NSCLC has published an advocacy tool that compares the design of the appeals systems for the six states that currently have a Memorandum of Understanding (MOU) with the Centers for Medicare and Medicaid Services for dual eligible demonstration projects.
The paper looks at how the states handle issues including levels of appeal, timeframes, aid paid pending during appeals and treatment of overlapping services; gives advocates benchmarks against which they can compare their own state’s plans for appeals processes in such projects; and highlights areas that are particularly difficult to navigate or that need better elaboration than is found in any existing MOU.
