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- October 21, 2019
Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised October, 2019)
Read moreFederal and state law and the state and federal Constitutions require that enrollees in Medi-Cal managed care plans receive notice, and grievance and appeal rights when they are denied access to medically necessary services. Frequently, however, enrollees fail to receive the required notice, get an inadequate notice, or do not…
- August 7, 2019
Beyond the Law: The Challenge of Marketplace Coverage of Abortions
Read moreFrom the Fall of 2017 to Spring of 2018, the National Health Law Program (NHeLP) examined if and how Marketplace plans cover abortion services in the states that do not prohibit such coverage. Our research only looked at publicly available information, principally the plans’ Summary of Benefits and Evidence…
- June 16, 2019
Medi-Cal Managed Care Toolkit for Accessing Family Planning Services and Abortion Care
Read moreMedi-Cal, California’s Medicaid program, is a cornerstone of reproductive and sexual health in the state. Under federal law, all states must cover certain low-income people, including pregnant women and very low-income parents. In the 37 states like California that have expanded Medicaid under the Affordable Care Act, most previously…
- April 1, 2019
National Health Law Program Joins Advocates in Urging Appeals Court to Uphold Constitutionality of Affordable Care Act
Read moreHealth care advocates including, Families USA, Community Catalyst, National Health Law Program, Center on Budget and Policy Priorities, and Services Union Employees International, filed an amici curiae brief in April in support of California and numerous other state attorneys general who urging the 5th U.S. Circuit Court of Appeals…
- March 15, 2019
Advocate Fact Sheet: Monitoring Plan’s Provision of Mental Health services to Medi-Cal Beneficiaries
Read moreCalifornia has two managed care plans that are responsible for providing mental health care to beneficiaries of Med-Cal, the state's Medicaid program. Senior Attorney Abigail Coursolle, in this fact sheet, provides guidance and tools for California health care advocates to monitor and ensure that the state's managed care plans…