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- June 30, 2016
Q&A: Recoupment Following an Adverse Medicaid Appeal
Read moreLegal Director Jane Perkins provides guidance on a question regarding Medicaid managed care plans' abilities to recoup costs of health services following an adverse Medicaid appeal. Medicaid applicants and recipients have rights to notices and administrative hearings when their claims for medical assistance are denied or not acted on…
- June 23, 2016
Issue Brief 5: Medicaid Managed Care Final Regulations and Reproductive Health
Read moreIn this issue brief, NHeLP Staff Attorney Catherine McKee reviews the recently finalized Medicaid managed care regulations, and how they impact access to quality reproductive health services. She notes the new rules are "designed to increase access to reproductive health providers and services," but says state health care advocates…
- June 10, 2016
Issue Brief 4: Medicaid Managed Care Final Regulations: Quality and Transparency
Read moreThis issue brief will review selected provisions in the final rule, Medicaid and Children's Health Insurance Program (CHIP) Programs, Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability implementing the requirements concerning quality and transparency. The final rule advances quality assessment, transparency and…