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- September 30, 2024
[Webinar] Implementing Medicaid Secret Shopper Surveys: Tips and Methods for Better Results
Read moreMedicaid enrollees can face significant challenges trying to book a timely appointment. Provider directories from Medicaid managed care plans are often inaccurate and outdated, and network providers may stop accepting new Medicaid patients altogether. CMS recently took a big step to address these challenges by requiring annual independent secret…
- August 28, 2024
Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement
Read moreAlthough Medical Care Advisory Committees (MCACs) have been federally required for nearly forty years, some states have seriously underutilized this opportunity to monitor and improve their Medicaid programs. In May 2024, the Centers for Medicare & Medicaid Services (CMS) updated regulations implementing MCACs. New requirements for the renamed Medicaid…
- July 11, 2024
NHeLP Letter to CCIIO on DC EHB Procedural Defect
Read moreNHeLP urges the HHS Center for Consumer Information and Insurance Oversight (CCIIO) to reject the District of Columbia's recent EHB benchmark plan update due to procedural defects. Specifically, the DC Department of Insurance, Securities and Banking and DC HealthLink announced a public comment period only days before the submission…
- June 11, 2024
[Webinar] Introduction to Medicaid Managed Care
Read moreNHeLP policy analysts provide an overview of the landscape of managed care in Medicaid. Topics will include network adequacy, enrollee rights and protections, prior authorization, and the new 2024 updates to the Managed Care Access rule. Slides for Introduction to Medicaid Managed Care Recording for Introduction to Medicaid Managed…
- June 5, 2024
[Webinar] Essential Health Benefits (EHBs) – an Overview
Read moreNHeLP attorneys provide an overview of Essential Health Benefits(EHBs) and how these minimum coverage standards protect access to care and advance health equity. Slides for Essential Health Benefits (EHBs) Recording for Essential Health Benefits (EHBs) Webinar
- May 30, 2024
North Carolina Tailored Plan Network Adequacy: Acute Care Hospitals Update
Daniel Young Fact SheetRead moreNorth Carolina is launching Tailored Plans on July 1, 2024 to manage the behavioral health and physical health services for beneficiaries in need of enhanced services for a mental health disorder, substance use disorder, intellectual/developmental disability (I/DD), or traumatic brain injury (TBI). A Tailored Plan’s provider network is critical…
