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.
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Tag Archives: Dual Eligibles
CMS Finalizes Medicaid Primary Care Payment Rule Affecting Dual Eligibles
CMS has finalized a rule that will pay Medicaid primary care physicians at the same rate as Medicare in 2013 and 2014, a move that is likely to improve access to care for individuals who receive both Medicare and Medicaid.
Over 100 Ask MMCO for Ombudsman in Duals Demonstration Projects
An impressive list of 103 organizations joined a sign-on letter that NSCLC and the National Committee to Preserve Social Security and Medicare drafted that urges the Medicare Medicaid Coordinated Office at the Centers for Medicare and Medicaid services to ensure … Continue reading
Washington Memorandum of Understanding for Duals
On October 24, the state of Washington signed a Memorandum of Understanding (MOU) with the Centers for Medicare and Medicaid Services to establish the first managed fee-for-service financial alignment model for Medicare-Medicaid enrollees (dual eligibles).
NSCLC Launches New Website About Dual Eligible Demonstration
NSCLC has launched a new website to provide aging and disability advocates the information and tools they need to ensure that models for delivering health and long term services and supports to dual eligibles (people with both Medicare and Medicaid) include strong consumer protections.
NSCLC Launches New Website about Dual Eligible Demonstrations
The National Senior Citizens Law Center has launched a new website to provide aging and disability advocates the information and tools they need to ensure that models for delivering health and long term services and supports to dual eligibles (people … Continue reading
Prindiville Addresses Policy Forum on Consumer Protection for Duals
More than 150 health policymakers, Congressional staff and government officials heard NSCLC Deputy Director call for strong consumer protection for dual eligibles in new integrated models under development in many states. He was joined by MMCO Director Melanie Bella, and Paul … Continue reading
Comments: California’s Dual Eligibles Demonstration Project
(1/9/12) In a letter to the director of the California Department of Health Care Services, NSCLC Deputy Director writes that the proposed solutions fall short by simply expanding enrollment in existing medical-focused managed care systems. READ MORE
No Part D Copayments for Medicaid HCBS Duals
Effective January 1, 2012, full-benefit dual eligibles receiving Medicaid home and community based services (HCBS) have no Medicare Part D copayments READ MORE — Information for Advocates. CMS Memo on Part D Waiver for Dual Eligibles.
Fact Sheet: Dual Eligibles
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Dual Eligible Sign On Letter to Super Committee
(11/14/11) NSCLC joined more than 50 consumer, provider, labor and other interest groups on a letter to the Congressional supercommittee urging them to carefully consider imposing a “one size fits all” on dual eligibles and cautioning them about imposing a … Continue reading



