Library
Resources
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"HMO Liability and Public Accountability" from the report Money Talks: The Politics of Health Care (August 2001)
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A Guide to Medi-Cal Managed Care for People with Developmental Disabilities, their Families and Professionals (May '99)
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A Guide to Medi-Cal Managed Care for People with Developmental Disabilities, their Families and Professionals - PDF format (May '99)
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Administrative Services Organizations (ASOs): An alternative to mandatory enrollment of individuals w/ disabilities into managed care? (April '06)
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Analysis of Medicaid Managed Care Regulations Final Rules: 67 Fed. Reg. 40988 et seq. (Feb. '03)
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Appendix to: A Guide to Medi-Cal Managed Care for People with Developmental Disabilities, their Families and Professionals - PDF format (May '99)
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BBA Managed Care Update: May 1998
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Comments on QISMC Draft (Feb. '98)
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Congressional Update: Congress Mandates Medicaid Managed Care Without Adequate Consumer Protections and Federal Oversight (June '97)
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Fact Sheet 1: ¿Cómo puede ayudarme esta información?
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Fact Sheet 1: How can this information help me?
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Fact Sheet 2: Comprenda las Medidas de Evaluación de la Calidad
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Fact Sheet 2: Understanding Quality Measures
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Fact Sheet 3: Determine qué Plan de Atención de Salud Responde a sus Necesidades
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Fact Sheet 3: Figuring Out Which Health Care Plan Meets Your Needs
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Fact Sheet 4: Boletas de Calificaciones
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Fact Sheet 4: Report Cards
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Fact Sheet 5: Encuestas de Consumidores
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Fact Sheet 5: Consumer Surveys
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Fact Sheet: Failure of Credentialing Agencies To Assure Quality Prompts Improved Standards for Hospital Care (Sept. '99)
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Fact Sheet: The California Department of Managed Health Care and Independent Medical Reviews (Nov. '00)
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Federal Register Notice: Medicaid Managed Care Proposed Rule (Aug. '01)
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Final Rules Re: Requirements & Procedures for Review of Medicaid Mgd Care Orgs (Feb. '03)
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HCFA 1998 Letter Limiting Managed Care Waivers
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HCFA's Summary of Final Medicaid Managed Care Regulations (Jan. '01)
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HCFA’s Proposed Rule for External Quality Review of Managed Care Plans: Summary, Analysis and Recommendations (Dec. '99)
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Language Barriers Pose a Risk for California HMO Enrollees (May '06)
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Making The Consumers’ Voice Heard in Medicaid Managed Care: Increasing Participation, Protection and Satisfaction. Report on Required and Voluntary Mechanisms. Executive Summary (Jan. '97)
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Managed Care Case Update (Nov. '96)
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Managed Care Update: April 1998
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Managed Care Update: February 1998 (Feb. '98)
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Managed Care Update: January 1998
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Managed Care Update: March 1998
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Managed Care’s Impact on Lead Testing of Medi-Cal Beneficiaries in Los Angeles County (Mar. 2005)
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Many Medicare HMOs With High Rates of Voluntary Disenrollment Are Fully Accredited (Dec '97)
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Medicaid Managed Care and Children with Special Needs: An EPSDT Checklist (Sept '97)
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Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You When They Deny Reproductive Health Services? (July '99)
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Medicaid Managed Care Contracts: An Advocacy Checklist for People with Disabilities (Sept. '97)
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Medicaid Managed Care Docket (June 15, 2000)
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Medicaid Managed Care Fact Sheets (Dec. '96)
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Medicaid Managed Care Monitoring Tool 1: Client Questionnaire (July '97)
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Medicaid Managed Care Monitoring Tool 2: Your Legal Rights Brochure (July '97)
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Medicaid Managed Care Monitoring Tool 3: Health Plan Monitoring (July '97)
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Medicaid Managed Care Monitoring Tool 4: HMO Comment Form (July '97)
