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- July 28, 2022
Essential Health Benefits: Best Practices in Benchmark Selection
Read moreThe Affordable Care Act (ACA) established a comprehensive set of ten Essential Health Benefits (EHB) that most health plans must cover. Under federal rules, states can select a benchmark plan that defines what the ten benefits look like in each state. However, many states still have no process for…
- July 28, 2022
California Prepares for PHE Unwinding through Release of Operational Plan
Read moreCOVID-19 Public Health Emergency (PHE). While not required, CMS has encouraged states to make their plans publicly available. In their latest guidance to states, CMS outlines detailed requirements and recommendations for states to effectively return to normal business operations when the PHE ends. In May, California’s Medicaid agency, Department…
- July 17, 2022
NHeLP Comments on West Virginia Creating a Continuum of Care for Medicaid Enrollees with Substance Use Disorders (SUD) Demonstration Extension Request
Hector Hernandez-Delgado CommentsRead moreIn comments to HHS, NHeLP urges the Secretary to reject West Virginia's Section 1115 demonstration extension request to continue waiving the Institutions for Mental Diseases (IMD) exclusion. This letter emphasizes that while NHeLP is supportive of efforts to increase access to services for Medicaid beneficiaries with substance use disorders…