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- August 12, 2015
Health Advocate: Essential Health Benefits Overview
Read moreIntroduced by the Affordable Care Act, Essential Health Benefits (EHB) are a set of ten health care service categories that certain health plans must cover. In February 2015, HHS issued a Final Rule, which finalized changes to the EHB standard. This month's Health Advocate offers an EHB overview in…
- August 12, 2015
Medicaid Expansion State Waiver Chart
Leo Cuello Regulations and LawsRead moreThis chart shows the major waivers requested and approved in section 1115 demonstrations to implement Medicaid expansion in the six states that have been approved for such demonstrations. (This chart was updated in August 2017.)
- August 11, 2015
Model Medicaid Managed Care Contract Provisions: EPSDT Vision and Hearing Services
Jane Perkins, Sarah Somers, and External Source Issue BriefRead moreChildren enrolled in Medicaid are entitled to a comprehensive array of preventive and ameliorative care through the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit. As states have increasingly turned to managed care entities to fulfill their Medicaid administrative obligations, these companies are charged with affirmative duties to…
- August 5, 2015
State Medicaid Eligibility Policies for Individuals Moving Into and Out of Incarceration
Read moreConnecting individuals moving into and out of incarceration to health coverage may not only increase their access to care and improve their health status, but may also lead to state savings. Based on a review of state statutes, regulations, publicly available state Medicaid policies, and Medicaid managed care contracts,…