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- September 20, 2013
Network Adequacy in Medicaid Managed Care
Read moreAs Medicaid managed care expands to include more beneficiaries, and especially those with special health care needs, strong legal protections are needed to ensure that enrollees have access to high quality, medically necessary services. Existing federal law sets a floor of to ensure that Medicaid managed care plans have adequate provider…
- July 29, 2013
Comments on Draft Bridge Plan Demonstration Project
Read moreNHeLP's comments on Covered California's proposal to use bridge plans to serve lower income people connected to Medi-Cal in the Exchange focus on ensuring that lower income people have timely access to affordable plans and continuity of care.
- July 24, 2013
Health Advocate: Medicaid Managed Care
Read moreThis issue of the Health Advocate provides an introduction to Medicaid managed care and the concerns these plans present for health advocates working to ensure that Medicaid beneficiaries receive the care they need.
- July 24, 2013
Getting the Best Out of Managed Care Fact Sheet 4: Boletas-1
Read moreFor full publication text, download document.
- July 23, 2013
California Medi-Cal Managed Care Quality Information
Read moreIn accordance with federal requirements, MMCD contracts with an External Quality Review Organization (EQRO) to evaluate the care provided to beneficiaries by Medi-Cal managed care plans in the areas of quality, access and timeliness. The results of these external quality review activities are presented in various quarterly and annual…
- July 23, 2013
Florida HEDIS Measure Data 2005-2007
Read moreFor full publication text, download document.