Tag Archives: Dual Eligibles

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 …

Posted in Alerts, Health Network Alert, Medicaid, Medicare, Uncategorized | Tagged , , , , , | Comments Off on New Issue Brief on Appeals in the Dual Demonstrations

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

Posted in Dual Eligibles, Events, Health Network Alert | Tagged , , | Comments Off on WEBINAR: Dual Eligible Demonstrations – An Update for Advocates

WEBINAR: The California Coordinated Care Initiative: Advanced Training Consumer Protections and Benefit Package Summary

Free Webinar Series When: Tuesday, October 21, 2014 10:00 – 11:00 AM PST California is moving forward with the Coordinated Care Initiative (CCI), including the federally-approved dual eligible demonstration known as Cal MediConnect. The CCI started on April 1, 2014, in … Continue reading

Posted in Dual Eligibles, Events | Tagged , , | Comments Off on WEBINAR: The California Coordinated Care Initiative: Advanced Training Consumer Protections and Benefit Package Summary

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.

Posted in Dual Eligibles, Reports | Tagged , , , | Comments Off on How Advocates Can Protect Clients from Balance Billing in California

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 …

Posted in Alerts, Health Network Alert | Tagged , , , , | Comments Off on Health Network Alert – Understanding the Duals Special Needs Plan Policy

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.

Posted in Alerts, Health Network Alert, Medicaid, Medicare | Tagged , , , , | Comments Off on Health Network Alert – Protecting Medi-Cal Beneficiaries from Balance Billing: Resources for Advocates

WEBINAR: The California Coordinated Care Initiative: What Advocates Need to Know – Basics

Free Webinar Series When: Monday, July 14, 2014 2:00 – 3:00 PM PDT/ 5:00 – 6:00 PM EDT The state of California has started implementation of the Coordinated Care Initiative (CCI), including the federally-approved dual eligible demonstration project known as … Continue reading

Posted in Dual Eligibles, Events | Tagged , , | Comments Off on WEBINAR: The California Coordinated Care Initiative: What Advocates Need to Know – Basics

Health Network Alert – New Version of Advocate’s Guide to Coordinated Care Initiative Now Available

(06/27/2014)  Implementation of the Coordinated Care Initiative (CCI) – California’s dual eligible demonstration program — is now underway in Los Angeles, Riverside, San Diego, San Bernardino, and San Mateo counties. Because there have been significant changes to the CCI since …

Posted in Alerts, Dual Eligibles, Health Network Alert | Tagged , , , | Comments Off on Health Network Alert – New Version of Advocate’s Guide to Coordinated Care Initiative Now Available

Health Network Alert: New NSCLC Resource for States Preparing Dual Eligible Demonstration Consumer Enrollment Notices

(06/26/2014)  With support from The Commonwealth Fund, NSCLC prepared a new resource, You’ve Got Mail: Designing Enrollment Notices for a Dual Eligible Demonstration Rollout. The resource is designed to assist consumer advocates and state officials preparing consumer notices and enrollment …

Posted in Alerts, Dual Eligibles, Health Network Alert | Tagged , , , | Comments Off on Health Network Alert: New NSCLC Resource for States Preparing Dual Eligible Demonstration Consumer Enrollment Notices

WEBINAR: The California Coordinated Care Initiative: Advanced Training Consumer Protections and Benefit Package Summary

Free Webinar Series When: Wednesday, June 25, 2014 1:00 – 2:00 PM PST California is moving forward with the Coordinated Care Initiative (CCI), including the federally-approved dual eligible demonstration known as Cal MediConnect. The CCI started on April 1, 2014, … Continue reading

Posted in Dual Eligibles, Events | Tagged , , | Comments Off on WEBINAR: The California Coordinated Care Initiative: Advanced Training Consumer Protections and Benefit Package Summary