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- November 4, 2016
Issue Brief: Current Issues in NEMT
Read moreThe non-emergency medical transportation (NEMT) benefit is a critical component of the Medicaid program. This brief reviews the NEMT requirement and details states' various implementation options. It then probes some of the potential threats to and the future direction of this benefit as: (1) health care delivery increasingly shifts…
- November 1, 2016
How Can States Get Federal Funds to Help Pay for Language Services
Read moreManaging Attorney Mara Youdelman provides an overview of how states can obtain federal assistance in paying for language services for Medicaid beneficiaries and Children's Health Insurance Program (CHIP) enrollees. The issue brief provides guidance for states working to ensure language is not a barrier to Medicaid and CHIP health…
- October 14, 2016
Issue Brief 7: Medicaid Managed Care Final Regulations: BSS
Read moreSenior 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…
- October 4, 2016
Issue Brief: A Primer on Reference Pricing & VBID
Read moreCost sharing is too often a tool that prevents low-income individuals from being able to access quality and timely health care services. Health care experts, however, are exploring other mechanisms, such as Value-Based Insurance Design (VBID) and its Reference Pricing ways to address shortcomings of cost sharing. VBID, at…
- September 1, 2016
Q&A: Adequacy of Medicaid Fee-For-Service Payments Final Rule
Read moreThe 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…
- August 31, 2016
Issue Brief 6: Medicaid Managed Care Final Regulations: Older Adults
Leo Cuello Issue BriefRead moreIn 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…
