Category Archives: Health Network Alert

CMS Seeks Comments on Proposed Rule to Support Equal Rights for Same Sex Spouses in Medicare and Medicaid Facilities

(12/17/2014)  The Centers for Medicare and Medicaid Services (CMS) recently released proposed regulations as part of CMS’ implementation of the Supreme Court decision in United States v. Windsor, 570 U.S. 12, 133 S. Ct. 2675 (2013).  Comments on the rule …

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WEBINAR: Assisted Living Reform: Policies and Politics

Free Webinar When: Monday, December 15, 2014 3 – 4 PM EDT There’s a growing agreement around the need for assisted living reform. While health policy experts, caregivers, consumers, and their families recognize reform is overdue, political hurdles can get … Continue reading

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New Issue Brief on Appeals in the Dual Demonstrations

(12/05/2014)  Under the Affordable Care Act, a number of states are participating in financial alignment demonstrations that combine the delivery of Medicare and Medicaid services for dual eligible beneficiaries. Even though financial alignment demonstrations are already “live” in five states …

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NSCLC Advocates Guide for Notices in Medicaid Managed LTSS

(11/20/2014)  As Managed Long Term Services and Supports (MLTSS) rolls out nationwide, advocates on the ground have seen due process violations in appeals and notices of action. In this tool for advocates and consumers, NSCLC focuses on notice and appeal …

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WEBINAR: Emerging Issues and Consumer Rights in Providing Medicaid LTSS through Managed Care

Free Webinar When: Wednesday, November 19, 2014  2-3 PM EDT This webinar examined the critically important issue of consumer rights in the 28 states that have moved to Medicaid managed long-term services and supports (LTSS) systems. Additionally, it evaluated emerging … Continue reading

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WEBINAR: Dual Eligible Demonstrations – An Update for Advocates

Free Webinar Wednesday, December 3, 2014  3 – 4 PM EDT Over the past year, hundreds of thousands of beneficiaries in several states received passive enrollment notices as part of the Financial Alignment Initiative. On January 1, 2015, another large … Continue reading

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Conflict Free Case Management: Themes in States Implementing New Systems

(10/30/2014)  September 30, 2015 marks the statutory deadline for states that received funding under the Balancing Incentive Payments Program (BIPP) to make significant changes to how they fund long-term services and supports (LTSS). For the past three years, participating states …

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WEBINAR: Medicaid Long-Term Services and Supports – Appeals 101

Free Webinar When: Wednesday, November 5, 2014, 2-3 PM EDT Since 2009, the number of states delivering Medicaid long-term services and supports (LTSS) through managed care has increased more than four-fold, so that presently, 28 states either operate a managed … Continue reading

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WEBINAR: Assisted Living State By State

Free Webinar When: Wednesday, Oct. 22, 2014, 11 a.m. – NOON PDT/ 2 p.m. – 3 p.m. EDT As part of the National Senior Citizens Law Center’s new project, Making up for Lost Time: Addressing Problems In California’s Assisted Living … Continue reading

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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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