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July 1, 2014
Coverage of Pregnant Women in California
dfitzgerald Issue Brief
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June 27, 2014
Q&A Deference
dfitzgerald Issue Brief
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June 27, 2014
Lessons from CA: Pregnant Women’s Coverage Options
dfitzgerald Issue Brief
The ACA made many positive changes in health coverage for pregnant women. Many women now qualify for both pregnancy-related Medicaid and financial assistance in the Marketplace. In this month's, Lessons from California, we highlight how NHeLP worked with California advocates to provide comprehensive Medi-Cal coverage for pregnant women, including…
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June 24, 2014
Promoting Community Living: Updates on HCBS & the ACA
David Machledt Issue Brief
The Affordable Care Act (ACA) significantly expands Home and Community-based Services (HCBS) in the Medicaid program. Four HCBS programs - two brand new - promote and fund policies that help beneficiaries access needed services in the community and facilitate appropriate transitions from nursing homes to integrated settings. (1) Two…
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June 16, 2014
External Quality Review: An Overview
David Machledt Issue Brief
Part of the overall quality strategy mandated by the Medicaid Act and regulations requires states to include annual independent external quality reviews (EQRs) in each managed care contract. This approach requires an independent organization to validate state selected performance measures, perform site visits and "otherwise evaluate the performance of…
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May 30, 2014
ACA-related State Plan Amendments in Medicaid
Wayne Turner Issue Brief
The Affordable Care Act (ACA) brought significant changes to the Medicaid program, including expanded coverage opportunities for adults under 65 with incomes under 138 percent of the Federal Poverty Level (FPL) and new methodologies for determining and renewing eligibility. States must update their existing Medicaid state plans to implement…
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