New guide available for appeals of Medicaid Managed Care Decisions
Medicaid services are now provided through managed care organizations (MCO’s), which are required by federal law to provide a grievance and appeal process for the enrollees. An enrollee may be dissatisfied with the number of hours of service, or the services being provided, or a host of other issues. Three major nonprofits have collaborated on a new guide for advocates to help them in...
Appealing reduction of home care hours under NJ Medicaid
Has your loved one been receiving home care services under any of the New Jersey Medicaid Home and Community-based programs such as Global Options? The State’s Comprehensive Medicaid Waiver replaced that program with MLTSS – Medicaid Long Term Services and Supports — and each recipient is assigned to a Managed Care Organization (MCO) which performs a care plan assessment and...