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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 …
Posted in Alerts, Health Network Alert, Medicaid, Medicare, Uncategorized
Tagged Affordable Care Act, Dual Eligibles, health care, healthcare, Medicaid, Medicare
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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 …
Posted in Alerts, Health Network Alert
Tagged health care, healthcare, long term care, Long Term Services and Supports, Managed Care, Medicaid
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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
Posted in Events, Health Network Alert, LTSS in Managed Care, Medicaid
Tagged long term care, Long Term Services and Supports, Medicaid
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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
Posted in Events, Health Network Alert, Long Term Care, LTSS in Managed Care, Medicaid, mltss
Tagged Long Term Services and Supports, Managed Care, Medicaid
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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 — …
Posted in Alerts, CA Health Network Alert
Tagged California, Home and Community-based Services, Medicaid
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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.
Posted in Dual Eligibles, Reports
Tagged Dual Eligibles, Medi-Cal, Medicaid, Medicare
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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.
Posted in Reports
Tagged Home care services, Long Term Services and Supports, Medicaid
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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, …
Posted in Alerts, Health Network Alert, LTSS in Managed Care
Tagged health care, healthcare, Home and Community-based Services, Long Term Services and Supports, Medicaid
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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.
Posted in Reports
Tagged Health Care Reform, Long Term Services and Supports, Managed Care, Medicaid
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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
Posted in Events, Health Network Alert, Home & Community Based Services, Medicaid
Tagged health care, healthcare, Home and Community-based Services, Medicaid
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