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- January 31, 2024
Explainer: FTC Complaint Requests Investigation into Deloitte’s Texas Medicaid Eligibility System
Read moreHundreds of thousands of Texas Medicaid enrollees have been harmed by wrongful terminations and other errors in the state’s automated eligibility system developed by contractor Deloitte Consulting LLP (Deloitte), a new complaint to the Federal Trade Commission (FTC) alleges. The complaint filed by the National Health Law Program (NHeLP),…
- January 30, 2024
FAQ: Medi-Cal Managed Care Enrollment for Foster Youth
Read moreThis FAQ answers common questions about when children and youth in California's child welfare system about enrolling in Medi-Cal managed care plans.
- January 29, 2024
Medi-Cal Enhanced Care Management for Children and Youth
Read moreThis factsheet provides an overview of a new Medi-Cal managed care benefit called Enhanced Care Management (ECM) for children and youth with complex needs. It summarizes the ECM benefit, who is eligible for it, and how children and youth can access it.
- December 14, 2023
A Quick and Easy Method of Screening for Medicaid Eligibility under the Pickle Amendment: 2024 Update
Read more“A Quick and Easy Method of Screening for Medicaid Eligibility under the Pickle Amendment: 2024 Update” is a screening tool and chart, originally created by Gordon Bonnyman of the Tennessee Justice Center and updated by NHeLP, to determine if clients may be Medicaid eligible under the Pickle Amendment. The…
- December 6, 2023
Unwinding Call Center Data Shows Ongoing Problems
Read moreIn August 2023, CMS issued letters to states regarding unwinding data metrics as of May 2023, including data on call center operations. The call center data tracks average wait times and call abandonment rates. These CMS letters flagged 16 states regarding concerns on their call center data. Frustratingly, the…
- November 27, 2023
Continuity of Care in Medi-Cal Managed Care (Updated 2023)
Abbi Coursolle Fact SheetRead moreContinuity of Care (“COC”) is critical to Medi-Cal beneficiaries in a variety of circumstances. There are a number of laws and policies that govern COC for Medi-Cal beneficiaries, depending on the situation. Some of these protections are specific to Medi-Cal while others are more broadly applicable to people enrolled…