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- March 31, 2026
The NC Medicaid Managed Care Ombudsman: A Robust and Effective Beneficiary Support System
Read moreThe North Carolina Medicaid program implemented a model beneficiary support system when it transformed its Medicaid program to comprehensive managed care starting in 2021. This program, called the North Carolina Ombudsman Program, was operated by legal services organizations and had several key features that made an important asset for…
- March 26, 2026
Lessons Learned from North Carolina’s MCPAR Reports
Read moreStates must submit Medicaid Managed Care Program Annual Reports (MCPARs) annually for each of their managed care programs. Examining the MCPARs for one state, North Carolina, reveals how the role and structure of MCPARs as oversight tools are helpful, but there are also ways to make them more useful…
- December 11, 2025
Prior Authorization in Medicaid Series
Read moreThis issue brief series explores how prior authorization policies shape access to care in public health coverage programs, particularly Medicaid. The first brief introduces the fundamentals of prior authorization, how it operates for Medicaid beneficiaries, and the growing movement for reform. Future installments will explore the legal and policy…
- October 17, 2025
An Advocate’s Guide to Access GAC in CA: Chapter 3 Types of Coverage
Read moreThis chapter is part of NHeLP’s forthcoming Advocate’s Guide to Accessing Gender-Affirming Care in California. It provides an overview of types of health coverage people may have. It will help people to identify what kind of coverage they have, how it is regulated, and what laws and requirements apply…
