Megan F. Beaver

Counsel | She/Her/Hers

Overview

Megan F. Beaver is a counsel at Crowell & Moring’s San Francisco office and a member of the firm’s Health Care Group. Her practice focuses on health care regulatory compliance, with a particular emphasis on mental health parity under the Mental Health Parity and Addiction Equity Act (MHPAEA) and related state laws. Megan advises national and regional health plans—including Medicare Advantage, commercial, and Medicaid health plans—on a range of regulatory compliance issues, including state licensure, provider contracting, and delegated entity compliance. She has significant experience supporting clients through Department of Managed Health Care (DMHC) Office of Enforcement investigations and has assisted plans in obtaining licensure under California’s Knox-Keene Health Care Service Plan Act. She also supports health care transactions advising clients on regulatory risks, due diligence, and compliance issues that arise in mergers, acquisitions, and other strategic deals.

Prior to joining the firm, Megan was senior corporate counsel at Centene Corporation. In this role, Megan analyzed proposed, pending, and recently enacted legislation, as well as provided agency guidance, to determine the impact on health plan operations. She advised plan leadership on how to implement and effectuate the required action. Megan also advised the California plan leadership on how to manage the dual authorities of government programs and plan licensure (i.e. Medicare/Medi-Cal and DMHC).

Career & Education

    • University of the Pacific, McGeorge School of Law, J.D., honor title, 2013
    • University of California, Davis, B.A., 2005
    • University of the Pacific, McGeorge School of Law, J.D., honor title, 2013
    • University of California, Davis, B.A., 2005
    • California
    • California
  • Professional Activities and Memberships

    • Member, California Bar Association
    • Member, American Bar Association

    Professional Activities and Memberships

    • Member, California Bar Association
    • Member, American Bar Association

Megan's Insights

Client Alert | 6 min read | 06.11.26

CMS Announces New Medicaid Eligibility Requirements: Implications for Managed Care Plans

On Wednesday, June 3, 2026, the Department of Health and Human Services (HHS) published an interim final rule with comment (IFC) instructing all state Medicaid agencies to incorporate “community engagement” as an eligibility condition for program participation by no later than January 1, 2027. The rule (Medicaid Program; Community Engagement Requirement for Certain Individuals) does not impose affirmative operational obligations for Medicaid managed care plans, as it focuses primarily on equipping the states to administer the community engagement requirement. However, it does establish a few specific guardrails to govern the role managed care organizations, prepaid inpatient health plans, and prepaid ambulatory health plans may — and may not — play in that administration....

Representative Matters

  • Defended California health care service plan in arbitration regarding payment of out-of-network services.
  • Represented Medi-Cal county organized health system in state fair hearings before the California Department of Social Services.
  • Represented Medi-Cal managed care plan in the California Superior Court on a writ of mandate related to the denial of Medi-Cal benefits.
  • Defended California health care services plan in arbitration with a health care provider over application of contractual language related to claims editing and payment.

Megan's Insights

Client Alert | 6 min read | 06.11.26

CMS Announces New Medicaid Eligibility Requirements: Implications for Managed Care Plans

On Wednesday, June 3, 2026, the Department of Health and Human Services (HHS) published an interim final rule with comment (IFC) instructing all state Medicaid agencies to incorporate “community engagement” as an eligibility condition for program participation by no later than January 1, 2027. The rule (Medicaid Program; Community Engagement Requirement for Certain Individuals) does not impose affirmative operational obligations for Medicaid managed care plans, as it focuses primarily on equipping the states to administer the community engagement requirement. However, it does establish a few specific guardrails to govern the role managed care organizations, prepaid inpatient health plans, and prepaid ambulatory health plans may — and may not — play in that administration....

Megan's Insights

Client Alert | 6 min read | 06.11.26

CMS Announces New Medicaid Eligibility Requirements: Implications for Managed Care Plans

On Wednesday, June 3, 2026, the Department of Health and Human Services (HHS) published an interim final rule with comment (IFC) instructing all state Medicaid agencies to incorporate “community engagement” as an eligibility condition for program participation by no later than January 1, 2027. The rule (Medicaid Program; Community Engagement Requirement for Certain Individuals) does not impose affirmative operational obligations for Medicaid managed care plans, as it focuses primarily on equipping the states to administer the community engagement requirement. However, it does establish a few specific guardrails to govern the role managed care organizations, prepaid inpatient health plans, and prepaid ambulatory health plans may — and may not — play in that administration....