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July 14, 2023
Comments on Proposed Medicaid Managed Care Access Rule
Sarah Somers Comments
CMS 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…
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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 Comments
CMS 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.…
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May 16, 2023
Helping Those on HCBS Waiting Lists: Positive Impacts of the ACA
Elizabeth Edwards, Dania Douglas, and Michelle Yiu Issue Brief
Expanded services and coverage under the Affordable Care Act (ACA) and its Medicaid expansion provide states opportunities to decrease waiting lists for Medicaid home and community-based services (HCBS) and generally increase access to services for people with disabilities. HCBS programs offer states a great degree of flexibility to design…
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May 15, 2023
“Unfit” to work? How Medicaid Work Requirements Hurt People with Disabilities
David Machledt Issue Brief, Fact Sheet
New proposals to impose harsh work requirements in the Medicaid program will cause people with disabilities to lose Medicaid coverage. This brief shows how Medicaid already supports employment opportunities for people with disabilities seeking to work -- supports that work requirements may undermine. It provides evidence showing that exemption…
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May 3, 2023
NHeLP Summary of Proposed Access and Managed Care Rules
Sarah Somers Fact Sheet
Last week, the Centers for Medicare and Medicaid Services (CMS) released two proposed rules intended to improve access to care, quality and health outcomes, and address health equity issues. The first, Medicaid Program: Ensuring Access to Services (Access Rule), addresses in Medicaid fee-for-service, managed care, and HCBS program. The…
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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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Comments on Proposed Medicaid Managed Care Access Rule

Comments on Proposed Medicaid Access Rule

Helping Those on HCBS Waiting Lists: Positive Impacts of the ACA

“Unfit” to work? How Medicaid Work Requirements Hurt People with Disabilities

NHeLP Summary of Proposed Access and Managed Care Rules

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