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- September 18, 2023
EPSDT’s Legal Landscape & Implementation History
Amanda Avery and Jane Perkins Regulations and Laws, Case Explainer, Fact Sheet, Health Advocate, Court DocumentRead 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 17, 2023
Comments on CMS Health Insurance Common Claims Form (CMS-1500)
Read moreCMS invited public comment on the standard form that health care providers use to submit claims to CMS for reimbursement. This form has a great impact on how Medicare, Medicaid, and CHIP, as well as private insurers, collect and share information about patient populations and services provided. In our…
- August 11, 2023
Medicaid Eligibility Call Centers: Questions for LEP & Disability Access
Read moreCall centers are often the primary way that Medicaid enrollees interact with the Medicaid agency. During the unwinding of the Medicaid continuous coverage period, people are often relying on the Medicaid call centers for answers to questions, to submit requested information, file appeals, and otherwise receive assistance. But call…
- August 1, 2023
Case Explainer: Health & Hospital System of Marion Co., Indiana v. Talevski
Read moreIn Health and Hospital System of Marion County, Indiana v. Talevski, the Supreme Court addressed whether provisions of federal safety net programs can be enforced by individuals pursuant to 42 U.S.C. § 1983 and, if so, whether individuals can enforce provisions of the Medicaid Nursing Home Reform Act. The…
- June 14, 2023
The Constitutionality of Demographic Data Collection
Read moreCollecting demographic data is legal and constitutional. Questions have arisen about the constitutionality of the collection and use of demographic data. This concern has been attributed to the Supreme Court’s 1995 decision in Adarand Constructors, Inc. v. Pena. Yet Adarand and the cases following it preclude neither the collection…
