Network Adequacy Archive

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September 30, 2016
Comments on the Draft 2017 Letter
dfitzgerald Comments
NHeLP provides comments on the Centers for Medicare and Medicaid Services (CMS) draft letter to issuers in the Federally Facilitated Marketplaces (FFMs). NHeLP provides comment on a number of matters including guidance and suggestions on standardized plan options, on network adequacy of Qualified Health Plans, Essential Community Providers, Discriminatory Benefit…
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September 1, 2016
Q&A: Adequacy of Medicaid Fee-For-Service Payments Final Rule
Sarah Somers Issue Brief
The federal Centers for Medicare & Medicaid Services (CMS) have issued final regulations establishing a process for states to comply with the Medicaid Act's requirements that payments be sufficient to ensure adequate provider participation in the program. This Q&A discusses those requirements and provides tips for advocates who want…
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August 31, 2016
Issue Brief 6: Medicaid Managed Care Final Regulations: Older Adults
Leo Cuello Issue Brief
In this issue brief, Leonardo Cuello reviews the recently finalized Medicaid managed care regulations, and how they impact access to health care for older adults. He highlights important new provisions in the regulations on a range of topics such as enrollment protections, network adequacy requirements, long-term services and supports…
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May 26, 2016
Issue Brief 3: Medicaid Managed Care Regulations: Network Adequacy & Access
Abbi Coursolle 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 network adequacy and access to services in Medicaid managed care. We…
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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
Covered California: Proposed 2017 Benefit Design
Kim Lewis and Michelle Lilienfeld Letter
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Comments on the Draft 2017 Letter

Q&A: Adequacy of Medicaid Fee-For-Service Payments Final Rule

Issue Brief 6: Medicaid Managed Care Final Regulations: Older Adults

Issue Brief 3: Medicaid Managed Care Regulations: Network Adequacy & Access

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

Covered California: Proposed 2017 Benefit Design