States can help people keep their Medicaid coverage by reducing paperwork and allowing them to self-report health conditions and caregiving responsibilities as exemptions from work requirements.
Care coordination for people dually eligible is shaped by several overarching federal requirements, including Model of Care requirements, the Home and Community-Based Settings Rule, and the Medicaid Access Rule.
People dually eligible often experience significant confusion during the D-SNP enrollment process, especially regarding the eligibility criteria for enrolling in a D-SNP, whether they may be subject to default enrollment, and what protections are available if they lose D-SNP eligibility.
People are often overwhelmed by the confusing notices they receive about their Medicare and Medicaid coverage. This toolkit helps advocates develop State Medicaid Agency Contract (SMAC) language that requires managed care plans to provide accessible communications for their enrollees.
With support from the California Department of Aging, Justice in Aging is providing targeted resources and trainings, technical assistance, opportunities to connect, and capacity building support to California legal services providers to help them meet the needs of the state’s low-income older adults.
Improper evictions are a long-standing problem in nursing facilities across the country. Federal law allows eviction only for six narrow reasons, but facilities often evict residents for various invalid reasons, including being “difficult,” needing one-on-one attention, switching from Medicare to Medicaid payment, and not complying with treatment plans.
