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- May 19, 2016
Health Advocate: Medicaid Managed Care Final Regulations Released
Read moreIn this month's Health Advocate, we summarize some of the major provisions in the final rule that are new to Medicaid and identify opportunities for advocates to improve their states' Medicaid managed care programs and ensure that Medicaid beneficiaries have access to the information and services to which they…
- May 18, 2016
Fact Sheet: The ACA Contraceptive Coverage Rule
Read moreThe Affordable Care Act (ACA) requires most health insurance plans to provide coverage for a broad range of women's preventive health services without cost-sharing, including all Food and Drug Administration (FDA)-approved methods of contraception, related counseling, follow-up, side-effect management, and device insertion and removal at an in-network provider. This…
- May 16, 2016
Issue Brief: Highlights of the Section 1557 Final Rule
Read moreThis issue brief provides an initial analysis of the Department of Health and Human Services' final rule implementing § 1557 of the Affordable Care Act, the ACA's nondiscrimination provision. The final rule was released for public inspection at the Federal Register on Friday, May 13. It is expected to…
- May 12, 2016
Issue Brief 2: Medicaid Managed Care Final Regulations Grievance & Appeals Systems
Read moreThis issue brief will review selected provisions in the final rule, Medicaid and Children's Health Insurance Program (CHIP) Programs, Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability implementing the requirements governing grievance and appeals systems in Medicaid managed care (Subpart F of…
- May 11, 2016
Fact Sheet: Medicaid EPSDT Litigation – Case Trends (Updated June 2, 2016)
Read moreThe Early and Periodic Screening, Diagnostic and Treatment (EPSDT) provisions are among the most specific in the Medicaid Act. Promising both clinical care and coordination with education, nutrition and public health, EPSDT is critical for children with limited family incomes. Over the years, however, states have not been steadfast to…
