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- January 30, 2024
FAQ: Medi-Cal Managed Care Enrollment for Foster Youth
Read moreThis FAQ answers common questions about when children and youth in California's child welfare system about enrolling in Medi-Cal managed care plans.
- January 29, 2024
Medi-Cal Enhanced Care Management for Children and Youth
Read moreThis factsheet provides an overview of a new Medi-Cal managed care benefit called Enhanced Care Management (ECM) for children and youth with complex needs. It summarizes the ECM benefit, who is eligible for it, and how children and youth can access it.
- November 27, 2023
Continuity of Care in Medi-Cal Managed Care (Updated 2023)
Abbi Coursolle Fact SheetRead moreContinuity of Care (“COC”) is critical to Medi-Cal beneficiaries in a variety of circumstances. There are a number of laws and policies that govern COC for Medi-Cal beneficiaries, depending on the situation. Some of these protections are specific to Medi-Cal while others are more broadly applicable to people enrolled…
- July 31, 2023
Roadmap for State Pharmacy Access Laws
Read moreThis is a roadmap for state advocates, policymakers, and other stakeholders to understand how best to achieve legislation, state plan amendments, regulation, and other guidance that allow for pharmacist prescribing and pharmacy access for reproductive and sexual health medications, primarily self-administered contraceptives. *Liz McCaman Taylor is a former Senior…
- July 14, 2023
Comments on Proposed Medicaid Managed Care Access Rule
Read moreCMS proposed a major administrative rule that would increase transparency in managed care; improve monitoring and assure adequacy of payments in managed care; increase accountability, transparency, and participant input into external quality review; and help states to make information about quality measures widely available. NHeLP filed comments in support…
- June 8, 2023
[Webinar] Managed Care
Read moreA broad overview of the managed health care delivery system, what managed care is, why it’s attractive to states, the incentives managed care organizations have to cut services, and why that creates a need for accountability. This session will also cover critical policy issues including proposed changes to managed…