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- July 23, 2013
Model Medicaid Managed Care Contract Provisions — Complaint and Grievance Proc
Read moreThis model complaint procedure supercedes earlier versions from August 1998, October 1997 and March 1997. This process is intended for use in state-based managed care programs, particularly Medicaid and child health insurance programs. But, it can be adapted to other managed care situations as well. Many of the…
- July 23, 2013
A Guide to Medi-Cal Managed Care for People with Developmental Disabilities, th
External Source Manual/ReportRead moreCommission will use to assess access, evaluate payment policy, and determine key data needs in
- July 23, 2013
Model Managed Care Complaint Process (revised May ’99)
Read moreThis model complaint procedure supercedes earlier versions. This process is intended for use in state-based managed care programs, particularly Medicaid and child health insurance programs. But, it can be adapted to other managed care situations as well. Many of the provisions are taken from existing state managed care…
- July 23, 2013
HCFA Letter Regarding Due Process Notices In Medicaid/CHIP Programs
Read moreOn June 28, 1999, the Health Care Financing Administration sent a letter to the Missouri Department of Social Services which discusses requirements for due process notices following eligibility determinations. Because the facts described in the letter occur in other states, a complete copy of it is attached. The…
- July 23, 2013
Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You Whe
Read moreMedicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You When They Deny Reproductive Health Services? July 1999 By Lourdes Rivera * A. Medicaid is Important to Women of Childbearing Age Medicaid is a major source of…
- July 23, 2013
Factsheet: Prescription Drug Coverage Under Medicaid (1999)
Read morePrepared by: Claudia Schlosberg, Staff Attorney Sareena Jerath, Law Clerk July 1999 In 1997, the Medicaid program paid nearly $12 billion for prescription drugs. Next to physician services, it is the most frequently used benefit in the Medicaid…