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- May 19, 2016
Health Advocate: Medicaid Managed Care Final Regulations Released
Read moreIn this month's Health Advocate, we summarize some of the major provisions in the final rule that are new to Medicaid and identify opportunities for advocates to improve their states' Medicaid managed care programs and ensure that Medicaid beneficiaries have access to the information and services to which they…
- May 12, 2016
Issue Brief 2: Medicaid Managed Care Final Regulations Grievance & Appeals Systems
Read moreThis issue brief will review 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 implementing the requirements governing grievance and appeals systems in Medicaid managed care (Subpart F of…
- 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
Read 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
Read 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…
