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  • Nonprofit Hospitals and Community Benefit

    This issue brief begins with a brief overview of nonprofit hospitals and a description of the requirements hospitals must meet to obtain the benefits that flow from nonprofit status. It then discusses problems that have been identified with the current regime and recent legislative and regulatory changes that have…

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  • Short Paper 9: The ACA and Health Disparities

    Deborah Reid

    Prepared by: Deborah A. Reid and Doreena Wong* Introduction This Short Paper examines provisions of the Patient Protection and Affordable Care Act (ACA) that address health disparitiesfor particular communities and identifies areas where further development is needed to address disparities.1 Our discussion focuses on some…

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  • Short Paper 9: The ACA and Health Disparities

    Deborah Reid

    Prepared by: Deborah A. Reid and Doreena Wong* Introduction This Short Paper examines provisions of the Patient Protection and Affordable Care Act (ACA) that address health disparitiesfor particular communities and identifies areas where further development is needed to address disparities.1 Our discussion focuses on some…

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  • Notice of Imposition of Cap on Personal Care

    External Source

    TO: All Medicaid Enrolled Providers of Personal Care Services and Service Facilitation Under the Elderly or Disabled with Consumer Directed Services (EDCD) and AIDS Waiver Programs   FROM: Gregg A. Pane, MD, MPA, Director, Department of Medical Assistance Services   SUBJECT: Notice of Implementation of Personal Care Cap…

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  • The Burden of Proof in Administrative Hearings

    Produced by Sarah Somers and Celine Lefebvre   Q: I am representing a client at a Medicaid administrative hearing who has been denied eligibility for Medicaid. Does federal Medicaid law indicate whether she bears the burden of proof? A: The Medicaid statute and regulations do not address…

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  • Medicaid Cost-Containment

    Given the current economic climate, there are a number of proposals by states to reduce Medicaid coverage, services or payment to providers and to increase cost-sharing by beneficiaries for services. Yet, many states have not adequately considered alternative measures that can be adopted to reduce costs in the program…

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