Eligibility and Enrollment

Eligibility and Enrollment Archive

… results in Eligibility and Enrollment.

June 30, 2016
Q&A: Recoupment Following an Adverse Medicaid Appeal
Jane Perkins Issue Brief
Legal Director Jane Perkins provides guidance on a question regarding Medicaid managed care plans' abilities to recoup costs of health services following an adverse Medicaid appeal. Medicaid applicants and recipients have rights to notices and administrative hearings when their claims for medical assistance are denied or not acted on…
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June 29, 2016
Lessons from CA: California Limits Medi-Cal Estate Recovery
Michelle Lilienfeld Regulations and Laws
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June 9, 2016
Q&A: Using Assessment Tools to Decide Medicaid Coverage
Jane Perkins Issue Brief
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May 31, 2016
Lessons from CA: Expanding Full-Scope Medi-Cal to All Children
dfitzgerald Issue Brief
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May 2, 2016
Q&A: Differences Between Marketplace and Medicaid MAGI
Wayne Turner Issue Brief
This 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…
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April 29, 2016
Lessons from CA: Marketplace Benefits and Networks
Michelle Lilienfeld Issue Brief
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