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- August 19, 2016
NHeLP Comments: Arkansas Works 1115 Demonstration
Leo Cuello CommentsRead moreIn comments to U.S. Department of Health and Human Services Secretary Sylvia Burwell, NHeLP Director of Health Policy Leonardo Cuello urges HHS to reject Arkansas's proposed application for a Section 1115 demonstration waiver. Cuello notes that the "Arkansas Works Program" would, in part, undermine the state's expansion of Medicaid by…
- June 30, 2016
Q&A: Recoupment Following an Adverse Medicaid Appeal
Read moreLegal Director Jane Perkins provides guidance on a question regarding Medicaid managed care plans' abilities to recoup costs of health services following an adverse Medicaid appeal. Medicaid applicants and recipients have rights to notices and administrative hearings when their claims for medical assistance are denied or not acted on…
- June 29, 2016
Lessons from CA: California Limits Medi-Cal Estate Recovery
Read moreBeginning in 2017, California will limit its Medicaid (Medi-Cal in CA) estate recovery to what is federally required. This month's Lessons from California highlights the changes made to the Medi-Cal estate recovery laws in California through the budget signed by the governor this week.
- June 9, 2016
Q&A: Using Assessment Tools to Decide Medicaid Coverage
Read moreThis Q&A provides case developments in efforts to ensure that state Medicaid coverage assessment tools are used in compliance with federal law and constitutional due process.
- May 31, 2016
Lessons from CA: Expanding Full-Scope Medi-Cal to All Children
Read moreIn this month's Lessons from California, we highlight the successful efforts in California to cover up to 170,000 undocumented children under age 19 on Medi-Cal starting May 1.
- May 2, 2016
Q&A: Differences Between Marketplace and Medicaid MAGI
Read moreThis Q&A outlines a common error made by states when determining eligibility under Modified Adjusted Gross Income (MAGI), leading to unlawful Medicaid denials. MAGI rules differ for Marketplace and Medicaid eligibility determinations. Because of those differences, there may be instances in which an individual seemingly is financially ineligible for…