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- 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…
- 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…
- 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…
