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- January 6, 2025
Best Practices for Medicaid Secret Shopper Survey Implementation
Read moreNetwork adequacy has long been a challenge in Medicaid managed care. According to one 2023 survey, 1 in 3 Medicaid enrollees report that in the past year an in-network provider they needed to see did not have available appointments. To address these challenges, the 2024 Managed Care Access final…
- November 7, 2024
Medi-Cal Services & Supports for Californians Transitioning Out of Incarceration
Read moreIn California, roughly one million adults and youth involuntarily enter or are released from a California public carceral system annually. At least 80 percent of individuals who are incarcerated in California are eligible for Medi-Cal and would benefit from Medicaid-covered services. In 2021, California rolled out the California Advancing…
- 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 Provider directories from Medicaid managed care plans are often inaccurate and outdated, and network providers may stop accepting new Medicaid patients altogether.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…
