Category

mltss

Advocate Guide: Accessibility in Medicaid Managed Care

By | Advocate's Guide, Health Care, Medicaid, mltss

States require managed care plans who serve Medicaid enrollees to establish and maintain an internal grievance and appeal and fair hearing system. As states begin to incorporate new federal regulations into their Medicaid rules, there’s opportunity for advocates to help shape those rules to ensure that older adults and people with disabilities have equal access to the grievance and appeal and state fair hearing systems, as mandated by Section 504 of the Rehabilitation Act (“Rehab Act”), the Americans with Disabilities Act (“ADA”), and Section 1557 of the Affordable Care Act (“ACA”).

Disability Rights Education and Defense Fund (DREDF), Justice in Aging and National Health Law Program (NHeLP) collaborated on a new Advocates Guide to Accessibility in Medicaid Managed Care Grievances, Appeals, and State Fair Hearing. This new Advocates’ Guide, provides guidance on how the federal framework can be made fully accessible to Medicaid beneficiaries who are older and/or have disabilities.

Links to three accessible versions of the guide can be found below.

 

WEBINAR: Legal Basics: Medicaid Long-Term Services and Supports

By | mltss, WEBINAR
When:  Tuesday, October 10th, 2017 at 11:00 a.m. PT/2:00 p.m. ET.

Long-term services and supports (LTSS) are vital to millions of Americans. According to a Department of Health & Human Services Research Brief, of persons turning age 65 today, 52 percent will need some form of LTSS in the future. In many cases, the necessary LTSS will be funded through Medicaid. The financing and quality of LTSS often depend upon Medicaid laws and policies. Despite the importance of these laws and policies, they often are not well known among both consumers and aging network professionals. Read More

Medicaid Managed Care Rules: Key Considerations for Aging Advocates

By | ISSUE BRIEF, Medicaid, mltss, REPORTS
Update: Justice in Aging Comments Submitted July 27

On May 27, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule to update the Medicaid managed care regulations for the first time in over ten years. Comments on the proposed regulations are due Monday, July 27 at 5:00 p.m. Eastern. Your experience working with older adults and/or LTSS means your voice is important in the comment process. Please feel free to use all or any part of the sample comment letter in your comments.

For more on the rule, see Justice in Aging’s issue brief, Medicaid Managed Care Rules: Key Considerations for Aging Advocates. The issue brief breaks down the key areas of importance for older adults and their advocates.  This issue brief, and corresponding webinar, explores eight key areas, focusing on what they mean for long-term services and supports and older Medicaid beneficiaries.

Read More

Details Matter! Advocate’s Library of Managed Long Term Services and Supports Contract Provisions

By | Long Term Care, mltss, REPORTS

March 2014 — A wave of new Medicaid Managed Long-Term Services (MLTSS) programs is sweeping the country and promises to impact the way care is delivered to millions of the nation’s seniors and people with disabilities.  Whether this impact is ultimately positive or negative will depend on the details of how these new systems are designed, implemented and held accountable.

The details – while complex and often difficult to grasp – really matter.  That is why NSCLC developed the Advocates Library of Managed Long-Term Services and Supports Contract Provisions.