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- 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,…
- July 30, 2015
Lessons from CA: Ensuring Medi-Cal Plans Provide Durable Medical Equipment
Abbi Coursolle, Kim Lewis, and dfitzgerald Issue BriefRead moreIn this month's Lessons from California, we highlight the successful efforts by NHeLP and other advocates to ensure that beneficiaries with disabilities have access to durable medical equipment like wheelchairs in its Medi-Cal managed care program when they are needed for community access.
- July 30, 2015
Fact Sheet: Selected Supreme Court Access to Court Opinions from the 2014 Term
Read moreNHeLP analysis of select cases from the past term that focus on access to court issues, statutory construction, Supremacy Clause, section 1983, and deference. Cases include: King v. Burwell, Armstrong v. Exceptional Child Care Center, Johnson, et al. v. City of Shelby, Taylor v. Barkes, and Young v. United Parcel Service, Inc.
- July 29, 2015
Issue No. 5 – Pharmacy and Therapeutics Committees
Read moreIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice of…
- July 29, 2015
Issue No. 4 – United States Pharmacopeia Classification System
Read moreIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice of…