Tag Archives: Medicaid

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: 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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California Releases Draft of HCBS Transition Plan for Public Comment

(09/23/2014)  New federal regulations set standards to ensure that Medicaid-funded home and community-based services (HCBS) are provided in environments that are non-institutional in nature. It is not enough that a Medicaid HCBS consumer is not living in an institution — …

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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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How to Make Sure the Home Care Rule Helps Not Harms

In this September 2014 joint report, NSCLC and others analyze the U.S. Department of Labor rule governing home care services.

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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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Can Reality Match Rhetoric? Person-Centered Planning in Managed LTSS

In this August 2014 Policy Issue Brief, NSCLC shares what states are doing to ensure person-centered planning is included in managed care contracts.

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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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