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Archives
- June 7, 2022
Medicaid, Child Welfare & Institutional Care: Qualified Residential Treatment Programs
Read moreA landmark foster care reform law, the Family First Prevention Services Act, was intended to ensure that children are able to live in family-like settings and reduce reliance on unnecessary institutional care. In doing so, the new law put a spotlight on a longstanding Medicaid law and policy that…
- May 16, 2022
Medicaid Coverage of Advanced Practice Prescribing for Reproductive & Sexual Health Medications
Read moreAdvanced practice providers (APPs) are licensed health care practitioners, other than physicians, who may practice independently and bill directly under state law. Public health research supports making a variety of reproductive and sexual health medications available through APPs. There are two primary state policy levers that impact access to…
- May 2, 2022
NHeLP Comments on CMS Request for Information on Access to Coverage and Care in Medicaid & CHIP
Charly Gilfoil, Cat Duffy, Abigail Coursolle, Mara Youdelman, Wayne Turner, Jennifer Lav, Elizabeth Edwards, and David Machledt CommentsRead moreThe Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) to develop and implement a comprehensive strategy to help ensure equitable access to Medicaid and the Children's Health Insurance Program (CHIP). In comments, NHeLP responds to the RFI questions on issues ranging from eligibility and…
- April 14, 2022
NHeLP comments on Oregon’s application for renewal of the Oregon Health Plan § 1115(a) Demonstration Waiver for 2022-2027
Read moreIn public comments, NHeLP expresses support for Oregon's decision to abandon its waiver of EPSDT. However, NHeLP strongly opposes Oregon's proposal to exclude outpatient prescription drugs approved under the FDA's accelerated approval pathway. Denying Medicaid enrollees access to effective break-through therapies would harm people with serious or life-threatening medical…
- April 6, 2022
Q&A: Recent EPSDT Cases
Read moreThe Early and Periodic Screening, Diagnostic and Treatment provisions are among the most specific in the Medicaid Act. This Fact Sheet summarizes three recent court cases that analyze what states must do to comply with EPSDT and discusses an opinion certifying an EPSDT case as class action.
- March 16, 2022
EPSDT Litigation Trends and Annotated Docket
Read moreThe Early and Periodic Screening, Diagnostic and Treatment (EPSDT) provisions are among the most specific in the Medicaid Act. Over the years, however, states have not adhered to their responsibilities, and litigation has resulted. This Fact Sheet summarizes the federal requirements for EPSDT and provides an annotated case docket.
