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- September 17, 2014
Medicaid Managed Care Model Provisions, Issue 3
Abbi Coursolle and dfitzgerald Issue BriefRead moreOur new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address network adequacy.
- September 17, 2014
Medicaid Managed Care Model Provisions, Issue 2
Read moreOur new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address enrollment and disenrollment rights.
- September 10, 2014
Letter to CMS re: Modernization of Medicaid Managed Care Regulations
Read moreNHeLP has created a set of moderized Medicaid managed care federal regulations. These revised regulations were shared with the federal Centers for Medicare & Medicaid Services in the spring of 2014. This cover memo explained the rationale behind those recommended changes.
- August 21, 2014
Recommendations for the Modernization of the Federal Medicaid Regulations
Read moreMedicaid managed care has changed significantly over the past decade and includes more vulnerable people who have disabilities, are older, or have limited English proficiency than ever before. Service delivery methods have evolved and technology advanced. Yet the managed care regulations have not been updated since 2002. These modernized…
- June 24, 2014
Medicaid and SCHIP Reimbursement Models for Language Services
Read moreIn 2000, the Centers for Medicare & Medicaid Services (CMS) reminded states that they could include language services as an administrative or optional covered service in their Medicaid and State Children's Health Insurance Programs, and thus directly reimburse providers for the costs of these services for program enrollees. Yet…
- March 18, 2014
NHeLP Comments to 2015 Letter to Issuers in FFMs
Read moreThese are NHeLP comments to the 2015 Letter to Issuers in a federally-facilitated marketplace. The comment addresses topics such as network adequacy, access to essential community providers, and public availability of plan information.