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States and federal governments must ensure that all Medicaid beneficiaries have meaningful opportunities to exercise their statutory grievance and appeal r
Federal and state governments should conduct annual reviews to ensure that Medicaid’s rules for paying providers and managed care organizations do not unde
The federal government should require states to have procedures ensuring continuity of coverage for beneficiaries transitioning to Medicare.
Medicare beneficiaries enrolled in MA plans should be able to disenroll for any reason and at any time—effective the first day of the following month—and to enroll in the Traditional Medicare progr
Training should be available to state Medicaid program personnel to help them understand the Medicare program.
Premiums charged by health plans participating in Medicare must be community-rated for the Medicare population.