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July 30, 2014
Lessons from CA: Medi-Cal Application Backlog
dfitzgerald Issue Brief
More than 600,000 applications are still pending a Medi-Cal eligibility determination as of July 2014. As with other states, problems with California's new eligibility and enrollment system are at the heart of California's backlog. In this month's, Lessons from California, we highlight how NHeLP is working with advocates in…
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July 14, 2014
CMS California Mitigation Letter
dfitzgerald Letter
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July 1, 2014
Coverage of Pregnant Women in California
dfitzgerald Issue Brief
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June 27, 2014
Lessons from CA: Pregnant Women’s Coverage Options
dfitzgerald Issue Brief
The ACA made many positive changes in health coverage for pregnant women. Many women now qualify for both pregnancy-related Medicaid and financial assistance in the Marketplace. In this month's, Lessons from California, we highlight how NHeLP worked with California advocates to provide comprehensive Medi-Cal coverage for pregnant women, including…
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May 30, 2014
Lessons from CA: Delaying 2014 Renewals for Medi-Cal Enrollees
dfitzgerald Issue Brief
In June, current enrollees of California's Medicaid program, Medi-Cal, will be asked to complete a new renewal process and be evaluated under the new MAGI eligibility rules. But with nearly one million Medi-Cal applications still pending and a faulty IT system unable to accurately determine Medi-Cal eligibility, hundreds of…
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May 8, 2014
Network Adequacy Laws in Medi-Cal Managed Care Plans
Abigail Coursolle Manual/Report
Medi-Cal managed care plans are capitated, meaning they receive a set payment per enrollee per month in exchange for providing services.The plans contract on a "comprehensive risk" basis, which means they accept the risk of incurring a loss if they spend more on services than they receives through the…
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