- March 31, 2026
The NC Medicaid Managed Care Ombudsman: A Robust and Effective Beneficiary Support System
Read moreThe North Carolina Medicaid program implemented a model beneficiary support system when it transformed its Medicaid program to comprehensive…
- March 26, 2026
Lessons Learned from North Carolina’s MCPAR Reports
Read moreStates must submit Medicaid Managed Care Program Annual Reports (MCPARs) annually for each of their managed care programs. Examining…
- March 13, 2026
An Advocate’s Guide to Medi-Cal Services
Fabiola De Liban, Amy Chen, Abigail Coursolle, Alicia Emanuel, Héctor Hernández-Delgado, T. Nancy Lam, Kimberly Lewis, Carly Myers, Alexis Robles-Fradet, Skyler Rosellini, Jasmine Young, and Elizabeth Zirker GuideRead moreNHeLP’s Medi-Cal Services Guide provides an in-depth description of some of the most important services covered in the Medi-Cal…
- December 11, 2025
Prior Authorization in Medicaid Series
Read moreThis issue brief series explores how prior authorization policies shape access to care in public health coverage programs, particularly…
- July 29, 2025
Revisiting Managed Care Sanctions
Read moreThis issue brief is part of the National Health Law Program’s ongoing work on accountability in Medicaid managed care.…
- July 28, 2025
Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised July, 2025)
Read moreFederal and state law and the state and federal Constitutions require that enrollees in Medi-Cal managed care plans receive notice,…
- January 6, 2025
Best Practices for Medicaid Secret Shopper Survey Implementation
Read moreNetwork adequacy has long been a challenge in Medicaid managed care. According to one 2023 survey, 1 in 3…
- December 2, 2024
NHeLP Comments on Mandatory Medicaid and Children’s Health Insurance Program (CHIP) Core Set Reporting
Read moreThese comments respond to a CMS proposed rule that would require annual reporting on a core set of measures…
- September 30, 2024
[Webinar] Implementing Medicaid Secret Shopper Surveys: Tips and Methods for Better Results
Read moreMedicaid enrollees can face significant challenges trying to book a timely appointment. Provider directories from Medicaid managed care plans…
- September 11, 2024
Commenting on § 1915(c) HCBS Waivers: A Guide for Common Issues
Read moreMedicaid home and community-based (HCBS) § 1915(c) waivers provide critical services for people with disabilities across the country. These…
