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- July 23, 2013
NHeLP Comments on Federally Facilitated Exchanges and State-based and State Partnership Insurance Exchanges
Read moreNHeLP's comments on the Federally Facilitated Exchange guidance and State-based and State Partnership Exchanges urge for strong oversight, seamless coordination with all insurance programs, and efficiency.
- July 23, 2013
Q & A: Publicly Available Data in Medicaid Managed Care
Read more�This Q&A discusses accountability and stewardship standards in managed care, particularly public reporting requirements for states and managed care organinzations and other consumer protections.
- July 23, 2013
Medicare Part D and Dual Eligibles: A Guide for California Advocates
Read moreI. A Quick Glance at Medicare Part D This section of the manual is intended for those seeking a brief overview of the program. Advocates who are unfamiliar with the program or with California healthcare programs may find this section useful. For a…
- July 23, 2013
Q & A: HIPAA, Remuneration, and Medicaid Share of Cost
Read moreQ. The hospital has been covering my client?s Medicaid share of cost (aka spend down), thus allowing her to obtain outpatient overage for her chronic condition early in the month. I understand that the facility has followed this policy for a number of beneficiaries. The provider is now…
- July 23, 2013
SoonerCare 1115 Waiver Evaluation: Final Report Part 2
External Source Manual/ReportRead moreThis report describes the SoonerCare 1115 Waiver program including participation rates, quality measures, and financial outcomes.
- July 23, 2013
Q & A: State Maintenance of Effort Provisions in the American Recovery and Rein
Read moreState Maintenance of Effort Requirements for Enhanced FMAP Prepared by Randy Boyle and Jane Perkins March 10, 2009 The Federal Medical Assistance Percentage (FMAP) is a federal payment to the state for Medicaid services covered by the state. The amount of the state?s FMAP…