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- July 23, 2013
The Burden of Proof in Administrative Hearings
Read moreProduced 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…
- July 23, 2013
Medicaid Cost-Containment
Read moreGiven 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…
- July 23, 2013
Fact Sheet: Women with Disabilities and Legal Issues Concerning Reproductive Health
External Source and Andy DiAntonio Issue BriefRead moreThis fact sheet describes significant reproductive health-related legal issues that women with disabilities may face. Women with disabilities are particularly susceptible to discriminatory standards of care, coercion and misinformation about their reproductive autonomy. Courts have issued decisions involving the capacity to consent to sterilization, abortion and similar procedures, or…
- July 23, 2013
Summary of Cost Sharing Studies Impact on Medicaid Beneficiaries
Read moreCost Sharing Studies and the Impact on Medicaid Beneficiaries Cost-sharing has been one of the most studied aspects of the Medicaid program and data overwhelming supports that copayments make it harder for beneficiaries to afford medical services, while premiums make it harder for eligible beneficiaries…
- July 23, 2013
Performance of Risk-based MCOs: HEDIS Snapshot from DC
Read moreStates? use of managed care has expanded steadily over the last 30 years. The Kaiser Commission on Medicaid and the Uninsured recently surveyed Medicaid managed care in the 50 states and found that, overall, 30 of the 48 states with comprehensive managed care programs are contracting with risk-based…
