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- May 30, 2014
Lessons from CA: Delaying 2014 Renewals for Medi-Cal Enrollees
Read moreIn June, current enrollees of California's Medicaid program, Medi-Cal, will be asked to complete a new renewal process and be evaluated under the new MAGI eligibility rules. But with nearly one million Medi-Cal applications still pending and a faulty IT system unable to accurately determine Medi-Cal eligibility, hundreds of…
- May 14, 2014
Health Advocate: Special Enrollment Periods
Read moreOver 8 million people are now covered by health insurance thanks to open enrollment in the federal and state healthcare marketplaces. But, what about those who missed out on the open enrollment? In certain circumstances, such as loss of insurance coverage or other life changes, they may be eligible…
- April 29, 2014
Comments on the Proposed Enrollment Strategy into Cal MediConnect for LA
Read moreApproximately 216,000 dual eligible beneficiaries will receive multiple notices regarding enrollment into Cal MediConnect. Many thousands more will receive notices about enrollment in Medi-Cal managed care only under the Coordinated Care Initiative (CCI). In addition to the sheer number of impacted beneficiaries in LA County, the enrollment strategy also…
- April 29, 2014
Lessons from CA: Exchange Eligibility Appeals under the Affordable Care
Read moreSection 1411(f) of the Affordable Care Act requires the HHS Secretary to establish an appeals process related to eligibility determinations made by Exchanges, including among other things, eligibility for enrollment in a QHP and eligibility for premium tax credits and cost-sharing reductions. The federal Department of Health & Human…
- April 29, 2014
Comments on Cal MediConnect Enrollment Materials
Read moreThe Coordinated Care Initiative encompasses several very complex changes. This makes it very difficult to create notices that can simply and concisely explain the changes in a manner that is understandable for the large number of beneficiaries impacted. At a minimum, the notices should: alert the reader to the…
