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- 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 27, 2014
CMS’s guidance on EPSDT Services for Children with ASD
Read moreIn July, 2014, the Centers for Medicare and Medicaid Services (CMS) issued guidance clarifying that evidence-based treatments for children with autism spectrum disorders (ASD), including behavioral and communication approaches to treatment, are eligible for federal financial participation under three State Plan authorities. CMS explained that states are obligated to cover…
