid Director Letter Provides Guidance on Olmstead Decision
External Source and Andy DiAntonio Press ReleaseRead moreDear State Medicaid Director:The recent Supreme Court decision in Olmstead v. L.C., 119 S.Ct. 2176 (1999), provides an important legal framework for our mutual efforts to enable individuals with disabilities to live in the most integrated setting appropriate to their needs. The Court's decision clearly challenges us to develop…