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October 14, 2016
Issue Brief 7: Medicaid Managed Care Final Regulations: BSS
Elizabeth Edwards Issue Brief
Senior Attorney Elizabeth Edwards provides analysis and guidance on the updated rule regarding managed care plans in Medicaid, and how it relates to new requirements around beneficiary support systems (BSS). Edwards explains that the updated rule, adopted this year by the U.S. Department of of Health and Human Services…
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June 30, 2016
Q&A: Recoupment Following an Adverse Medicaid Appeal
Jane Perkins Issue Brief
Legal Director Jane Perkins provides guidance on a question regarding Medicaid managed care plans' abilities to recoup costs of health services following an adverse Medicaid appeal. Medicaid applicants and recipients have rights to notices and administrative hearings when their claims for medical assistance are denied or not acted on…
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May 19, 2016
Health Advocate: Medicaid Managed Care Final Regulations Released
Sarah Somers Health Advocate
In this month's Health Advocate, we summarize some of the major provisions in the final rule that are new to Medicaid and identify opportunities for advocates to improve their states' Medicaid managed care programs and ensure that Medicaid beneficiaries have access to the information and services to which they…
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May 12, 2016
Issue Brief 2: Medicaid Managed Care Final Regulations Grievance & Appeals Systems
Jane Perkins Issue Brief
This issue brief will review selected provisions in the final rule, Medicaid and Children's Health Insurance Program (CHIP) Programs, Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability implementing the requirements governing grievance and appeals systems in Medicaid managed care (Subpart F of…
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May 6, 2016
Issue Brief 1: Medicaid Managed Care Final Regulations and Health Equity
Mara Youdelman Issue Brief
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April 26, 2016
Issue Brief: Highlights of the Medicaid Managed Care Final Regulations
Sarah Somers Issue Brief
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Issue Brief 7: Medicaid Managed Care Final Regulations: BSS

Q&A: Recoupment Following an Adverse Medicaid Appeal

Health Advocate: Medicaid Managed Care Final Regulations Released

Issue Brief 2: Medicaid Managed Care Final Regulations Grievance & Appeals Systems

Issue Brief 1: Medicaid Managed Care Final Regulations and Health Equity

Issue Brief: Highlights of the Medicaid Managed Care Final Regulations