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- August 14, 2015
Managed Care in California Series, Issue 5: Internal Grievances and External Review for Service Denials in Covered California Plans
Read moreFederal and state law and the Constitution ensure that enrollees in publicly-funded health care plans receive notice, grievance and appeal rights when they are denied access to medical services. Enrollees in Covered California plans have the right to a notice when their plan denies access to a service, and…
- June 30, 2015
NHeLP Comments on Out-of-Pocket (OOP) Cost Comparison Tool for the Federally-Facilitated Marketplaces
Read moreNHeLP comments on May 29, 2015 CMS Bulletin on Proposed Out-of-Pocket (OOP) Cost Comparison Tool for the Federally-facilitated Marketplaces (FFMs). The Tool adds a critical new mechanism for consumers to evaluate and select the most appropriate plan to suit their needs and may help them more easily weigh the effect of…
- May 5, 2015
Medicaid Assessments for Long-Term Supports & Services (LTSS)
Read moreLong-term care needs assessments serve a vital role in Medicaid. For individuals with disabilities and older adults, needs assessments are used to determine eligibility for both institutional and home and community-based services (HCBS). The assessment process establishes the type and extent of an individual's care needs, which inform the…
- April 30, 2015
Lessons from CA: Ending Restrictions on Access to Reproductive Health Services
Read moreIn this month's Lessons from California, we highlight the successful efforts by NHeLP and other advocates to ensure that the California Attorney General imposed robust conditions on the sale of six Daughters of Charity hospitals to a secular system to restore and expand reproductive health services at the hospitals…
