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redetermination

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Journal Article
Journal of Health Politics, Policy and Law (1 April 2016) 41 (2): 225–237.
Published: 01 April 2016
...Michael Koetting Abstract States are required to conduct annual Medicaid redeterminations. How these redeterminations are undertaken is crucial to determining the nature of Medicaid coverage. There can be wide variations in the proportion of clients disenrolled, with potentially large numbers of...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2016) 41 (2): 155–156.
Published: 01 April 2016
..., Subtracting, and Redeterminations in Illinois,” Michael Koetting provides a useful on-the-ground report on how the redetermination process is having a significant impact on Medicaid enrollments and uses Illinois as a case study. In “Business Associations, Conservative Networks, and the Ongoing Republican War...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2004) 29 (3): 451–490.
Published: 01 June 2004
... eligibility redeterminations, and creating presumptive eligibility procedures that allow medical pro- viders to conditionally enroll those who appear to be eligible. At the same time, several other concerns have arisen as well. The cre- ation of SCHIP coincided with a period of considerable researcher...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1990) 15 (2): 387–411.
Published: 01 April 1990
... had previously been employed. A year before, Congress had authorized triennial redeterminations, but the stricter standards and procedures were the SSA’s invention. Nearly half of the cases reviewed led to determinations of ineligibility, and the mentally ill were disproportionately hard...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2015) 40 (1): 233–242.
Published: 01 February 2015
... unified application but a single, integrated determination and redetermination system — lies at the heart of the Medicaid amendments as well as the design of the health insurance exchange. States' deep concerns over the workability of this model, coupled with fears that they would lose control over...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1978) 3 (1): 54–70.
Published: 01 February 1978
... Variations in State Medicaid Programs 65 The MPI may also be used in analyses of trends over time, as the following discussion demonstrates. B. Changes over time in state programs. Public programs change in response to a variety of factors: redeterminations of the need for...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2001) 26 (6): 1223–1260.
Published: 01 December 2001
.... Westmoreland, Timothy. 2000 . Dear State Medicaid Director. Letter on Improper Terminations, Federal Requirements for Redetermining Medicaid Eligibility, and Operation of Computerized Eligibility Systems, April 7. Available on-line at http://www.hcfa.gov/medicaid/smd40700.htm . Winterbottom, Colin, David W...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1991) 16 (3): 553–572.
Published: 01 June 1991
... redetermine the rental rate for a facility annually or to maintain the rate as a constant. Establishing the rate once, at the beginning of a fa- cility’s association with Medicaid, reduces inflationary tendencies and im- proves that state’s ability to predict cost. On the other hand, industry...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1984) 9 (2): 291–313.
Published: 01 April 1984
Journal Article
Journal of Health Politics, Policy and Law (1 June 1988) 13 (3): 525–546.
Published: 01 June 1988
... program applicant prior to receipt of waiver services and that each waiver recipient meets ICF/MR level-of-care criteria at program entry and at periodic redeterminations thereafter (usually an- nually). States may, at their own discretion, apply more restrictive level-of-care criteria to enhance...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1997) 22 (3): 839–878.
Published: 01 June 1997
... AFDC recipients with few of the resources needed for organizational or politi- cal activity. Moreover, many recipients are on AFDC for relatively short periods of time and face periodic eligibility redeterminations which cre- ate added instability in enrollment. The resulting turnover, as well as...