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- September 29, 2015
Lessons from CA: Medi-Cal Coverage Expanded for Pregnant Women
Kim Lewis and dfitzgerald Issue BriefRead moreThis month's Lessons from California highlights recent expansions in Medi-Cal coverage for pregnant women and advocates' efforts to ensure pregnant women are able to receive the full range of Medicaid services available under these expansions.
- September 23, 2015
Health Advocate: Nondiscrimination and the ACA
Read moreIn this month's Health Advocate, NHeLP provides an overview of the proposed regulation implementing Section 1557 of the ACA. Section 1557 updates nondiscrimination provisions to include prohibiting sex, gender identity, and sex stereotyping discrimination, as well as clarifying standards regarding discrimination based on language, disability, and other protected groups.…
- September 11, 2015
NHeLP Comments on Coverage of Certain Preventive Services under ACA
Read moreNHeLP comments on CMS-9968-P / Coverage of Certain Preventive Services Under the Affordable Care Act.
- September 10, 2015
Ensuring that Assessment Tools are Available to Enrollees
Read moreThe amount of Medicaid services for enrollees, particularly home and community based services, is increasingly being determined through prior authorization processes that use assessment tools and clinical coverage criteria. These assessment documents may not be made available to the enrollee. However, Medicaid law and due process call for disclosure…
- August 31, 2015
Step Guide to Reviewing Your State’s 2017 Essential Health Benefits Benchmark
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. The EHBs are defined through a benchmark approach where states either select or get assigned a benchmark plan which serves as a reference plan…
- August 31, 2015
Lessons from CA: Ensuring Due Process in Medi-Cal Renewals & Applications
Read moreThis month's Lessons from California highlights unlawful notices of action in Medicaid and successful advocacy to ensure due process in redetermination and eligibility notices.