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- May 6, 2016
Issue Brief 1: Medicaid Managed Care Final Regulations and Health Equity
Read moreThis issue brief reviews 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, intended to ensure health equity.
- April 26, 2016
Covered California: 2016 Benefit Designs: Cost Sharing for Prescription Drugs & Tiered Network Designs
Abbi Coursolle and Kim Lewis LetterRead moreRecommendations concerning the changes the California Covered Board will contemplate at its Board meeting this month regarding the 2016 standard benefit designs.
- April 26, 2016
Issue Brief: Highlights of the Medicaid Managed Care Final Regulations
Read moreHHS issued the final Medicaid Managed Care rule on April 25, 2016. This issue brief provides initial highlights of key portions of the regulations. NHeLP will issue a more extensive review of the regulation in the upcoming days and weeks.
- 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,…
- March 17, 2016
Health Advocate: HCBS State Transition Plans & Implementation Updates
Read moreIn this month's Health Advocate, we assess CMS regulations that define the home and community-based services (HCBS) delivery system in Medicaid. Two years after regulations were finalized, we are entering a critical phase of the transition planning when states begin to post results from site-specific assessments and submit those…