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To improve Medicaid access for people with low incomes, Congress should ensure continuous Medicaid coverage for vulnerable people of all ages.
All states should expand Medicaid to cover uninsured populations with low incomes.
Federal and state governments should:
Federal and state governments should be transparent and inclusive in decisions related to dual-eligibles in managed care.
State and federal governments must ensure that risk-based managed care organizations (MCOs) demonstrate they can provide the full range of Medicaid-covered services—primary, acute, and long-term se
Federal and state governments should consider the performance of managed care contractors and providers before entering into contracts. They should:
Federal and state governments should ensure that beneficiaries enrolled in MCOs for Medicare, Medicaid, or both are allowed to change plans or return to fee-for-service (FFS) arrangements at any ti
When dual-eligibles are enrolled in managed care for Medicaid benefits, Medicare benefits, or both, state and federal governments must ensure that all statutorily required benefits are covered by t
States should guarantee that dual-eligibles and, as appropriate, their family caregivers or representatives receive information about all health and LTSS options for which the beneficiary is eligib
To the extent possible, states and the federal government should ensure that all MCOs honor beneficiaries’ desire to maintain a continuous relationship with a high-quality provider or health plan.