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Medicaid

Medicaid rule on homebound requirements
Source: CMS Content
Content Type: PDF
CMS issues a rule clarifying that Medicaid recipients do not need to be homebound to receive Medicaid funded HCBS. The rule is limited to Medicaid only, and does not change the requirements for Medicare.

An Advocate's Library: State Practices in Managed Long-Term Services and Supports
Source: NSCLC
Content Type: Webpage
Consumer advocacy is vital in Medicaid managed care, both to address individual disputes and also to improve the contracts and regulations governing managed care organizations. The Advocate's Library: State Practices in Managed Long-Term Services and Supports is a comprehensive resource that allows consumer advocates to research and compare the contracts between states and managed care organizations. Medicaid managed care programs differ significantly from one state to the next, and these differences often stem from these contracts. The Library provides a summary of relevant contract provisions by topic along with a page number citation for each cited provision. It also contains over 1,000 citations to current managed care contracts to allow advocates to easily find the original text. The contracts themselves are also available here for users seeking exact contractual language.

Michigan Consumer Guide to the Medicaid Application Process
Source: Michigan Center for Law and Aging
Content Type: Word Document
Excellent handbook for consumers outlining the in the Medicaid application process in Michigan (the process is very state specific.) This would serve as a good model for creating state specific applications guides for other states.

An Advocate's Library: State Practices in Managed Long-Term Services and Supports
Source: NSCLC
Content Type: Webpage
Consumer advocacy is vital in Medicaid managed care, both to address individual disputes and also to improve the contracts and regulations governing managed care organizations. The Advocate's Library: State Practices in Managed Long-Term Services and Supports is a comprehensive resource that allows consumer advocates to research and compare the contracts between states and managed care organizations. Medicaid managed care programs differ significantly from one state to the next, and these differences often stem from these contracts. The Library provides a summary of relevant contract provisions by topic along with a page number citation for each cited provision. It also contains over 1,000 citations to current managed care contracts to allow advocates to easily find the original text. The contracts themselves are also available here for users seeking exact contractual language.

Medicaid, Spousal Impoverishment and Same-Sex Couples
Source: SAGE
Content Type: Webpage
A detailed explanation of Medicaid spousal impoverishment provisions and estate recovery provisions and how LGBT adults are treated differently then opposite sex married couples and an explanation of options for states to extend some protections to same-sex couples.

Improving the Qualified Medicare Benefit Program for Dual Eligibles
Source: National Senior Citizens Law Center
Content Type: PDF report
This paper provides recommendations on changes to improve delivery of the Qualified Medicare Beneficiary (QMB) program so that it can more fully serve the purposes for which the program was established. It is the last in a series of four papers that highlight pressing issues facing dual eligibles and provide recommendations to the federal Medicare-Medicaid Coordination Office (MMCO), state Medicaid agencies and other interested policymakers and stakeholders on how to address them.

Information on Medicare and Medicaid related to Alzheimer’s
Source: Alzheimer’s Association
Content Type: Website
Web page listing information on Medicare and Medicaid with a specific focus on Alzheimer’s and other dementias