Tag Archives: Medi-Cal

How Advocates Can Protect Clients from Balance Billing in California

In this September 2014 Fact Sheet,  NSCLC shares guidance on protecting clients when providers in California balance bill dual eligibles illegally.

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What Should California Advocates Do If Their Clients are Balance Billed?

(09/18/2014)  When medical providers bill dual eligible beneficiaries (those with both Medicare and Medi-Cal) for charges not covered by either Medicare or Medi-Cal; or Medi-Cal only seniors and persons with disabilities any amount for a Medi-Cal covered service, it’s called …

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Health Network Alert – Protecting Medi-Cal Beneficiaries from Balance Billing: Resources for Advocates

(08/08/2014)  Advocates continue to report attempts by providers, particularly physicians, to ”balance bill” dual eligible beneficiaries (those who qualify for both Medicare and Medi-Cal) for charges not covered by Medicare or Medi-Cal.

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ISSUE BRIEF: Medicaid Expansion and Transition Issues for California Seniors and Persons with Disabilities

November 2013 –The Affordable Care Act (ACA) will afford millions of uninsured individuals with healthcare coverage through the expansion of Medicaid and the creation of state healthcare exchanges. A new NSCLC issue brief, Medicaid Expansion in California: Opportunities and Challenges … Continue reading

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Settlement Reached That Will End Medicare “Improvement Standard”

Attorneys from the Center for Medicare Advocacy, Vermont Legal Aid and the Centers for Medicare & Medicaid Services (CMS) have agreed to settle the “Improvement Standard” case, Jimmo v. Sebelius. A proposed settlement agreement was filed in federal District Court …

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Integrating Medicare and Medicaid: What’s Happening Now, and What It Means for Assisted Living and Other LTSS

This webinar, sponsored by the Assisted Living Consumer Alliance, explains the dual eligible integration process, with a focus on how the new demonstrations will affect long-term services and supports (LTSS) and their significance to assisted living and other long term … Continue reading

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Local CA Adult Day Health Care Center Saved for Now

At the end of March 2012, NSCLC, working with local legal services lawyers, achieved an important victory when the Kern County Board of Supervisors agreed to postpone for three months the closure of its adult day health care center. The … Continue reading

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Comments: California’s Dual Eligibles Demonstration Project

(1/9/12)  In a letter to the director of the California Department of Health Care Services, NSCLC Deputy Director writes that the proposed solutions fall short by simply expanding enrollment in existing medical-focused managed care systems. READ MORE

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