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April 30, 2015
Lessons from CA: Ending Restrictions on Access to Reproductive Health Services
dfitzgerald Issue Brief
In this month's Lessons from California, we highlight the successful efforts by NHeLP and other advocates to ensure that the California Attorney General imposed robust conditions on the sale of six Daughters of Charity hospitals to a secular system to restore and expand reproductive health services at the hospitals…
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April 16, 2015
Q&A: Person Centered Planning Changes
Elizabeth Edwards Issue Brief
Due to regulatory changes and guidance issued over the past year, states should have evaluated and likely changed their person-centered planning process for home and community-based services. This Q&A focuses less on the regulatory changes and more on the important features of the current requirements for person-centered planning and…
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April 9, 2015
Fact Sheet – IRS Updated Guidance on HCBS Difficulty of Care Payments
Wayne Turner Issue Brief
Last year, the IRS announced that payments received by in-home, individual care providers under Medicaid Home and Community Based (HCBS) waiver programs can be treated as "difficulty of care" payments and excluded from the care provider's gross income. In a recently updated Q&A, the IRS clarifies that payments from…
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March 31, 2015
Lessons from CA: Hospital Presumptive Eligibility
dfitzgerald Issue Brief
In this month's Lessons from California, we highlight the successful efforts by NHeLP and other advocates to reverse an illegal California policy to deny HPE coverage to individuals who are currently income eligible for HPE, but were denied coverage because they had previously applied and were determined eligible for…
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March 16, 2015
Fact Sheet: Accountable Care Organizations in Medicaid
Sarah Somers Issue Brief
Accountable Care Organizations (ACOs) are entities that agree to provide coordinated care to enrollees and are eligible for incentive payments if they improve health and reduce costs. ACOs have been used in Medicare for several years but, until recently, much less so in Medicaid. That is beginning to change.…
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March 9, 2015
A Guide to Oversight, Transparency, and Accountability in Medicaid Managed Care
David Machledt, Sarah Somers, and Wayne Turner Issue Brief
In this publication, NHeLP attorneys have drawn upon decades of experience to support stakeholders as they embark on, or continue to engage in, Medicaid managed care work. NHeLP's A Guide to Oversight, Transparency, and Accountability in Medicaid Managed Care provides a robust set of tools, tips, and techniques to obtain…
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