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- February 2, 2023
NHeLP Comments on Essential Health Benefits (EHB) Request for Information (RFI)
Read moreNHeLP submitted comments in response to the HHS' Request for Information (RFI) regarding coverage of Essential Health Benefits (EHB) in the private health insurance market. The comments highlight the need to provide guidance to states to ensure consumers have appropriate information about EHB coverage requirements. In addition, NHeLP underscores…
- February 2, 2023
CMS’ Approval of Section 1115 Demonstrations for Justice-Involved Individuals
Read moreSince Medicaid’s inception, the program has not covered services for anyone who is an “inmate of a public institution,” as federal law excludes federal payment for such services. This means that incarcerated individuals have no access to Medicaid-funded services and resources, and may face delays getting access upon release.…
- February 1, 2023
NHeLP welcomes new mental health network adequacy reporting for California plans
Read moreIn California, 1 in 14 children have a serious emotional disturbance that substantially limits their daily life functioning, and about 1 in 7 adults live with a mental illness everyday. Mental health conditions impact everyone, especially communities who are historically oppressed. For example, ethnic and racial minorities are more…
- February 1, 2023
CMS Establishes Guardrails for Section 1115 Demonstrations for Justice-Involved Individuals in California Waiver
Read moreSince Medicaid’s inception, the program has not covered services for any adult who is an “inmate of a public institution,." However, CMS recently granted a first-of-its-kind section 1115 “reentry demonstration” in California, creating a temporary, limited carve-out to the "inmate exclusion." Under the terms of the demonstration, California will…
- February 1, 2023
Unwinding Medicaid Continuous Coverage: Checklist for Redeterminations
Read moreThe continuous coverage protection that has kept nearly all Medicaid beneficiairies enrolled since March 18, 2020 will end as of March 31, 2023. Beginning as early as February 2023, states will begin redetermining eligibility for the millions of people enrolled in the program, with terminations beginning as early as…
- February 1, 2023
Federal Judge Issues Nationwide Injunction, Restoring Vital Medicaid Benefits for Older Adults and People with Disabilities
Read moreA federal judge in the U.S. District Court for the District of Connecticut has issued a nationwide preliminary injunction in a pending case against the U.S. Department of Health and Human Services (HHS), ordering HHS to stop enforcing an illegal Trump-era Interim Final Rule (IFR) that continues to strip…