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Medicaid Managed Care Monitoring Tools
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Model Managed Care Complaint Process (Revised May '99)
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Model Managed Care Complaint Process (revised May '99)
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Model Medicaid Managed Care Contract Provisions - A Primer on Medicaid Managed Care Contracting (April '98)
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Model Medicaid Managed Care Contract Provisions - Complaint and Grievance Procedures (April '98, revised May '99)
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Model Medicaid Managed Care Contract Provisions - Continuity of Care (April '98)
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Model Medicaid Managed Care Contract Provisions - Medical Necessity Definition (April '98)
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Model Medicaid Managed Care Contract Provisions - Member Advocates (April '98)
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Model Medicaid Managed Care Contract Provisions - Third Party Beneficiaries (April '98)
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NHeLP Comments on EQRO Protocols for Medicaid Managed Care (Jan. '02)
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NHeLP's comments on Proposed Rules Re: Requirements and Procedures for Review of Medicaid Managed Care Organizations (Jan. '02)
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NHeLP's Comments to HCFA on BBA Proposed Rules on Medicaid Managed Care - Cultural Competency Provisions (Nov. '98)
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NHeLP's Comments to HCFA on BBA Proposed Rules on Medicaid Managed Care - Reproductive Health Provisions (Nov. '98)
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NHeLP's Comments to HCFA on BBA Proposed Rules on Medicaid Managed Care - Section by Section Comments (Nov. '98)
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NHeLP's Guide: Choosing a Health Plan. (English Language Version, March '97)
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NHeLP's Guide: Medicaid Managed Care: Your Choice Counts a Lot. (English Language Version, March '97)
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OIG/HCFA Advisory Bulletin on the Patient Anti-Dumping Statute and Its Application to Managed Care Enrollees (Jan. '99)
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Ombudsprograms and Member Advocates: Consumer-Oriented Approaches to Problem-Solving in Medicaid Managed Care (Sept. '98)
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Preliminary Summary of the Final Medicaid Managed Care Regulations Published by the Centers for Medicaid & Medicare Services (July '02)
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Q & A: Publicly Available Data in Medicaid Managed Care (June '07)
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Q & A: Publicly Available Data in Medicaid Managed Care (June '07)
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Re: Comment to the Proposed Rule, “Medicaid Program; External Quality Review of Medicaid Managed Care Organizations” (Jan. '00)
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Recommendations for Making the Consumers’ Voice Heard in Medicaid Managed Care: A Guide to Effective Consumer Involvement. (April '99)
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Side-by-Side Comparing Clinton and Bush Final Medicaid Managed Care Regulations (June '02)
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Side-by-Side: Medicaid Managed Care Regulations January 19, 2001 Final Regulations v. August 20, 2001 Proposed Regulations. (Sept. '01)
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State Purchasers Assail HCFA's Proposed Medicaid Managed Care Rules (Jan. '99)
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Summary of Medicaid Managed Care Regulations - Grievance Systems (Subpart F) (Mar. '01)
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Summary of Medicaid Managed Care Regulations. Medicaid Managed Care Sanctions, Part 438, Subpart B (March '01)
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Summary of Medicaid Managed Care Regulations. Medicaid Managed Care Sanctions, Part 438, Subpart I (March '01)
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Summary of Medicaid Managed Care Regulations. Re: Final Medicaid Managed Care Rules, Medicaid Managed Care Quality Assessment and Performance Improvement, Subpart D (April '01)
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Summary of Medicaid Managed Care Regulations: Part 438, Subpart C - Enrollee Rights and Protections (Mar. '01)
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Summary of Reproductive Health Provisions in the BBA Medicaid Managed Care Final Regulations with Comment Period (April '01)
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Testimony Before the Committee on Health, State and Regional State Assembly: The Impact of Medicaid Provisions of the Balanced Budget Act on Medi-Cal Managed Care (Nov. '97)
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The Threat of Evidence-Based Definitions of Medical Necessity (Aug. '98)
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Thirty Questions to Ask About Managed Care and EPSDT (Aug. '07)
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Treatment of Behavioral Health And Other Specialty Carve Outs Under The BBA Medicaid Proposed Regulations Deserves Advocates' Close Scrutiny And Comment (Oct '98)
