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- July 22, 2016
Darjee v. Betlach, District of Arizona
Litigation Team CasesRead moreLow-income immigrant residents of Arizona who were eligible for full Medicaid benefits, but whose benefits were reduced to emergency-only benefits, filed suit against the state Medicaid agency for preventing them from accessing the full scope of necessary medical care. Plaintiffs alleged that these benefit reductions violated the obligation to…
- July 18, 2016
Issue Brief: Why Are Medicaid Lock-in Programs Used and How Can They Be Improved
Read moreIn this Issue Brief, Legal Director Jane Perkins explains what Medicaid lock-in programs are, what are the legal requirements for implementing them, and how these programs can be improved to better serve Medicaid beneficiaries.
- July 13, 2016
Health Advocate: The ACA and Preventive Screenings and Services
Read moreIn this month's Health Advocate, Julia Quinn and Wayne Turner examine the Affordable Care Act's requirements regarding health plans' preventive screenings and services. They conclude, in part, that the ACA's no-cost preventive services and screenings present both "challenges and opportunities for health advocates."
- June 30, 2016
Q&A: Recoupment Following an Adverse Medicaid Appeal
Read moreLegal Director Jane Perkins provides guidance on a question regarding Medicaid managed care plans' abilities to recoup costs of health services following an adverse Medicaid appeal. Medicaid applicants and recipients have rights to notices and administrative hearings when their claims for medical assistance are denied or not acted on…
- June 29, 2016
Lessons from CA: California Limits Medi-Cal Estate Recovery
Read moreBeginning in 2017, California will limit its Medicaid (Medi-Cal in CA) estate recovery to what is federally required. This month's Lessons from California highlights the changes made to the Medi-Cal estate recovery laws in California through the budget signed by the governor this week.
- June 23, 2016
Issue Brief 5: Medicaid Managed Care Final Regulations and Reproductive Health
Read moreIn this issue brief, NHeLP Staff Attorney Catherine McKee reviews the recently finalized Medicaid managed care regulations, and how they impact access to quality reproductive health services. She notes the new rules are "designed to increase access to reproductive health providers and services," but says state health care advocates…