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- May 19, 2016
Health Advocate: Medicaid Managed Care Final Regulations Released
Read moreIn this month's Health Advocate, we summarize some of the major provisions in the final rule that are new to Medicaid and identify opportunities for advocates to improve their states' Medicaid managed care programs and ensure that Medicaid beneficiaries have access to the information and services to which they…
- 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…
- April 26, 2016
Covered California: 2016 Benefit Designs: Cost Sharing for Prescription Drugs & Tiered Network Designs
Abbi Coursolle and Kim Lewis LetterRead more - April 22, 2016
Managed Care in California Series, Issue 7: Monitoring Access in the Medi-Cal Program
Abbi Coursolle Issue BriefRead moreThe federal Centers for Medicare & Medicaid Services (CMS) recently approved a request by the California Department of Health Care Services (DHCS) to extend California's 1115 Medicaid Demonstration Waiver, called the 2020 Demonstration, effective December 2015 through December 2020. The $6.2 billion demonstration project will fund several programs, including…