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- September 19, 2014
Health Advocate: Medicaid Managed Care: Modernized Federal Regulations are Long
Read moreIn 1965, when the Medicaid program was created, American health care bore little resemblance to the complex system we have today. One of the most significant changes has been the expanding role of managed care. In its early years, Medicaid was almost exclusively a fee-for-service system in which providers…
- September 17, 2014
Medicaid Managed Care Model Provisions, Issue 4
Read moreOur new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address accessibility and language access.
- September 17, 2014
Medicaid Managed Care Model Provisions, Issue 3
Abbi Coursolle and dfitzgerald Issue BriefRead moreOur new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address network adequacy.
- September 17, 2014
Medicaid Managed Care Model Provisions, Issue 2
Read moreOur new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address enrollment and disenrollment rights.
- September 10, 2014
Letter to CMS re: Modernization of Medicaid Managed Care Regulations
Read moreNHeLP has created a set of moderized Medicaid managed care federal regulations. These revised regulations were shared with the federal Centers for Medicare & Medicaid Services in the spring of 2014. This cover memo explained the rationale behind those recommended changes.
- September 3, 2014
Class Certification Order: Wilson v. Gordon (M.D. Tenn)
Read morePlaintiffs bring this action pursuant to 42 U.S.C. § 1983 seeking declaratory and injunctive relief against the Defendants, who are State of Tennessee officials, for alleged violations of federal law and the Due Process Clause of the Fourteenth Amendment. Plaintiffs' claims arise from the State's Medicaid program (TennCare) and…