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- July 23, 2013
NHeLP’s Guide: Choosing a Health Plan (Spanish Language Version, March ’97)
Read moreFor full publication text, download document.
- July 23, 2013
Medicaid Managed Care Monitoring Tool 1: Client Questionnaire
Read moreAlong with Legal Services of Southern Piedmont, the National Health Law Program drafted this Medicaid managed care questionnaire. We have found ready use for these documents in legal aid waiting rooms, for surveying clients at public meetings, and while they wait at department of social services offices. This questionnaire…
- July 23, 2013
Medicaid Managed Care and Children with Special Needs: An EPSDT Checklist (Sept
Read moreThis document contains best practices and suggestions for accessing EPSDT.
- July 23, 2013
Medicaid Managed Care Contracts: An Advocacy Checklist for People with Disabili
Read moreMedicaid Managed Care Contracts: An Advocacy Checklist for People with Disabilities The managed care contracts between the state Medicaid agency and managed care organizations have become a new and significant legal document. In business law, the period during which the parties review a contract and investigate characteristics of the…
- July 23, 2013
EPSDT Update For Child Health Insurance and Medicaid Advocates
Read moreNovember 20, 1997 Prepared by Jane Perkins, Lourdes Rivera, and Kristi Olson--National Health Law Program Abigail English and Catherine Teare--National Center for Youth Law The Medicaid program, through its Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit package, requires states to provide comprehensive preventive, acute,…
- July 23, 2013
Model Medicaid Managed Care Contract Provisions — Third Party Beneficiaries
Read moreNHeLP Model Medicaid recipients enrolled in managed care are the intended third-party beneficiaries of contracts between the state and MCOs and of any subcontracts or provider agreements entered into by MCOs with subcontracting providers and, as such, enrollees are entitled to the remedies accorded to…