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- June 11, 2014
NHeLP Comments on Provider Non-Discrimination RFI
Deborah Reid and Wayne Turner CommentsRead moreSection 2706(a) of the Affordable Care Act prohibits all group health plans and health insurance issuers offering group or individual health insurance coverage from discriminating with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license…
- May 30, 2014
Lessons from CA: Delaying 2014 Renewals for Medi-Cal Enrollees
Read moreIn June, current enrollees of California's Medicaid program, Medi-Cal, will be asked to complete a new renewal process and be evaluated under the new MAGI eligibility rules. But with nearly one million Medi-Cal applications still pending and a faulty IT system unable to accurately determine Medi-Cal eligibility, hundreds of…
- May 28, 2014
NHeLP and The AIDS Institute Complaint to HHS Re HIV/AIDS Discrimination by FL
Read moreComplaint to the Office for Civil Rights at the U.S. Department of Health and Human Services (HHS OCR) requesting that federal officials take action to end discrimination targeting people living with HIV/AIDS.The complaint alleges four Florida insurers (CoventryOne, Cigna, Humana and Preferred Medical) are violating the Affordable Care Act…
- May 14, 2014
Health Advocate: Special Enrollment Periods
Read moreOver 8 million people are now covered by health insurance thanks to open enrollment in the federal and state healthcare marketplaces. But, what about those who missed out on the open enrollment? In certain circumstances, such as loss of insurance coverage or other life changes, they may be eligible…
- April 29, 2014
Lessons from CA: Exchange Eligibility Appeals under the Affordable Care
Read moreSection 1411(f) of the Affordable Care Act requires the HHS Secretary to establish an appeals process related to eligibility determinations made by Exchanges, including among other things, eligibility for enrollment in a QHP and eligibility for premium tax credits and cost-sharing reductions. The federal Department of Health & Human…