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- June 5, 2018
Network Adequacy for Behavioral Health Services in Medicaid Managed Care
Read moreHas your state set network adequacy standards for behavioral health services offered by Medicaid Managed Care plans yet? If not, now is the time to work with your state to develop strong standards. On July 1, federal regulations will require states to ensure that their Medicaid Managed Care plans…
- May 31, 2018
Despite Trump’s Health Care Sabotage, California is Fighting to Protect Access to Essential Health Benefits
Read moreThe Trump administration issued the Notice of Benefits and Payment Parameters Final Rule for 2019 (HHS 2019 Final Rule), which introduced several changes to the way states define individual and small-group market coverage of the ten Essential Health Benefits (EHBs) mandated by the Affordable Care Act. The HHS 2019…
- May 25, 2018
NHeLP Urges HHS to Reject Plan to Weaken Medicaid Equal Access Provisions
Read moreNational Health Law Program in comments to the U.S. Department of Health and Human Services urges the rejection of a plan being pushed by Centers for Medicare & Medicaid Services Administrator Seema Verma to weaken Medicaid regulations intended to ensure that CMS is enforcing "access to covered services in…
- May 24, 2018
Groups File Class Action Lawsuit Against California’s Failure to Adhere to Medicaid Act by Not Providing Appropriate In-Home Care to Children With Disabilities
Read moreWashington -- Two children with significant disabilities filed a federal class action lawsuit on May 24 against the California Department of Health Care Services (DHCS), claiming that the state has failed to fulfill its commitment to provide them with sufficient Medi-Cal in-home nursing services to keep them safely at…
- May 24, 2018
Groups File Class Action Against Calif. Over Care of Children with Disabilities
Read moreRepresenting children with disabilities, Disability Rights California, National Health Law Program and Western Center for Law and Poverty today filed a class action lawsuit in federal court against California's Medicaid agency (Medi-Cal) for failure to provide sufficient in-home nursing services. Medi-Cal's "deficient policies, practices, and procedures related to arrangement…
- May 24, 2018
Ivory N. v. Kent, Northern District of California
Litigation Team and dfitzgerald CasesRead moreMedicaid eligible children who require in-home nursing services challenged California’s failure to arrange for or provide those medically necessary services. The failure to provide in-home nursing services puts these children at serious risk of harm and institutionalization. Partners: Disability Rights California, Western Center on Law and Poverty