In April, the Centers for Medicare and Medicaid Services (CMS) finalized a rule that will affect how dually eligible individuals access Medicare Advantage plans and Medicare benefits. The rule changes: In addition, the rule improves how Special Supplemental Benefits for the Chronically Ill (SSBCI) are administered, limits D-SNP “look-alike plans” that are not subject to […]
This webinar took place on Wednesday, July 24, 11:00 a.m. PT / 2:00 p.m. ET The Office for Civil Rights at the U.S. Department of Health & Human Services (HHS OCR) recently finalized a new rule implementing the Health Care Rights Law (HCRL), also known as Section 1557 of the Affordable Care Act. Older adults, […]
The Social Security Administration recently announced several changes that will lessen the burden of Supplemental Security Income (SSI) and Social Security overpayments. These changes allow individuals to be readily approved for longer payment plans with correspondingly lower monthly payments, provide a more reasonable default withholding for Social Security beneficiaries who are dealing with an overpayment, […]
This webinar took place on Thursday, June 6, 2024 from 11:00 a.m. PT – 12:00 p.m. PT People with Medi-Cal benefits, including those also enrolled in Medicare and Qualified Medicare Beneficiaries, are not financially responsible for Medicare and Medi-Cal services, and yet advocates continuously report cases where their clients are improperly billed for their health […]
This webinar took place on Thursday, May 2, 2024, from 11:00 a.m. PT/2:00 p.m. ET – 12:00 p.m. PT/3:00 p.m. ET Nursing facility residents often are treated unfairly when they enter a facility for “short-stay” rehabilitation. They may be denied Medicare coverage based on their preceding hospital stay being under “observation status.” Or their Medicare […]
This webinar took place on Thursday, May 16, 2024, from 11:00 a.m. PT/2:00 p.m. ET – 12 p.m. PT/3:00 p.m. ET Older adults and people with disabilities experience significant poor oral health outcomes. One’s income, race, disability, and state of residence all impact access to oral health and oral health outcomes. This is because oral […]
This webinar took place on Thursday, April 11, 2024, from 11:00 a.m. PT – 12:00 p.m. PT With the recently updated Older Americans Act regulations and the emphasis placed on defense of guardianship (conservatorship in California), legal aid advocates need to have the knowledge and skills to advocate for the use of least-restrictive alternatives to […]
Since 2020, enrollment in Dual Eligible Special Needs Plans (D-SNPs) has doubled. Today, over five million individuals eligible for both Medicare and Medicaid are enrolled in these Medicare Advantage plans, and enrollment is expected to continue rising. An increasing number of states are focusing on D-SNPs as a primary vehicle for integrating care and improving […]
This webinar took place on Thursday, March 7, 2024, from 11:00 a.m. PT/2:00 p.m. ET – 11:30 a.m. PT/2:30 p.m. ET. State Medicaid programs generally can pay for assisted living services. Also, new federal regulations (effective March 2023) now establish some rights for residents of Medicaid-participating assisted living facilities. Medicaid assisted living, however, remains a […]
This webinar took place on Thursday, February 8, 2024, 11:00 a.m. PT More than 200,000 older and disabled Californians make their homes in a wide range of licensed facilities that provide housing along with some level of care and supervision. These settings include Residential Care Facilities for the Elderly (RCFEs), Adult Residential Facilities (ARFs), and […]