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- December 1, 2016
Fact Sheet: Utilization Controls for Medicaid Prescription Drugs
Abbi Coursolle Manual/ReportRead moreState Medicaid programs that elect to provide outpatient prescription drug coverage must cover all FDA-approved drugs that are offered by a manufacturer that agrees to provide rebates. Nevertheless, states have substantial discretion to use utilization control techniques to steer Medicaid beneficiaries toward or away from certain drugs, within limits.…
- November 30, 2016
Fact Sheet: Medicaid Outpatient Prescription Drugs
Read morePrescription drug coverage is an important facet of the Medicaid program. Although an optional benefit, all states cover outpatient prescription drugs in their Medicaid programs.This fact sheet provides an overview of Medicaid outpatient prescription drug coverage, including: federal minimum requirements, state restrictions on prescription drug access, and special rules…
- November 30, 2016
Lessons from California: Nov
Read moreWhile Nov. 8 statewide elections in California brought the passage of a number of positive health care related initiatives, the looming Trump administration poses serious threats to health care in California and the nation, writes Staff Attorney Amy Chen in this month's Lessons from California. "Today and in the years…
- November 30, 2016
2017 Screening for Medicaid Eligibility Under the Pickle Amendment
Wayne Turner and External Source Regulations and LawsRead moreWith help from Gordon Bonnyman from the Tennessee Justice Center, NHeLP provides the updated 2017 - A Quick and Easy Method of Screening for Medicaid Eligibility under the Pickle Amendment, a screening tool and chart to determine if clients may be Medicaid eligible under the Pickle Amendment. The screening process…
- November 28, 2016
Health Advocate: The Post-Election State of Our Health
Read moreWith a looming Trump administration and conservative majorities in Congress promising to repeal the Affordable Care Act, popularly known as Obamacare, and greatly weaken Medicaid and other public safety net laws, NHeLP D.C. Managing Attorney Mara Youdelman details some of what to expect in the coming year on health care.…
- November 4, 2016
Issue Brief: Current Issues in NEMT
Read moreThe non-emergency medical transportation (NEMT) benefit is a critical component of the Medicaid program. This brief reviews the NEMT requirement and details states' various implementation options. It then probes some of the potential threats to and the future direction of this benefit as: (1) health care delivery increasingly shifts…
