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- December 2, 2024
NHeLP Comments on Mandatory Medicaid and Children’s Health Insurance Program (CHIP) Core Set Reporting
Read moreThese comments respond to a CMS proposed rule that would require annual reporting on a core set of measures for Medicaid and CHIP children, as well as a core measure set for adult behavioral health. NHeLP supports efforts to strengthen data collection and quality reporting in the Medicaid and…
- November 7, 2024
Medicaid Eligibility for Incarcerated Individuals in California
Read moreHistorically, Medicaid has prohibited federal payments for health care services for adults and youth who are incarcerated. This federal law is known as the “inmate exclusion.” The federal law restricting Medicaid funds from paying for Medicaid services while an individual is in a carceral setting must not be confused…
- October 4, 2024
Fact Sheet: Medi-Cal Coverage of Transcranial Magnetic Stimulation (TMS)
Hector Hernandez-Delgado Fact SheetRead moreTranscranial magnetic stimulation (TMS) is an evidence-based device and procedure used in the treatment of major depresisve disorder (MDD) and is an important mental health service covered by the Medi-Cal program. This fact sheet summarizes the history and evidence of TMS as well as the coverage status among Medicare,…
- August 28, 2024
Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement
Read moreAlthough Medical Care Advisory Committees (MCACs) have been federally required for nearly forty years, some states have seriously underutilized this opportunity to monitor and improve their Medicaid programs. In May 2024, the Centers for Medicare & Medicaid Services (CMS) updated regulations implementing MCACs. New requirements for the renamed Medicaid…
- August 14, 2024
Medi-Cal Intensive Care Coordination (ICC) & Intensive Home Based Services (IHBS): Access Standards and Beneficiary Rights
Carly Myers and Kim Lewis Fact SheetRead moreSome county mental health plans (MHPs) have policies and practices on ICC and IHBS that do not comply with state law and policy, such as imposing additional eligibility criteria or requiring prior authorization for ICC. This factsheet reviews the correct legal standards for ICC and IHBS access and outlines…
- July 15, 2024
Coalition Letter on California’s Essential Health Benefits Benchmarking
Read moreCalifornia is currently in the process of evaluating the State's Essential Health Benefits benchmark plan. In response to a request for comment from the Department of Managed Health Care, NHeLP and a coalition of statewide health advocacy organizations submitted a letter explaining why the benchmarking process presents an opportunity…
