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- September 18, 2023
EPSDT’s Legal Landscape & Implementation History
Amanda Avery and Jane Perkins Court Document, Health Advocate, Regulations and Laws, Fact Sheet, Case ExplainerRead moreThis Fact Sheet provides essential information to help advocates become EPSDT experts. After giving an overview to EPSDT, we focus on: (1) legislative milestones; (2) notable federal agency guidance; and (3) precedent-setting cases from the judiciary. Next, we provide a snapshot of states’ performance implementing EPSDT, using government reports…
- August 29, 2023
Resources for California Foster Youth: Sexual, Reproductive, and Mental Health Medi-Cal Services
Read moreCurrent and former foster youth in the Medi-Cal program have access to a broad array of reproductive, sexual, and mental health services. Working with the National Center for Youth Law, the National Health Law Program has developed a suite of infographics and factsheets aimed at helping foster youth better understand…
- July 19, 2023
Statement for the Record to the House Committee on Oversight and Accountability, Subcommittee on Health Care and Financial Services on DACA and Health Coverage
Read moreNHeLP submitted a statement for the record to the House Committee on Oversight and Accountability, Subcommittee on Health Care and Financial Services on the importance of ending the unjustifiable exclusion of DACA recipients from eligibility to coverage under certain CMS health insurance affordability programs. The statement addresses how the…
- 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 10, 2023
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.…
