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December 3, 2013
NHeLP’s Comments to BHP Proposed Rule
Abbi Coursolle and dfitzgerald Comments
NHeLP commends CMS for its efforts to implement the Basic Health Program (BHP). BHP has the potential to greatly benefit low-income consumers and help ensure the success of the Affordable Care Act (ACA). Enabled by meaningful administrative rules, the Basic Health Program could reduce premiums and out-of-pocket costs for…
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July 23, 2013
Five Key Standards for Dual Eligible MOUs
Leo Cuello and David Machledt Issue Brief
Pursuant to authority created by the Affordable Care Act (ACA), the Medicare-Medicaid Coordination Office (MMCO) is supporting state demonstration programs to integrate Medicare and Medicaid services for individuals who are dually eligible for both programs. About half of the states are seeking to implement such dual integration demonstrations, with…
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July 23, 2013
Q & A: Managed Care Informing and Disclosure Requirements
Sarah Somers Issue Brief
�By 2010, about three quarters of Medicaid beneficiaries received services through some type of managed care arrangement. Subject to a few exceptions, States may require most Medicaid beneficiaries to enroll in managed care by amending their state Medicaid plans.æThis Q&A analyzes the responsibilities of states and managed care plans…
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July 23, 2013
Issue Brief: Obtaining Information About Medicaid Prescription Drug Denials Prepared by the NHeLP Sunshine and Accountability Project
Jane Perkins and Sarah Somers Issue Brief
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July 23, 2013
Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You Whe
dfitzgerald Issue Brief
Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You When They Deny Reproductive Health Services?July 1999By Lourdes Rivera *A. Medicaid is Important to Women of Childbearing AgeMedicaid is a major source of health coverage for women. In 1996, for example, Medicaid covered 7.8 million women…
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July 23, 2013
HCFA Letter Regarding Due Process Notices In Medicaid/CHIP Programs
dfitzgerald Issue Brief
On June 28, 1999, the Health Care Financing Administration sent a letter to the Missouri Department of Social Services which discusses requirements for due process notices following eligibility determinations. Because the facts described in the letter occur in other states, a complete copy of it is attached. The letter…
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NHeLP’s Comments to BHP Proposed Rule

Five Key Standards for Dual Eligible MOUs

Q & A: Managed Care Informing and Disclosure Requirements

Issue Brief: Obtaining Information About Medicaid Prescription Drug Denials Prepared by the NHeLP Sunshine and Accountability Project

Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You Whe

HCFA Letter Regarding Due Process Notices In Medicaid/CHIP Programs