- June 18, 2026
NHeLP Comments on Interoperability Standards and Prior Authorization for Drugs Proposed Rule
Wayne Turner, Héctor Hernández-Delgado, David Machledt, Emma Parker-Newton, and Jasmine Young CommentsRead moreIn these comments to HHS, NHeLP continues to raise concerns with the use of prior authorization as a barrier…
- June 15, 2026
NHeLP Comments on Proposed 2028 Medicaid Home and Community-Based Services Quality Measure Set
Read moreThese comments offer NHeLP's general support for the HCBS Quality Measure Set, but express some concerns related to a…
- April 30, 2026
An Advocate’s Guide to Medi-Cal Services
Fabiola De Liban, Amy Chen, Abigail Coursolle, Alicia Emanuel, Héctor Hernández-Delgado, T. Nancy Lam, Kimberly Lewis, Carly Myers, Alexis Robles-Fradet, Skyler Rosellini, Jasmine Young, Elizabeth Zirker, and Jules Lutaba GuideRead moreNHeLP’s Medi-Cal Services Guide provides an in-depth description of some of the most important services covered in the Medi-Cal…
- March 31, 2026
The NC Medicaid Managed Care Ombudsman: A Robust and Effective Beneficiary Support System
Read moreThe North Carolina Medicaid program implemented a model beneficiary support system when it transformed its Medicaid program to comprehensive…
- March 26, 2026
Lessons Learned from North Carolina’s MCPAR Reports
Read moreStates must submit Medicaid Managed Care Program Annual Reports (MCPARs) annually for each of their managed care programs. Examining…
- December 11, 2025
Prior Authorization in Medicaid Series
Read moreThis issue brief series explores how prior authorization policies shape access to care in public health coverage programs, particularly…
- July 29, 2025
Revisiting Managed Care Sanctions
Read moreThis issue brief is part of the National Health Law Program’s ongoing work on accountability in Medicaid managed care.…
- July 28, 2025
Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised July, 2025)
Read moreFederal and state law and the state and federal Constitutions require that enrollees in Medi-Cal managed care plans receive notice,…
- January 6, 2025
Best Practices for Medicaid Secret Shopper Survey Implementation
Read moreNetwork adequacy has long been a challenge in Medicaid managed care. According to one 2023 survey, 1 in 3…
- 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…
