Child and Adolescent Health Archive

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May 10, 2023
EPSDT Litigation Trends and Annotated Docket
Jane Perkins and Amanda Avery Fact Sheet
The 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.…
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April 20, 2023
AMICUS: J.R. v. Horizon NJ Health, New Jersey Superior Court, Appellate Division
Litigation Team Cases
J.R. is a young child who requires nursing services and appealed a significant reduction in her Medicaid nursing services that was based on the results of a secret scoring tool and care guidelines. The notice provided to J.R. reducing their services only provided the end result of the tool…
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April 17, 2023
What Makes Medicaid, Medicaid?
Wayne Turner Issue Brief, Fact Sheet
With the passage of the Affordable Care Act (ACA) in 2010, and the implementation of Medicaid expansions and Marketplaces in 2014, the U.S. significantly expanded access to health insurance coverage. Architects of the ACA rightly viewed Medicaid as an essential piece of the universal coverage puzzle. Indeed, Medicaid is…
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March 16, 2023
Protect Medicaid Funding series
National Health Law Program (NHeLP) Fact Sheet
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 on the Medicaid guarantee every year. Medicaid helps people live…
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March 13, 2023
NHeLP Comments on the HHS Prior Authorization Proposed Rule (2023)
Wayne Turner, David Machledt, and Sarah Somers Comments
In these comments on the Prior Authorization Proposed Rule, NHeLP urges HHS to go further to curb the abuse of prior authorization as a cost savings strategy that endangers patients’ health. NHeLP supports efforts to streamline prior authorization processing and bring greater transparency to denial rates and the clinical…
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February 24, 2023
Medi-Cal Dyadic Services Advocates and Consumer-Facing Factsheets
T. Nancy Lam Consumer Brochure, Toolkit, Fact Sheet
Effective 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)…
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Child and Adolescent Health Archive

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EPSDT Litigation Trends and Annotated Docket

AMICUS: J.R. v. Horizon NJ Health, New Jersey Superior Court, Appellate Division

NHeLP Comments on the HHS Prior Authorization Proposed Rule (2023)

Medi-Cal Dyadic Services Advocates and Consumer-Facing Factsheets

Child and Adolescent Health Archive

Archives

Never miss a thing.

Subscribe today.

EPSDT Litigation Trends and Annotated Docket

AMICUS: J.R. v. Horizon NJ Health, New Jersey Superior Court, Appellate Division

What Makes Medicaid, Medicaid?

Protect Medicaid Funding series

NHeLP Comments on the HHS Prior Authorization Proposed Rule (2023)

Medi-Cal Dyadic Services Advocates and Consumer-Facing Factsheets