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Archives
- November 10, 2020
California Policy Needs During COVID and Beyond: Reproductive and Sexual Health
Read moreCOVID-19 has changed the landscape for reproductive and sexual health care services, delivery, and access. As has been the case across the board, the COVID-19 pandemic has laid bare racial and socioeconomic inequities, and in many cases exacerbated them. At the same time, the challenges raised by the pandemic…
- July 16, 2020
Amicus: Bellin v. Zucker, U.S. Court of Appeals, Second Circuit
Litigation Team Court Document, CasesRead moreThe National Health Law Program, along with the Center for Medicare Advocacy and Justice in Aging, filed this brief in the Second Circuit in support of the plaintiff. Rosalind Bellin receives Medicaid in New York and needs in-home long term care services to live in her home safely. She…
- December 18, 2019
Advocate Fact Sheet: Evaluating Mental Health Plans’ Provision of Medi-Cal Specialty Mental Health Services
Read moreMedi-Cal beneficiaries in California receive mental health services through two separate managed care systems. Medi-Cal Managed Care Plans (MCPs) are responsible for providing non-specialty mental health services and County Mental Health Plans (MHPs) are responsible for providing specialty mental health services (SMHS). This bifurcated system often serves as a…
- October 21, 2019
Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised October, 2019)
Read moreFederal and state law and the state and federal Constitutions require that enrollees in Medi-Cal managed care plans receive notice, and grievance and appeal rights when they are denied access to medically necessary services. Frequently, however, enrollees fail to receive the required notice, get an inadequate notice, or do not…
- April 8, 2019
National Health Law Program Comments on HHS Safe Harbor Rule for Outpatient Prescription Drugs
Read moreThe U.S. Department of Health and Human Services (HHS) proposed new regulations that would remove safe harbor protections for prescription drug rebates. Currently, rebates paid by manufacturers to Medicare Part D plans and Medicaid managed care organizations (MCOs), including pharmacy benefit managers (PBMs) are shielded from federal anti-kickback laws.…
- March 15, 2019
Advocate Fact Sheet: Monitoring Plan’s Provision of Mental Health services to Medi-Cal Beneficiaries
Read moreCalifornia has two managed care plans that are responsible for providing mental health care to beneficiaries of Med-Cal, the state's Medicaid program. Senior Attorney Abigail Coursolle, in this fact sheet, provides guidance and tools for California health care advocates to monitor and ensure that the state's managed care plans…
