Explains how states and health assistance programs handle billing disputes for Medicaid beneficiaries, answers questions about Medicaid billing issues.
Key Issues in the Final and Interim Final Rules on Establishing Exchanges and Expanding Medicaid under the Affordable Care Act
Summarizes key points in the final rules on the marketplaces (also known as exchanges) and the Medicaid expansion, as well as provisions that are interim final and open for comment.
Examines interstate billing problems, presents the results of a survey of state approaches to out-of-state billing, lists some promising practices for processing out-of-state Medicaid claims.
Outside of open enrollment, consumers still have the opportunity to enroll in qualified health plans when they experience certain life changes, such as marriage or a permanent move to an area with new coverage options. These opportunities to enroll outside of open enrollment are called special enrollment periods, or SEPs.