As federal health reform legislation has stalled, health policy attention turns to the states, which have many tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states.
Individual Eligibility Appeals Webinar
Melinda Dutton, Partner, Manatt Health Solutions Kinda Serafi, Counsel, Manatt Health Solutions
Introduction & Overview
The State Coverage Initiatives program, in coordination with the State Network, hosted a webinar on September 23, 2013 that discussed individual eligibility appeals. Melinda Dutton and Kinda Serafi from Manatt Health Solutions facilitated this webinar with state respondents from Illinois and Rhode Island. The webinar provided an overview of appeals requirements put forth in the regulations, including:
-State options for delegation of MAGI Medicaid and Exchange appeals;
-The standards for components of the appeal process, such as for appeal notices, appeal requests, pended benefits, informal resolution, hearings, and appeal decisions;
-The due process and procedural rights of the appellant; and
-Requirements for coordination between agencies and appeals entities.
The webinar slides can be found at the “download” button and a webinar recording can be found here.