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Healthcare › Health Insurance › Eligibility Determination

Manatt, Phelps & Phillips, LLP

States Challenge CMS Rule Making DACA Recipients Eligible for Marketplace Subsidies

Manatt, Phelps & Phillips, LLP on

On August 8, a coalition of 15 state attorneys general sued CMS in the North Dakota federal court seeking to overturn a May 2024 CMS final rule making Deferred Action for Childhood Arrivals (DACA) recipients eligible for...more

Stotler Hayes Group, LLC

How To Secure Cooperation In The Medicaid Eligibility Process

Stotler Hayes Group, LLC on

In our day-to-day work representing skilled nursing facilities, we are regularly asked by our clients to assist in securing Medicaid benefits for their residents.  This often entails seeking the cooperation of the resident or...more

Manatt, Phelps & Phillips, LLP

CMS Weighs in on the Use of Algorithms and Artificial Intelligence in Coverage Determinations

Manatt, Phelps & Phillips, LLP on

Apparently in light of recent litigation against Medicare Advantage (MA) plans, on February 6, 2024, CMS published responses to frequently asked questions (FAQs) regarding the use of algorithms and artificial intelligence in...more

Manatt, Phelps & Phillips, LLP

Continuous Medicaid/CHIP Eligibility for Children and Youth: 2024 Considerations for States

Manatt, Phelps & Phillips, LLP on

In December 2022, the U.S. Congress took a step to address churn—where enrollees lose Medicaid coverage, often for procedural reasons, and later reenroll after a gap in coverage—in the Consolidated Appropriations Act, 2023...more

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