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- June 29, 2021
Webinar: Quality and Accountability in Medicaid Managed Care — Where We Stand in 2021
Read moreThis webinar presents a recent series of papers that provide tips on leveraging managed care accountability tools, locating state quality data, and improving state reporting on health disparities. This includes updates on current implementation status of the 2016 Medicaid managed care regulations as well as links to various state…
- June 29, 2021
Children’s Health Under Medicaid A National Review of Early and Periodic Screening, Diagnostic, and Treatment Services 2015 – 2019
Read moreThe Medicaid Early and Periodic Screening, Diagnostic, and Treatment program requires each state to complete a reporting form provided by the U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services (CMS). This form, known as the Form CMS-416, measures the states’ efforts to ensure that…
- June 28, 2021
Closing The Medicaid Coverage Gap: Preventing a Separate and Unequal Result
Read moreExpanding Medicaid is an urgent moral, anti-racist, health equity, reproductive justice, and economic imperative. Yet today, policymakers in twelve states refuse to do so—a discriminatory political choice intertwined with racism in policymaking. The result is the Medicaid coverage gap: an estimated 4.4 million people with low incomes—nearly all of…
- June 16, 2021
Primer: State Plan Amendments v. Section 1115 Waivers
Read moreTension and confusion can arise over how HHS allows states to change their Medicaid programs, whether through a state plan amendment (SPA) or a Section 1115 project. To help guard against the improper use of Section 1115 waivers, advocates must know the distinctions between Section 1115 waivers and SPAs.…
- June 15, 2021
State Approaches to Improving Reproductive and Sexual Health
Read moreNHeLP conducted a 50-state review of state Medicaid websites of COVID-19 related policies related to reproductive and sexual health care. This issue brief describes some of the temporary Medicaid and other health care policies and practices states put in place during the pandemic to facilitate the coverage and delivery…
- June 11, 2021
L.S. by and through Ron S. v. Delia, Eastern District of North Carolina and Fourth Circuit Court of Appeals
Litigation Team CasesRead moreThis class action was filed on behalf of a class of North Carolinians with intellectual and developmental disabilities who received letters from their regional managed care organization, Piedmont Behavioral Health (known as PBH and later Cardinal Innovations Healthcare), informing them that, based on their Supports Intensity Scale (SIS) assessment,…
