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- November 12, 2014
Marketplace MAGI Webinar Part II – Household Composition
Read morePart II in a two-part series on rules for determining a consumer's Modified Adjusted Gross Income (MAGI). MAGI applies when determining eligibility for advance payments of the premium tax credit (APTC) and cost-sharing reductions (CSRs) for health coverage purchased through the Marketplace, as well as eligibility for the Children's…
- November 10, 2014
NHeLP Letter to CMS re: PA State Plan Benefits
Leo Cuello and Jane Perkins LetterRead moreIn this letter to CMS NHeLP recommends that CMS not approve reductions to Pennsylvania's Medicaid state plan benefit pursuant to the approval of Pennsylvania's Medicaid Expansion.
- November 7, 2014
Marketplace MAGI Webinar Part I – Income
Read morePart I of a two-part series on rules for determining a consumer's Modified Adjusted Gross Income (MAGI). MAGI applies when determining eligibility for advance payments of the premium tax credit (APTC) and cost-sharing reductions (CSRs) for health coverage purchased through the Marketplace, as well as eligibility for the Children's…
- November 4, 2014
Due Process in Duals Demonstrations: A Closer Look at New York
Read moreNew York is one of several states working to better integrate care and services for individuals dually eligible for Medicare and Medicaid through a duals demonstration. In addition to integrating care, New York is working to integrate the Medicare and Medicaid appeals processes for individuals participating in its duals…
- October 30, 2014
Medicaid and Medicare: Aging, Access and Affordability
Read moreAffordability is a cornerstone of any efficient and effective health care system. Discussions of healthcare affordability often center on the premiums - the upfront monthly cost of purchasing insurance. But equally important are the back-end deductibles, copays and coinsurance associated with actually accessing services. Cost sharing is especially important…
- October 29, 2014
Lessons from CA: Covering Behavioral Health Treatment in Medi-Cal
Read moreIn this month's Lessons from California, we highlight how NHeLP is working with advocates in California to ensure the state is following the federal guidelines from CMS on providing Behavioral Health Treatment to children with Autism Spectrum Disorders and that children receive the treatment they need under Medi-Cal.