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- January 16, 2019
National Health Law Program Comments Regarding Proposed Rule Changes on Medicaid Managed Care and CHIP
Read moreThe National Health Law Program in comments to the U.S. Department of Health and Human Services urges it to reject several proposed changes to Medicaid Managed Care and the Children's Health Insurance Program (CHIP) that would weaken oversight of managed care setups, undermine current standards ensuring access to care…
- November 2, 2018
Navigating The Challenges of Medi-Cal’s Mental Health Services in California: An Examination of Care Coordination, Referrals and Dispute Resolution
Read moreMedi-Cal plays a crucial role in providing mental health services in California. In 2015, over 600,000 Californians – approximately two percent of the State’s population – received mental health services paid for by Medi-Cal. While Medi-Cal plays an important role in delivering necessary mental health services to Californians, many…
- July 18, 2018
Medi-Cal Coverage of Transportation Services
Read moreWhile Medicaid provides certain kinds of medically assisted transportation, all states have the ability to bolster transportation services and extend them to all Medicaid beneficiaries. California's Medicaid agency, Medi-Cal, provides Emergency Medical Transportation, Non-Emergency Medical Transportation, and Nonmedical Transportation (i.e., picking up drug prescriptions, visiting sick child in hospital).…
- July 17, 2018
Advocates’ Guide to Accessibility in Medicaid Managed Care Grievances and Appeal
Read morePursuant to new regulations from the U.S. Department of Health and Human Services (HHS), state Medicaid agencies are now required to ensure that managed care plans in each state are complying with new procedural requirements for grievance and appeals systems. This Advocate's Guide from Disability Rights Education and Defense…
- May 25, 2018
NHeLP Urges HHS to Reject Plan to Weaken Medicaid Equal Access Provisions
Read moreNational Health Law Program in comments to the U.S. Department of Health and Human Services urges the rejection of a plan being pushed by Centers for Medicare & Medicaid Services Administrator Seema Verma to weaken Medicaid regulations intended to ensure that CMS is enforcing "access to covered services in…
- October 14, 2016
Issue Brief 7: Medicaid Managed Care Final Regulations: BSS
Read moreSenior Attorney Elizabeth Edwards provides analysis and guidance on the updated rule regarding managed care plans in Medicaid, and how it relates to new requirements around beneficiary support systems (BSS). Edwards explains that the updated rule, adopted this year by the U.S. Department of of Health and Human Services…
