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- May 30, 2014
Lessons from CA: Delaying 2014 Renewals for Medi-Cal Enrollees
Read moreIn June, current enrollees of California's Medicaid program, Medi-Cal, will be asked to complete a new renewal process and be evaluated under the new MAGI eligibility rules. But with nearly one million Medi-Cal applications still pending and a faulty IT system unable to accurately determine Medi-Cal eligibility, hundreds of…
- April 29, 2014
Lessons from CA: Exchange Eligibility Appeals under the Affordable Care
Read moreSection 1411(f) of the Affordable Care Act requires the HHS Secretary to establish an appeals process related to eligibility determinations made by Exchanges, including among other things, eligibility for enrollment in a QHP and eligibility for premium tax credits and cost-sharing reductions. The federal Department of Health & Human…
- April 21, 2014
The Transition of People Living with HIV/AIDS from Ryan White-Funded Care to California’s Early Medicaid Expansion Program: Lessons Learned and Looking Ahead
Read moreIn 2010, the Federal Centers for Medicare & Medicaid Services (CMS) approved a California Medicaid waiver (pursuant to § 1115 of the Social Security Act) that authorized counties to receive federal Medicaid funds for health services they provide to certain low-income individuals. In July, 2011 California took the first…