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- June 17, 2014
Health Advocate: Understanding the Medicare Coverage “Cliff”
Read moreThe Affordable Care Act (ACA) includes numerous provisions that will improve the health security of older adults. For example, the ACA eliminates the coverage gap in Medicare Part D prescription drug coverage (sometimes referred to as "the doughnut hole") and expands access to free preventive and wellness visits for…
- June 16, 2014
NHeLP Comments to Health Indiana 1115 Demonstrations
Read moreThese NHeLP comments to the State of Indiana address numerous legal problems with the states two proposed section 1115 demonstrations, one to expand Medicaid and one to renewal the current 1115 if the Medicaid expansion is denied. NHeLP comments identify problems such as illegal premiums, cost-sharing, and restrictions on…
- June 16, 2014
External Quality Review: An Overview
Read morePart of the overall quality strategy mandated by the Medicaid Act and regulations requires states to include annual independent external quality reviews (EQRs) in each managed care contract. This approach requires an independent organization to validate state selected performance measures, perform site visits and "otherwise evaluate the performance of…
- May 30, 2014
ACA-related State Plan Amendments in Medicaid
Read moreThe Affordable Care Act (ACA) brought significant changes to the Medicaid program, including expanded coverage opportunities for adults under 65 with incomes under 138 percent of the Federal Poverty Level (FPL) and new methodologies for determining and renewing eligibility. States must update their existing Medicaid state plans to implement…
- May 30, 2014
Don’t Deny the Gap
Read moreMyths and Facts on Medicaid Expansion This blog post by the Utah Health Policy Project can serve as a useful template for advocates pushing for implementation of the adult Medicaid expansion. UHPP takes on the top seven arguments against closing Utah's coverage gap, with facts about the costs and…
- May 30, 2014
Lessons from CA: Delaying 2014 Renewals for Medi-Cal Enrollees
Read moreIn June, current enrollees of California's Medicaid program, Medi-Cal, will be asked to complete a new renewal process and be evaluated under the new MAGI eligibility rules. But with nearly one million Medi-Cal applications still pending and a faulty IT system unable to accurately determine Medi-Cal eligibility, hundreds of…
