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- July 23, 2013
Recommendations for Making Consumers’ Voices Heard in Medicaid Managed Care
External Source Manual/ReportRead moreRecommendations for Making the Consumers? Voice Heardin Medicaid Managed Care: A Guide to Effective Consumer Involvement Acknowledgments The extent to which consumers are being involved in the design, implementation, monitoring, and evaluation of Medicaid managed care programs has not received a great deal of…
- 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 provisions…
- 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 rules…
- 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 letter…