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- July 23, 2013
Model Medicaid Managed Care Contract Provisions — A Primer on Medicaid Managed
Read moreBrief Introduction to Medicaid Managed Care ContractingTo control Medicaid expenditures and expand access to health care, states are requiring Medicaid recipients to enroll in risk-based managed care programs. Although to date mandatory enrollment has affected mostly poor women and children, the behavioral health and disabled populations are increasingly being…
- July 23, 2013
New Childhood Lead Poisoning Report Issued (Jan. ’99)
External Source Manual/ReportRead moreThe General Accounting Office has just issued another report that concludes that federal health programs are not effectively serving children at risk for lead poisoning: Lead Poisoning: Federal Health Care Programs Are Not Effectively Reaching At-Risk Children. The findings of the report add to those of a February…
- July 23, 2013
Recommendations for Making Consumers’ Voices Heard in Medicaid Managed Care
External Source Manual/ReportRead moreRecommendations for Making the Consumers? Voice Heardin Medicaid Managed Care: A Guide to Effective Consumer Involvement Acknowledgments The extent to which consumers are being involved in the design, implementation, monitoring, and evaluation of Medicaid managed care programs has not received a great deal of…
- July 23, 2013
Model Medicaid Managed Care Contract Provisions — Complaint and Grievance Proc
Read moreThis model complaint procedure supercedes earlier versions from August 1998, October 1997 and March 1997. This process is intended for use in state-based managed care programs, particularly Medicaid and child health insurance programs. But, it can be adapted to other managed care situations as well. Many of the provisions…
- July 23, 2013
Analysis of DHHS OCR LEP Guidance
Read moreI. Introduction On August 30, 2000, the Office for Civil Rights of the U.S. Department of Health and Human Services (OCR) issued its long anticipated guidance, ?Title VI of the Civil Rights Act of 1964; Policy Guidance on the Prohibition Against National Origin Discrimination As It Affects…