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September 29, 2014
County Organized Health System Medi-Cal Plans
dfitzgerald Issue Brief
In certain counties, Medi-Cal managed care is operated by a single County Organized Health System (COHS). In COHS counties, a single plan serves all Medi-Cal beneficiaries who are enrolled in managed care. Unlike other Medi-Cal managed care plans, COHS plans are not required to obtain Knox Keene licensure for…
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September 17, 2014
Medicaid Managed Care Model Provisions, Issue 4
Mara Youdelman, Elizabeth Edwards, and dfitzgerald Issue Brief
Our new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address accessibility and language access.
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September 17, 2014
Medicaid Managed Care Model Provisions, Issue 3
Abbi Coursolle and dfitzgerald Issue Brief
Our new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address network adequacy.
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September 17, 2014
Medicaid Managed Care Model Provisions, Issue 2
dfitzgerald Issue Brief
Our new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address enrollment and disenrollment rights.
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September 16, 2014
Medicaid Managed Care Model Provisions, Issue 1
Sarah Somers Issue Brief
Our new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue breaks provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address grievances and appeals.
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August 29, 2014
Managed Care & Older Adults Series, Issue 1
dfitzgerald Issue Brief
Elderly African Americans and Hispanics are more likely to have lower incomes and poor health status and to live with multiple chronic health conditions than their white counterparts. This paper provides background information and data on the health status of low-income seniors of color and summarizes the critical ingredients…
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