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- September 17, 2014
Medicaid Managed Care Model Provisions, Issue 2
Read moreOur new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address enrollment and disenrollment rights.
- September 16, 2014
Medicaid Managed Care Model Provisions, Issue 1
Read moreOur new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue breaks provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address grievances and appeals.
- June 16, 2014
External Quality Review: An Overview
Read morePart of the overall quality strategy mandated by the Medicaid Act and regulations requires states to include annual independent external quality reviews (EQRs) in each managed care contract. This approach requires an independent organization to validate state selected performance measures, perform site visits and "otherwise evaluate the performance of…
- February 19, 2014
Q&A: What Advocates Should Know About Health Information Technology and Electronic Health Records
Read moreAlong with health reform implementation, the adoption of health information technology and electronic health records provide additional ways to improve healthcare quality and efficiency, cut costs, and update health systems. But what is health information technology and what can (or should) it do to improve the health needs of…
- July 23, 2013
Getting the Best Out of Managed Care Fact Sheet 2: Understanding Quality Measures
Read moreThis fact sheet provides consumer-oriented information about understanding quality measures in Medicaid managed care plans.
- July 23, 2013
Language Services Resource Guide for Pharmacists (2010)
Read moreA resource guide for pharmacists with information on how to effectively provide language services.