Child and Adolescent Health Archive

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January 29, 2015
Q&A: CMS Guidance on EPSDT Services for Children with ASD in Medicaid
dfitzgerald Issue Brief
Under longstanding Medicaid law, the state Medicaid agency must cover particular treatments "including intensive behavioral services" if they are coverable Medicaid services, necessary to correct or ameliorate a child's ASD, and no alternative, equally effective treatment is appropriate for the child. A recent CMS guidance letter and FAQ discuss…
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January 22, 2015
Order Granting Preliminary Injunction in Rivera v. Douglas
dfitzgerald Court Document
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January 14, 2015
Health Advocate: Our New Year’s Resolutions
Susan Berke Fogel, Jane Perkins, and Mara Youdelman Health Advocate
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January 13, 2015
Amicus brief of the National Health Law Program in Armstrong v. Exceptional Child Center
dfitzgerald Court Document
Amicus brief by NHeLP and advocates supporting the respondents and arguing that the history and purpose of the Medicaid Act illustrate the need for private enforcement when states' violations of the Medicaid Act are harming program beneficiaries. An adverse decision in this case would remove one of the primary…
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December 19, 2014
Lessons from CA: Ensuring Medi-Cal Plans Provide Services to Children
dfitzgerald Issue Brief
In this month's Lessons from California, we highlight how NHeLP worked to ensure that California's Medi-Cal managed care plans provide medically necessary services to children, even when those children might be able to receive some of these services from another entity. As a result of NHeLP's advocacy, California released…
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December 18, 2014
NHeLP EPSDT Letter to California Department of Health Services
dfitzgerald Letter
This letter urges California's Medicaid Agency to take action to instruct Medicaid Managed Care plans that they are required under state and federal law to provide services mandated by EPSDT to enrollees under 21. NHeLP and its partners become aware that several plans were refusing to cover certain services for…
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