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- May 12, 2016
Issue Brief 2: Medicaid Managed Care Final Regulations Grievance & Appeals Systems
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 governing grievance and appeals systems in Medicaid managed care (Subpart F of…
- May 11, 2016
Fact Sheet: Medicaid EPSDT Litigation – Case Trends (Updated June 2, 2016)
Read moreThe Early and Periodic Screening, Diagnostic and Treatment (EPSDT) provisions are among the most specific in the Medicaid Act. Promising both clinical care and coordination with education, nutrition and public health, EPSDT is critical for children with limited family incomes. Over the years, however, states have not been steadfast to…
- May 2, 2016
Q&A: Differences Between Marketplace and Medicaid MAGI
Read moreThis Q&A outlines a common error made by states when determining eligibility under Modified Adjusted Gross Income (MAGI), leading to unlawful Medicaid denials. MAGI rules differ for Marketplace and Medicaid eligibility determinations. Because of those differences, there may be instances in which an individual seemingly is financially ineligible for…
- April 26, 2016
Covered California: Proposed 2017 Benefit Design
Kim Lewis and Michelle Lilienfeld LetterRead more
