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- August 31, 2015
Lessons from CA: Ensuring Due Process in Medi-Cal Renewals & Applications
Read moreThis month's Lessons from California highlights unlawful notices of action in Medicaid and successful advocacy to ensure due process in redetermination and eligibility notices.
- August 14, 2015
Managed Care in California Series, Issue 5: Internal Grievances and External Review for Service Denials in Covered California Plans
Abbi Coursolle Issue BriefRead moreFederal and state law and the Constitution ensure that enrollees in publicly-funded health care plans receive notice, grievance and appeal rights when they are denied access to medical services. Enrollees in Covered California plans have the right to a notice when their plan denies access to a service, and…
- August 12, 2015
Medicaid Expansion State Waiver Chart
Leo Cuello Regulations and LawsRead moreThis chart shows the major waivers requested and approved in section 1115 demonstrations to implement Medicaid expansion in the six states that have been approved for such demonstrations. (This chart was updated in August 2017.)
- June 30, 2015
NHeLP Comments on Out-of-Pocket (OOP) Cost Comparison Tool for the Federally-Facilitated Marketplaces
Read moreNHeLP comments on May 29, 2015 CMS Bulletin on Proposed Out-of-Pocket (OOP) Cost Comparison Tool for the Federally-facilitated Marketplaces (FFMs). The Tool adds a critical new mechanism for consumers to evaluate and select the most appropriate plan to suit their needs and may help them more easily weigh the effect of…
- May 18, 2015
Health Advocate: Home & Community-Based Services
Read moreThis month's issue of the Health Advocate offers guidance for advocates and a review of existing state-based transition plans to improve their HCBS programs.
- May 5, 2015
Medicaid Assessments for Long-Term Supports & Services (LTSS)
Read moreLong-term care needs assessments serve a vital role in Medicaid. For individuals with disabilities and older adults, needs assessments are used to determine eligibility for both institutional and home and community-based services (HCBS). The assessment process establishes the type and extent of an individual's care needs, which inform the…