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- May 2, 2016
Q&A: Differences Between Marketplace and Medicaid MAGI
Read moreThis Q&A outlines a common error made by states when determining eligibility under Modified Adjusted Gross Income (MAGI), leading to unlawful Medicaid denials. MAGI rules differ for Marketplace and Medicaid eligibility determinations. Because of those differences, there may be instances in which an individual seemingly is financially ineligible for…
- April 26, 2016
Covered California: Proposed 2017 Benefit Design
Kim Lewis and Michelle Lilienfeld LetterRead more - April 22, 2016
Managed Care in California Series, Issue 7: Monitoring Access in the Medi-Cal Program
Abbi Coursolle Issue BriefRead moreThe federal Centers for Medicare & Medicaid Services (CMS) recently approved a request by the California Department of Health Care Services (DHCS) to extend California's 1115 Medicaid Demonstration Waiver, called the 2020 Demonstration, effective December 2015 through December 2020. The $6.2 billion demonstration project will fund several programs, including…
- April 20, 2016
Health Advocate: Section 1332 Waivers for State Innovation and Medicaid
Leo Cuello and dfitzgerald Health AdvocateRead moreIn December 2015, CMS provided guidance on section 1332 waivers and clarified the interactions between section 1332 and Medicaid. In this month's Health Advocate, we detail the "guardrails" for using section 1332 authority, the limits on combining 1332 and Medicaid waivers, and the potential impacts for Medicaid expansion. Ultimately,…
- April 12, 2016
CMS Highlights State Policies to Improve Access to Long-Acting Reversible Contraceptive Methods
Read moreThe Maternal and Infant Health Initiative, the Centers for Medicare & Medicaid Services (CMS) issued an Informational Bulletin highlighting state payment policies aimed at making long-acting reversible contraceptive (LARC) methods more available. This NHeLP Issue Brief provides an overview on barriers to access; promising state policies and practices; and further…