Category Archives: Health Network Alert

WEBINAR: Conflict-Free Case Management: Themes in States Working to Implement New Systems

Free Webinar When: Thursday, September 25, 2014, 2-3PM EDT 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 … Continue reading

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Health Network Alert: Making Up for Lost Time: Addressing Problems in California’s Assisted Living System

(09/08/2014)  Across the country, assisted living facilities now house and provide services for residents with significant care needs, a noticeable change from 30 years ago, when California adopted its quality standards. Although California has made some adjustments, the system overall …

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Health Network Alert: How to Make Sure the Home Care Rule Helps, Not Harms

(09/05/2014)  The U.S. Department of Labor (DOL) recently issued a new rule governing home care services for people with disabilities and seniors. This rule may impact some of your state’s long term care programs, particularly your state’s “consumer-directed” programs. Consumers …

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Health Network Alert – Person Centered Service Planning in Managed LTSS: What’s Needed

(08/26/2014)  Person-centered planning is critical to the well-being of consumers of long-term services and supports. It works by identifying the strengths preferences, needs, and desired outcomes of the individual. In order for person-centeredness to be more than an empty slogan, …

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WEBINAR: Community-Based Settings and the New Medicaid HCBS Standards: Views from the States, 6 Months In

Free Webinar When: Tuesday, September 9, 2014  2-3 PM EDT On March 15, 2014, the new federal home and community-based services (HCBS) rule went into effect, and the countdown clock for states to craft a transition plan began running. Six … Continue reading

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Health Network Alert – Majority of Seniors Will Need Long-Term Care

(08/25/2014)  We need to address the nation’s current and future long term care financial crisis. Few seniors who are not considered poor are prepared to pay for the costs of long-term care. No one should have to become poor to …

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Health Network Alert – Understanding the Duals Special Needs Plan Policy

(08/20/2014)  The California Department of Health Care Services (DHCS) recently released a new Duals Special Needs Plan (D-SNP) policy impacting beneficiaries residing in counties implementing the Coordinated Care Initiative (CCI). The new policy is complicated and affects beneficiaries enrolled in …

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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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Health Network Alert – HHS Issues New Guidance on Implementing Person-Centered Planning and Self-Direction

(07/24/2014)  On June 6, 2014, the Secretary of Health and Human Services issued guidance on person-centered planning and self-direction for implementing Section 2402(a) of the Affordable Care Act.

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Health Network Alert – State Transition Plans for New Medicaid HCBS Regulations: Four Tips for Consumer Advocates

(07/22/2014)  States now are beginning to release their transition plans to bring their Medicaid home and community-based services (HCBS) systems into compliance with the new federal regulations on community-based settings. It is essential that consumers and their representatives be prepared …

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