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January 6, 2025
Best Practices for Medicaid Secret Shopper Survey Implementation
David Machledt and Michelle Yiu Issue Brief
Network adequacy has long been a challenge in Medicaid managed care. According to one 2023 survey, 1 in 3 Medicaid enrollees report that in the past year an in-network provider they needed to see did not have available appointments. To address these challenges, the 2024 Managed Care Access final…
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December 2, 2024
NHeLP Comments on Mandatory Medicaid and Children’s Health Insurance Program (CHIP) Core Set Reporting
David Machledt Comments
These comments respond to a CMS proposed rule that would require annual reporting on a core set of measures for Medicaid and CHIP children, as well as a core measure set for adult behavioral health. NHeLP supports efforts to strengthen data collection and quality reporting in the Medicaid and…
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September 30, 2024
[Webinar] Implementing Medicaid Secret Shopper Surveys: Tips and Methods for Better Results
Walter Hsiang, MD, Sidney Watson, Leslie Hinyard, and David Machledt Webinar
Medicaid enrollees can face significant challenges trying to book a timely appointment. Provider directories from Medicaid managed care plans are often inaccurate and outdated, and network providers may stop accepting new Medicaid patients altogether. CMS recently took a big step to address these challenges by requiring annual independent secret…
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September 11, 2024
Commenting on § 1915(c) HCBS Waivers: A Guide for Common Issues
Elizabeth Edwards Guide
Medicaid home and community-based (HCBS) § 1915(c) waivers provide critical services for people with disabilities across the country. These waivers change because states often submit amendments to these waivers and the waivers also have to be renewed every few years. Each time a waiver is renewed or amended, states…
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August 28, 2024
Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement
Daniel Young and Wayne Turner Issue Brief
Although Medical Care Advisory Committees (MCACs) have been federally required for nearly forty years, some states have seriously underutilized this opportunity to monitor and improve their Medicaid programs. In May 2024, the Centers for Medicare & Medicaid Services (CMS) updated regulations implementing MCACs. New requirements for the renamed Medicaid…
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July 11, 2024
NHeLP Letter to CCIIO on DC EHB Procedural Defect
Wayne Turner and Héctor Hernández-Delgado Letter
NHeLP urges the HHS Center for Consumer Information and Insurance Oversight (CCIIO) to reject the District of Columbia's recent EHB benchmark plan update due to procedural defects. Specifically, the DC Department of Insurance, Securities and Banking and DC HealthLink announced a public comment period only days before the submission…
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Best Practices for Medicaid Secret Shopper Survey Implementation

NHeLP Comments on Mandatory Medicaid and Children’s Health Insurance Program (CHIP) Core Set Reporting

[Webinar] Implementing Medicaid Secret Shopper Surveys: Tips and Methods for Better Results

Commenting on § 1915(c) HCBS Waivers: A Guide for Common Issues

Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement

NHeLP Letter to CCIIO on DC EHB Procedural Defect