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The federal government and states must ensure that all Medicaid beneficiaries have meaningful opportunities to exercise their statutory grievance and appeal rights, including a fair and rapid appea

In addressing fraud, waste, and abuse, federal and state governments should identify and implement strategies that do not threaten access to program benefits for people with low incomes and direct

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