In The News
Kaiser Health News Long Term Care Ombudsmen Face Challenges to Independence (1-27-2013) NSCLC Directing Attorney Eric Carlson says that ombudsman programs outside of state governments are less subject to political pressure
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NSCLC Helps
Corazon, 72, came close to losing her adult day health care benefits because of a problem with managed care related to needed heart surgery…. Read More.
Issues
Adult Day Health Care Affordable Care Act Assisted Living Chained CPI Clark v Astrue Court Access Dual Eligibles Health Care Reform Home and Community-based Services IHSS Language Access LGBT long term care Medi-Cal Medicaid Medicare Medicare Part D Nursing Homes Olmstead Pickle Amendment Preemption Same Sex Marriage Social Security SSI Supreme Court
Author Archives: NanOak
Money Follows the Person Program makes Slow Progress in Moving Institutionalized Persons into the Community
Evaluations of the MFP program report halting progress. By the end of 2010, only 12,000 beneficiaries had transitioned to the community across the 30 participating states and the District of Columbia.
Posted in Alerts, Health Network Alert
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CMS Requests Comment on Dual Demonstration Proposal in 18 States
The intensity and pace of action around demonstration projects to integrate Medicare and Medicaid services continue to escalate.
Posted in Alerts, Health Network Alert
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– New Long-Term Services and Supports in Managed Care Resources Include Toolkit and Webinar Recording
A new toolkit for advocates related to long-term services and supports (LTSS)-specific beneficiary protections has been added to NSCLC’s Dual Eligible website.
Posted in Alerts, Health Network Alert
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We Need to End “Observation Status”
(May 2012) Last November, we joined with the Center for Medicare Advocacy in filing a class action lawsuit against the U.S. Department of Health and Human Services concerning what is often referred to as observation status. A recent study from … Continue reading
Posted in Viewpoint
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Analysis: North Dakota Medicaid Program Improperly Limited Use of Annuities
(6/1/2012) A federal district court in North Dakota ruled in Geston v Olson that a state Medicaid regulation related to annuities is inconsistent with federal law. Prior to reaching the underlying merits, the court ruled that the plaintiff had a … Continue reading
Posted in Medicaid
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Webinar – LTSS in a Managed Care Environment: Advocacy Strategies for Increasing Independence
Monday, June 11, 2012. PowerPoint, Transcript & Recording available below. This year has brought a flood of state proposals to move long-term services and supports (LTSS) into managed care systems. As is generally true when managed care is involved, these … Continue reading
Posted in Events
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Comments Due July 2 for Proposed Medicaid Regulations Defining “Community Based”
Can an assisted living facility be considered a “non-institutional” setting for purposes of Medicaid and community-based services funding?
Posted in Alerts, Health Network Alert
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ADHC/CBAS Transition to Managed Care Postponed Until October for Most Participants
California’s Department of Health Care Services announced today that it will postpone until October 1, 2012 the transition into Medi-Cal managed care for most participants in Community Base Adult Services (CBAS), formerly known as Adult Day Health Care (ADHC).
Posted in Alerts, CA Health Network Alert
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Comments Due July 2 for Proposed Medicaid Regulations Defining “Community Based”
CMS has released another set of proposed regulations that seek to clarify whether an assisted living facility can be considered non-institutional setting for purposes of Medicaid home and community-based services (HCBS) funding, with comments on the proposal due by no … Continue reading
Posted in Assisted Living
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Assessing the Quality of California Dual Eligible Demonstration Health Plans
(May 2012) This report contains an analysis of the eight health plans selected by the California Department of Health Care Services and finds that seven of the eight received a global health plan rating of 1 (poor) out of five (excellent) … Continue reading
Posted in Dual Eligibles, Reports
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