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- February 28, 2014
Lessons from CA: Eligibility for Former Foster Care Children
National Health Law Program (NHeLP) Manual/ReportRead moreThe Affordable Care Act (ACA) requires states starting in 2014 to provide Medicaid to youth who were in foster care on their 18th birthday or later and to keep them on Medicaid until they turn 26. This Lessons from California, highlights how the state has implemented this new program…
- February 27, 2014
Overview of CMS Guidance: Application of Estate Recovery and Other §1917 Provisions to MAGI Individuals
Read moreOn February 21st, 2014, the Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Directors Letter (SMDL) addressing the application of liens, adjustments and recoveries, transfer-of-assets rules, and post-eligibility income rules to individuals eligible for Medicaid under Modified Adjusted Gross Income (MAGI) eligibility rules. MAGI rules apply…
- January 14, 2014
Medicaid EPSDT Case Docket
Read moreThe Early and Periodic Screening, Diagnostic and Treatment service (EPSDT) is a mandatory Medicaid service for children and youth under age 21. Screening forms the foundation of EPSDT. Four separate screens are required: vision (including eyeglasses), hearing (including hearing aids), dental (including restoration of teeth), and medical. The medical…
- October 31, 2013
Advocate’s Guide to the Medicaid Program
Read moreSince 1986, the Advocate's Guide to the Medicaid Program has been the leading authoritative reference on Medicaid for a quick, convenient way to understand the program. Advocates, policy makers, and others rely on the Guide to ensure that the Medicaid program is implemented as the law intends, and that…
- October 25, 2013
Advocate’s Guide to MAGI
Byron Gross, David Machledt, and Wayne Turner Manual/ReportRead moreNHeLP is pleased to release the updated Advocate's Guide to MAGI. This Guide to Modified Adjusted Gross Income (MAGI) includes new sections on ACA tax filing and reporting requirements, and clarifies commonly asked questions such as when to count the Social Security income of dependents. We also updated IRS…
- July 23, 2013
California Medi-Cal Managed Care Quality Information
Read moreIn accordance with federal requirements, MMCD contracts with an External Quality Review Organization (EQRO) to evaluate the care provided to beneficiaries by Medi-Cal managed care plans in the areas of quality, access and timeliness. The results of these external quality review activities are presented in various quarterly and annual…