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- September 30, 2024
[Webinar] Implementing Medicaid Secret Shopper Surveys: Tips and Methods for Better Results
Read moreMedicaid enrollees can face significant challenges trying to book a timely appointment. Provider directories from Medicaid managed care plans are often inaccurate and outdated, and network providers may stop accepting new Medicaid patients altogether. CMS recently took a big step to address these challenges by requiring annual independent secret…
- September 30, 2024
Medicaid Model Notice of Approval for Family Planning Eligibility Toolkit
Read moreThis toolkit aims to help state advocates improve the public notices that inform individuals of their enrollment status in limited-scope family planning coverage. To that end, we provide a model template notice for state Medicaid agencies to adopt, an advocacy checklist, and a community facing “Know Your Rights” template…
- September 12, 2024
Overview of Key Home and Community-Based Services (HCBS) Provisions in the Medicaid Access Rule
Read moreThe Medicaid Act requires that state payments for Medicaid are sufficient to provide at least equivalent access to care for Medicaid beneficiaries as the general population in any given geographic area. Over the years, CMS has tried to enforce payment adequacy via increased monitoring and other requirements, but these…
- September 11, 2024
Commenting on § 1915(c) HCBS Waivers: A Guide for Common Issues
Read moreMedicaid home and community-based (HCBS) § 1915(c) waivers provide critical services for people with disabilities across the country. These waivers change because states often submit amendments to these waivers and the waivers also have to be renewed every few years. Each time a waiver is renewed or amended, states…
- August 28, 2024
Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement
Read moreAlthough Medical Care Advisory Committees (MCACs) have been federally required for nearly forty years, some states have seriously underutilized this opportunity to monitor and improve their Medicaid programs. In May 2024, the Centers for Medicare & Medicaid Services (CMS) updated regulations implementing MCACs. New requirements for the renamed Medicaid…
