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- July 14, 2023
Comments on Proposed Medicaid Managed Care Access Rule
Read moreCMS proposed a major administrative rule that would increase transparency in managed care; improve monitoring and assure adequacy of payments in managed care; increase accountability, transparency, and participant input into external quality review; and help states to make information about quality measures widely available. NHeLP filed comments in support…
- July 13, 2023
Comments on Proposed Medicaid Access Rule
Jennifer Lav, Wayne Turner, David Machledt, Abigail Coursolle, Dania Douglas, Charly Gilfoil, Jasmine Young, and Madeline Morcelle CommentsRead moreCMS proposed changes and additions to regulations enforcing the "equal access" provision of Medicaid. These changes would strengthen opportunities for enrollees' input and oversight of state Medciaid programs, would help promote access to Medicaid services, would improve quality of care, and promoting transparency and adequate payment for fee-for-service Medicaid.…
- May 17, 2023
Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights
Read moreMedi-Cal covers Specialty Mental Health Services (SMHS) for beneficiaries who need them. In California, County Mental Health Plans (MHPs) are responsible for providing SMHS to Medi-Cal beneficiaries of all ages. This issue brief analyzes the legal requirements that require MHPs to ensure Medi-Cal beneficiaries’ access to SMHS and maintain…
- March 16, 2023
Protect Medicaid Funding series (2023)
Michelle Yiu, Emma Parker-Newton, David Machledt, Amy Chen, Madeline Morcelle, Héctor Hernández-Delgado, Catherine McKee, Mara Youdelman, Wayne Turner, Dania Douglas, and Charly Gilfoil Fact SheetRead moreA 2024 update of this series can be found here. In an updated series of fact sheets called Protect Medicaid Funding, NHeLP provides succinct analysis of the policy proposals that if enacted would jeopardize the health and financial security of the tens of millions of low-income individuals who depend…
- February 24, 2023
Medi-Cal Dyadic Services Advocates and Consumer-Facing Factsheets
Read moreEffective January 1, 2023, Medi-Cal covers dyadic services for the entire family based on the Medicaid eligibility of a child (aged 0-20). To inform advocates and families this important new Medi-Cal benefit, NHeLP publishes a set of advocate-facing and consumer-facing factsheets on Medi-Cal Dyadic Services. Dyadic Services Factsheet (Consumers)…