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July 23, 2013
Model Medicaid Managed Care Contract Provisions — Complaint and Grievance Proc
Andy DiAntonio Manual/Report
This 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…
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July 23, 2013
A Guide to Medi-Cal Managed Care for People with Developmental Disabilities, their Families and Professionals
Charlie Blodnieks Manual/Report
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July 23, 2013
Model Managed Care Complaint Process (revised May ’99)
Jane Perkins Issue Brief
This 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…
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July 23, 2013
HCFA Letter Regarding Due Process Notices In Medicaid/CHIP Programs
Andy DiAntonio Issue Brief
On 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…
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July 23, 2013
Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You Whe
Andy DiAntonio Issue Brief
Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You When They Deny Reproductive Health Services?July 1999By Lourdes Rivera *A. Medicaid is Important to Women of Childbearing AgeMedicaid is a major source of health coverage for women. In 1996, for example, Medicaid covered 7.8 million women…
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July 23, 2013
Factsheet: Prescription Drug Coverage Under Medicaid (1999)
Andy DiAntonio Issue Brief
Prepared 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…
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Model Medicaid Managed Care Contract Provisions — Complaint and Grievance Proc

A Guide to Medi-Cal Managed Care for People with Developmental Disabilities, their Families and Professionals

Model Managed Care Complaint Process (revised May ’99)

HCFA Letter Regarding Due Process Notices In Medicaid/CHIP Programs

Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You Whe

Factsheet: Prescription Drug Coverage Under Medicaid (1999)