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- April 14, 2020
Medicaid and Due Process during the COVID-19 Pandemic
Read moreThe federal government has used a variety of authorities to allow states flexibility in operating their Medicaid programs during the national and public health emergency trigged by the COVID-19 pandemic. Its primary tools are waivers and State Plan Amendments (SPAs) under section 1135, Section 1115 waivers, and Appendix K…
- April 14, 2020
Medicaid Due Process and COVID-19 – Part I
Read moreThe individual’s rights to receive notice of and challenge a decision about coverage is the foundation of the Medicaid benefit. But, even in the best of times, state Medicaid agencies and managed care plans don’t always observe these rights. Crisis situations make it more likely that rights will be…
- April 14, 2020
Essential Health Benefits (EHB) benchmarking process
Read moreThe Essential Health Benefits (EHB) benchmarking process has been significantly modified throughout the years to provide states with increasing flexibility to either make harmful cuts to coverage or improve coverage. The current benchmarking process, finalized in 2017, established a new ceiling on the generosity of benefits provided under the…
- April 14, 2020
Fact Sheet on Telehealth and Medicaid during COVID-19
Read moreThe Centers for Medicare and Medicaid Services (CMS) define telehealth as the use of telecommunications and information technology to provide access to health assessment, diagnosis, intervention, consultation, supervision, and information across distances. States have broad authority to decide how to cover telehealth for the delivery of Medicaid-covered services, including…
- April 14, 2020
Keep Essential Care: Maternal Health
Read moreCOVID19 is having an unprecedented impact on the lives of billions of people. But a robust and effective COVID19 response must not be a vehicle for denying access to essential health care services.NHeLP is fighting to protect access to the range of critical services that people — especially low-income…
- April 13, 2020
Keep Essential Care: Direct Service Professionals
Read moreCOVID19 is having an unprecedented impact on the lives of billions of people. But a robust and effective COVID19 response must not be a vehicle for denying access to essential health care services.NHeLP is fighting to protect access to the range of critical services that people — especially low-income…