Child and Adolescent Health Archive

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May 29, 2015
Lessons From CA: Essential Health Benefits
Michelle Lilienfeld Issue Brief
Introduced by the Affordable Care Act, the Essential Health Benefits (EHBs) are a set of ten health care service categories that non-grandfathered health plans in the individual and small group markets must cover. States are in the process of making important decisions about the EHBs, therefore this is a…
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May 14, 2015
Survey of Medicaid Managed Care Contracts: EPSDT Vision and Hearing Services
Jane Perkins, Sarah Somers, and External Source Issue Brief
An estimated 25 percent of all school children in the United States have some type of vision problem significant enough to affect daily life and school performance. Similarly, despite the proliferation of hospital-based newborn hearing screening programs, a significant number of children with possible hearing loss are not receiving…
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May 12, 2015
Issue Brief: Vision Services for Children on Medicaid A Review of EPSDT Services
Jane Perkins and Catherine McKee Issue Brief
A significant number of children in the United States are living with undiagnosed vision problems, and low-income children and children of color are disproportionately affected. Most low-income children qualify for health insurance through their state's Medicaid program. Medicaid offers enrolled children a comprehensive benefit, called Early and Periodic Screening,…
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March 9, 2015
A Guide to Oversight, Transparency, and Accountability in Medicaid Managed Care
David Machledt, Sarah Somers, and Wayne Turner Issue Brief
In this publication, NHeLP attorneys have drawn upon decades of experience to support stakeholders as they embark on, or continue to engage in, Medicaid managed care work. NHeLP's A Guide to Oversight, Transparency, and Accountability in Medicaid Managed Care provides a robust set of tools, tips, and techniques to obtain…
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March 9, 2015
Essential Health Benefits Update and Advocacy Opportunities
Michelle Lilienfeld Issue Brief
On February 20th, 2015, the Department of Health and Human Services issued the Notice of Benefit and Payment Parameters for 2016 final rule (Final Rule 2016), which among changes in other areas, finalized changes to the Essential Health Benefits (EHB) standard. This fact sheet provides an overview of 1)…
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March 6, 2015
Behavioral Health: Medicaid, Managed Care and Children More Questions to Ask
dfitzgerald Issue Brief
NHeLP has prepared a list of questions consumers should ask as their states begin working on developing or redesigning their Medicaid managed care programs (Medicaid Managed Care: 20 Questions to Ask Your State, National Health Law Program). This document lists additional questions to ask when behavioral health populations are being either included…
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