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- September 5, 2022
Demographic Data Collection in Medicaid & CHIP: CMS Authority to Collect Race & Ethnicity Data
Read moreCMS must collect information on Medicaid and CHIP enrollees' race and ethnicity to understand program quality and monitor equitable access. Yet, CMS has not formally required state Medicaid programs to collect or report race and ethnicity information in a uniform manner. As a result, data on racial and ethnic…
- August 31, 2022
S.J, et. al v. Knodell, Western District of Missouri
Read moreThis case was formerly known as S.J v. Tidball. Nine children with medically complex conditions who are enrolled in Medicaid in Missouri challenged the Missouri Department of Social Services' failure to provide or arrange for medically necessary in-home nursing services as required by the Medicaid Act and the Americans…
- August 19, 2022
NHeLP Letter to CCIIO Director, Ellen Montz – Re: Request for Modifications to the Federal Prescription Drug and Maternity Care Essential Health Benefit Standards
Read moreDespite improvements in coverage of Essential Health Benefits (EHB) since the enactment of the Affordable Care Act, significant gaps remain in access to care in various categories of service. In this follow-up letter to leadership at the Center for Consumer Information and Insurance Oversight (CCIIO), NHeLP urges the Department…
- August 15, 2022
Questions and Answers on the 2022 Proposed Rule Addressing Nondiscrimination Protections under the ACA’s Section 1557
Mara Youdelman, Wayne Turner, Abigail Coursolle, Elizabeth Edwards, Jennifer Lav, and Madeline Morcelle Q&ARead moreIn courts and through regulatory action, the Biden-Harris administration is vigorously working to address health equity. This includes strengthening the Affordable Care Act’s (ACA) nondiscrimination requirements. On August 4, 2022, the administration released a proposed rule that would reinstate key provisions of the ACA’s nondiscrimination requirements repealed by the…
- 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…