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- November 7, 2014
Marketplace MAGI Webinar Part I – Income
Read morePart I of a two-part series on rules for determining a consumer's Modified Adjusted Gross Income (MAGI). MAGI applies when determining eligibility for advance payments of the premium tax credit (APTC) and cost-sharing reductions (CSRs) for health coverage purchased through the Marketplace, as well as eligibility for the Children's…
- November 3, 2014
Comments on Draft IRS Forms 1095 A-C
Read moreThe Affordable Care Act's individual shared responsibility provision requires individuals to have minimum essential health coverage (MEC), qualify for an exemption, or pay a penalty. This coming tax season will be the first in which all tax filers need to show that every member of the tax household had…
- October 27, 2014
NHeLP Comments on IRS regulations for domestic violence survivors
Read moreNHeLP provides the following comments on IRS Temporary and Proposed Rules allowing married persons who experience domestic abuse or spousal abandonment to file their federal income taxes separately. The proposed IRS rules allow such individuals to be deemed to have satisfied the Affordable Care Act's joint filing requirement to…
- September 30, 2014
Lessons from CA: Contraceptive Coverage
Read moreIn this month's Lessons from California, we highlight landmark legislation, the Contraceptive Coverage Equity Act (SB 1053, Mitchell), the state just enacted that requires that Medi-Cal managed care organizations (MCO) and most private insurers cover all FDA-approved methods and strictly limits MCO medical management techniques. These important new state…
- September 19, 2014
Health Advocate: Medicaid Managed Care: Modernized Federal Regulations are Long
Read moreIn 1965, when the Medicaid program was created, American health care bore little resemblance to the complex system we have today. One of the most significant changes has been the expanding role of managed care. In its early years, Medicaid was almost exclusively a fee-for-service system in which providers…
