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- May 12, 2016
Issue Brief 2: Medicaid Managed Care Final Regulations Grievance & Appeals Systems
Read moreThis issue brief will review selected provisions in the final rule, Medicaid and Children's Health Insurance Program (CHIP) Programs, Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability implementing the requirements governing grievance and appeals systems in Medicaid managed care (Subpart F of…
- May 2, 2016
Q&A: Differences Between Marketplace and Medicaid MAGI
Read moreThis Q&A outlines a common error made by states when determining eligibility under Modified Adjusted Gross Income (MAGI), leading to unlawful Medicaid denials. MAGI rules differ for Marketplace and Medicaid eligibility determinations. Because of those differences, there may be instances in which an individual seemingly is financially ineligible for…
- January 25, 2016
Health Advocate: 2016: Our New Year’s Resolutions
Read moreWe're off to a roaring start in 2016 with over 8.5 million individuals enrolled in health insurance through the Marketplaces in the first six weeks of open enrollment 3 (OE3), an increase of over 2 million from the same time last year. And, an additional 13.5 million individuals have…
January 22, 2016Modified Adjusted Gross Income – MAGI 101
Read moreThese slides provide an overview of Modified Adjusted Gross Income (MAGI) - the methodology used to determine financial eligibility for multiple Insurance Affordability Programs, including Medicaid, the Children's Health Insurance Program, and Premium Tax Credits for plans sold through the health insurance marketplaces. This presentation for consumer assisters and…